What is Trochleoplasty surgery?

What is trochleoplasty? • Trochleoplasty is a surgical procedure that creates a groove in the trochlea to. prevent recurrent patella dislocations, and the associated pain and disability. • The procedure will be performed under a general anaesthetic.

How common is Trochlear dysplasia?

Is trochlear dysplasia rare? Severe cases of trochlear dysplasia are rare, whereas more mild cases where the trochlear groove may be flatter than normal, are not that uncommon. Therefore, it is a relatively common condition, but often does not cause significant problems when it is a milder case of trochlear dysplasia.

What is a patella alta?

Patella alta or high-riding patella refers to an abnormally high patella in relation to the femur. The patella sits high on the femur where the groove is very shallow.

What is a Fulkerson osteotomy?

A Fulkerson osteotomy is a type of tibial tuberosity transfer procedure usually performed for patella instability. There are standard and modified procedures in use.

What is TT TG distance?

The TT-TG distance represents the radiographic measurement of the quadriceps vector, which represents a lateral force displacement on the patella during knee motion. It is > 20 mm in patients with recurrent patellar dislocations, as compared with 13 mm in control subjects.

What do they do in a MPFL reconstruction?

Medial patella-femoral ligament (MPFL) reconstruction is a surgical procedure used to correct recurring kneecap dislocation. MPFL reconstruction uses a tissue graft to reconstruct the ligament and hold the kneecap in the correct position on the femur.

Do you need surgery for Trochlear dysplasia?

Trochlear dysplasia is a condition where the trochlear groove is abnormally shaped, causing the patella to slip out of the groove or dislocate. Trochleoplasty is a surgical procedure that reshapes the trochlea to prevent patellofemoral recurrent instability, and associated pain and disability.

Is surgery necessary for dislocated patella?

Surgery is usually only necessary if there was a fracture or another associated injury, such as a ligament tear. It may also be done if you have dislocated your kneecap at least once before.

Can patella alta be cured?

Treatment of patella alta If a patient has significant patella alta that is causing specific problems (instability and/or patellofemoral wear/pain) then this can be treated effectively by surgically shifting the patella downwards by however far is necessary to put it into the normal position.

What can go wrong with patella?

Normally, the hyaline cartilage on the back surface of the patella is thicker than anywhere else in the body. Problems with the cartilage on the back of the patella include softening, blistering, fissuring, erosion, and thinning. These problems are collectively called chondromalacia patella.

Is osteotomy surgery painful?

Following a knee osteotomy, you usually stay in the recovery room for at least two hours while the anesthetic wears off. This procedure typically causes significant pain.

What is done during a Fulkerson osteotomy?

It involves osteotomy and anteromedialisation of the tibial tubercle with the aim of elevating the distal pole of the patella, and thus reducing contact of the patella with the knee during early flexion. Overall, it aims to reduce anterior knee pain and reduce degenerative progression.

When to use trochleoplasty as a salvage procedure?

Trochleoplasty can be proposed as a primary procedure for primary trochlea dysplasia or as a salvage procedure [13] in case of failure after previous patellar alignment surgery, principally anterior tibial tubercle transfer (ATTT).

When to use trochleoplasty in knee dysplasia?

Trochleoplasty is indicated as a primary procedure for major trochlear dysplasia with a prominence > 5 mm. Stabilization is obtained in most of the cases with the risk of residual mild anterior knee pain. Trochleoplasty can be also proposed as a salvage procedure when a previous surgery failed.

Who was the first person to have a trochleoplasty?

Mikkel was the first patient who was operated upon with an Arthroscopic Trochleoplasty, and this was back in March 2008. Previously he had unsuccessful kneecap-stabilizing surgery and by doctor and physiotherapist he was told that he would never be able to sports again.

What kind of surgery to deepen the trochlear groove?

This page is about the Trochleoplasty operation. This surgery deepen the groove in which the kneecap glides. Noteworthy the surgery can be done by arthroscopic technique. Trochleoplasty is a surgery for the Trochlear groove, a groove that helps the kneecap (the Patella) to stay in place.

When to start rehabilitation after a trochleoplasty operation?

This protocol is a general guide to rehabilitation. The time scales are an approximate guide and may be altered depending on various factors such as pain, swelling and control. Pain and swelling is very common for up to 6 months post operatively and should be factored into rehabilitation.

How big is the incision for trochleoplasty surgery?

What is trochleoplasty? Trochleoplasty is a surgical procedure that creates a groove in the trochlea to prevent recurrent patella dislocations, and the associated pain and disability. The procedure will be performed under a general anaesthetic. A surgical cut, known as an incision, of about 10cm in length will be made in the