Proximal realignment procedures are those surgical procedures performed above the attachment of the kneecap in an attempt to better align it in the groove of the underlying femur bone.
Page updated August 2023 by Dr Sheila Strover (Clinical Editor)

The concept of lateral retinacular lengthening where the two layers of the lateral retinaculum are cut at different levels, and loosened and then reattached.
Proximal realignment procedures
Proximal realignment procedures are those surgeries above the kneecap that aim to realign the patella. These include -
- Lateral release
- Lateral retinacular lengthening
- Medial reefing or plication
- Galeazzi procedure
Forum discussions
- bilateral proximal distal realignment TTT
Discussion about difficulties with rehabilitation after realignment procedures.
- proximal patella realignment- questions regarding recovery
Overcoming stiffness after being braced for some time after realignment suregery.
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