Trochleoplasty

Trochleoplasty is a highly specialised knee procedure used to correct severe trochlear dysplasia, a condition that can contribute to recurrent patella instability and patellar dislocation.

The surgery involves carefully elevating the cartilage at the front of the femur, reshaping the underlying bone to create a more stable trochlear groove, and securely repositioning the cartilage. The objective is to restore normal joint anatomy and improve patellar tracking.

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Surgical Goals

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The primary goal of trochleoplasty is to recreate a femoral groove that is biomechanically aligned with the shape of the patella (kneecap). This helps promote smooth patellar movement and reduces the risk of recurrent instability.

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Precision Surgical Planning

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Due to the complexity of the procedure, trochleoplasty requires meticulous planning. Where appropriate, advanced 3-dimensional surgical planning and patient specific custom guides may be utilised to optimise the angle and depth of the reconstructed trochlea. This precision based approach is designed to enhance patella movement and long term joint stability.

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Indications and Recovery

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Trochleoplasty is reserved for select patients with severe trochlear dysplasia, particularly when instability persists despite appropriate stabilisation procedures.

As this is a significant surgery, the postoperative period requires careful management and structured rehabilitation. Recovery focuses on restoring knee function, stability, and controlled joint movement.

For patients experiencing recurrent patella dislocation or complex patellar instability, consultation with a knee specialist in Melbourne is recommended.