Orthopedics & Sports Medicine Expert Forum
Kneecap shifting 1 year post total knee
About This Forum:

Questions in the Orthopedics & Sports Medicine forum are answered by Michael L. Gross, MD the CEO of Active Orthopedics & Sports Medicine.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

Kneecap shifting 1 year post total knee


Hi Dr. Gross,
I had a total knee replacement 1 year ago for severe arthritis. The pain is still there and I can't walk right, also my knee cap keeps going out and I fall or almost fall. My Ortho gave me a brace to wear and PT to go to, to streng. then muscles around the knee. It hasn't helped. My knee cap is still my own. Why wasn't that replaced with the total knee also? Is that a norm?
I am so upset and will be getting a second opinion. Any ideas why this is happening. I am 58 year old lady.

Thanx.
.
Related Discussions
700223_tn?1318169294
Yes. I have done several.
3 Comments
Blank
700223_tn?1318169294
Whether the patella is replaced or not, does not seem to effect the reults of Total knee replacement.  A recent study showed that the incidence of patella problems was equal in both groups of patients post surgery.  The group who had not had their patella replaced originally, did have a higher incidence of second surgery, but this may have been because there was something obvious left to do. Interestingly, the group who had second surgery did no better than those who did not.
Your problem is not a result of the patella surface, but of the patella alignment. Tour patella is malaligned an continues to pop out of its groove.
This can be corrected with PT, bracing, or an arthroscopic procedure called a lateral release.
Blank
Avatar_f_tn
Can they do a lateral release even thopugh I had a total knee done?

Thanx.

Destiny
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank