Realignment surgery is surgery to correct or improve abnormal patellar tracking, and improve kneecap stability.
Realignment procedures include -
You need to be aware, though, that competent physiotherapy is usually the first line of management, and that surgery should be considered only when this fails.
Proximal realignment procedures
Distal realignment procedures
By 'distal realignment' we mean that the extensor mechanism problem is adjusted by an operation involving structures below the patella -
- Hauser procedure
- Roux-Goldthwait procedure
- Maquet procedure
- Fulkerson osteotomy
- Elmslie-Trillat procedure
- many variants and modifications (mostly involving 'tibial tuberosity transfer')