Plica surgery in the knee is performed to remove a plical fold of joint lining that is being troublesome, perhaps because it is catching in the joint.

medial plica nipped in the knee joint


The medial plica can become nipped between femur and patella, with resultant pain.

Surgery for plica syndrome

Surgery may be indicated when the patient repetitively experiences symptoms, which may include:

  • inflammation of a plica, due to an impact injury
  • nipping of a mediopatellar plica between femur and patella
  • nipping of a suprapatellar plica between femur and the quads tendon
  • inflammation of the Hoffa fat pad, when a tethered infrapatellar plica is subjected to increased stresses, such as with an adolescent growth spurt

The procedure is usually arthroscopic (keyhole).

Back to top


Rehabilitation after plica surgery

If the plica is fully removed, rather than just snipped, recovery can be rather painful. Crutches may be needed for a couple of days and then a stick. Rehabilitation should focus on preventing any adhesions around the patella (by patellar mobilisations) and regaining full range of motion.

Back to top



There is currently no content classified with this term.


Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

See biography...

Also relevant -


eBook about plica problems in the knee

eBook - An overview of plica problems in the knee

by - Dr Lars Blønd

An expert look at the various plical folds of the knee and the problems that can be caused by a troublesome plica.

eBook about common knee symptoms

eBook - Common Knee Symptoms

by Dr Sheila Strover

An easy-to-follow discussion of the more common symptoms experienced in the knee.