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Patella re-alignment

There are three surgeries commonly considered here:

Lateral release: A small section of the external alar ligament is removed and re-inserted arthroscopically into the patella, with the aim of restoring the patella’s normal profile. The effectiveness of this treatment has been questioned, however it is comparatively unaggressive and allows a very rapid post-operative recovery.

Distal realignment: This option is typically chosen in cases of marked misalignment leading to recurrent patellar dislocations. After the surgery, a partial immobilisation period of four weeks is required.

Proximal realignment: This treatment is often chosen for adolescents, where the vastus medialis is harvested to avoid damaging immature bones. The immobilisation period following these surgeries varies from 4-6 weeks.

We are proficient in providing post-surgical rehabilitation regardless of the knee surgery here.

Most patients will start in our sports rehab gym shortly after surgery, either with or without a brace on. Appropriate physiotherapy is actually more important than the surgery itself in these cases. Most patients should expect to be back to normal after around three months. 

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