A very common problem


The knee is a very complex joint and consists of two main joints, the tibio-femoral and patello-femoral joints.

Problems affecting the patellofemoral joint most frequently include pain, instability (subluxations or dislocations of the patella – when the kneecap moves partially or fully out of the groove in the femur) and arthritis.



Arthroscopy and debridement
Lateral release
Vastus medialis plasty
Lateral Facet Resection
Mosiac Plasty

Tibial tubercle osteotomy:

  • Elmslie-trillat
  • Hauser
  • Maquet
  • Fulkerson (DMZ)

Patellofemoral arthroplasty
Total Knee Replacement

There may be need for surgical intervention on the patella for a number of reasons such as:

  1. Patella Dislocation
  2. Patella Fracture
  3. Patella Alta & Baja
  4. Maltracking

There are number of surgical options on the kneecap and the method and procedure differs depending on the condition.

1. Realignment Surgery

  • Lateral Release
  • Quad Transfer
  • Patella Tendon Transfer
  • Tibial Tubercle Transfer
  • Osteotomies to correct dysplasia

2. Patellectomy


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