
Knee Joint
The patella (knee cap) articulates with the lower end of the femur (thigh bone) at the patellofemoral joint. It rests on a groove on the femur called the trochlear groove, which holds it in position while allowing it to glide smoothly during knee movements. 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. The surgery is indicated to treat a trochlea that has a spur (boney outgrowth), is flat or convex.
Trochleoplasty
Before performing trochleoplasty, your doctor will ensure that the articular cartilage (spongy tissue that lines and cushions joints during movement) at the trochlea is normal and healthy. The surgery is avoided if there is any sign of arthritis. The procedure may be performed as an open surgery or arthroscopically, a minimally invasive procedure that uses a narrow lighted tube with a camera to provide a clear view of the operating site. Trochleoplasty involves either lengthening the walls of the trochlear groove or deepening the groove by removing bone or any abnormal bony growths. You may sometimes need additional surgical procedures such as ligament reconstruction to improve the outcome.
As with all surgical procedures, trochleoplasty may be associated with certain complications such as infection, blood clot, damage to trochlear cartilage and overcorrection.
Related Topics:
- Knee Arthroscopy
- ACL Reconstruction
- Multiligament Reconstruction of the Knee
- Meniscal Surgery
- Cartilage Restoration
- Orthobiologics
- ACL Reconstruction with Patellar Tendon
- Partial Arthroscopic Meniscectomy
- Saucerization
- Intraarticluar Knee Injection
- Knee Fracture Surgery
- Arthroscopic Debridement
- LPFL Reconstruction
- Tibial Derotational Osteotomy
- Failed Meniscus Repair
- Meniscal Transplantation
- Meniscectomy
- Mosaicplasty
- Posterolateral Corner Reconstruction
- Prior Meniscectomy
- Quadriceps Tendon Repair
- Tibial Eminence Fracture
- Trochleoplasty
- ORIF of the Knee Fracture
- Chondroplasty
- Distal Femoral Osteotomy
- Hamstring Autograft
- Hamstring Allograft
- Viscosupplementation
- Physical Therapy for Knee
- Knee Osteoarthritis
- High Tibial Osteotomy
- Tibial Tubercle Osteotomy
- Patellar Tendon Repair
- Robotic Assisted Partial Knee Surgery
- Distal Realignment Procedures
- PCL Reconstruction
- LCL Reconstruction
- MCL Reconstruction
- Cartilage Replacement
- Bicompartmental Knee Resurfacing
- Autologous Chondrocyte Implantation
- Subchondroplasty
- Partial Meniscectomy
- Transphyseal Surgery
- Partial Transphyseal Surgery
- Medial Patellofemoral Ligament Reconstruction
- ACL Reconstruction Procedure with Hamstring Tendon
- Physeal Sparing Surgery (Anderson's Technique)
- Physeal Sparing Surgery (Micheli-KocherTechnique)
- Combined Hyaluronic Therapy for the Knee
- Matrix Induced Autologous Chondrocyte Implantation (MACI)
- Failed Anterior Cruciate Ligament (ACL) Reconstruction
- Physeal Sparing Reconstruction of the Anterior Cruciate Ligament
- Bone-Patellar Tendon-Bone (BPTB) Autograft
- Bone-Patellar Tendon-Bone (BPTB) Allograft
- Pharmacological Interventions for Knee Injuries
- Arthroscopic Reconstruction of the Knee for Ligament Injuries