Cartilage injuries of the patellofemoral joint (patella and trochlea) may result from abnormal tracking and asymmetric wear. When this is the case, our surgeons will make a cut in the tibial tubercle and shift the patellar tendon attachment point over to correct the mal-tracking, usually fixing it with screws.
High tibial osteotomy
Cartilage injuries of the medial (inner) side of the knee may result from abnormal pressure from varus (bow-legged) alignment. In this situation, our surgeons will make a cut in the tibia to change the alignment to be more neutral. This is secured with a plate, screws and usually bone graft.
Distal femoral osteotomy
Cartilage injuries of the lateral (outer) side of the knee may result from abnormal pressure from valgus (knock-kneed) alignment. In this situation, our surgeons will make a cut in the distal femur to change the alignment to more neutral. This is secured with a plate, screws and usually bone graft.
Revision knee surgery
Prior surgical procedures may result in anatomic alterations that need to be addressed. One example is with prior ACL surgery in which tunnels may have expanded or are located in non-anatomic positions. Bone graft procedures and hardware removal procedures may be required. In addition, sometimes osteotomies are recommended to prevent re-tear.
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