Ace Physiotherapy and Sports in Singapore
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+65 81535374 -
ACE PHYSIO SPORTS
East gate Building, 46 East Coast Road
#08-03 Singapore 428766 -
Opening Hours
Mon to Fri: 08:00am - 8:00pm -
Opening Hours
Sat: 08:00am - 4:00pm
Sunday (By prior appointment)
Patellar Alignment Surgery
If the patella has sustained an injury, whether a fracture or dislocation, the initial focus of physiotherapy—prior to any surgical intervention—is to manage inflammation. Early intervention involves avoiding movements or loads that may worsen the injury, combined with ice therapy, elevation, and, if appropriate, compression to reduce swelling around the joint capsule. Depending on the exact nature of the injury, gentle joint movements may be introduced to prevent stiffness and encourage lymphatic drainage of excess fluid.
Once the patella is stabilised and swelling has subsided, a detailed assessment can be conducted to evaluate potential surgical options. The choice of surgical approach will depend on the underlying cause of the patella misalignment. Recurrent dislocations can stretch the ligaments that stabilise the kneecap, whereas repeated trauma may tighten connective tissues, pulling the patella out of its proper alignment. Changes in patellar position are biomechanically significant, as the patella acts as a lever arm that amplifies the power of the knee’s extensor muscles.
Surgical procedure for Patella Alignment Surgery.
The surgical approach to correcting patella misalignment is tailored to each patient based on the specific nature of their condition. If connective tissues on one side have tightened due to a poorly healed injury, these can be surgically released to allow the patella to realign. Conversely, if opposing connective tissues have been stretched—often due to dislocation—they can be reattached in a more optimal position around the front of the knee. In some cases, a hamstring tendon may even be rerouted to provide additional support and stability to the patella.
In some cases, soft tissue adjustments alone are insufficient to correct the underlying biomechanical abnormality. A complete realignment of the patella may be necessary, which involves repositioning its main bony attachment, the tibial tubercle, closer to the inner side of the knee. This procedure is always performed in conjunction with soft tissue adjustments to prevent the creation of new irregular stresses on the joint.
Physiotherapy following Patella Alignment Surgery.
Physiotherapy is crucial for rehabilitating the knee following Patella Alignment Surgery. After surgical intervention, new scar tissue forms, and the joint is initially tender and unstable. Swelling and stiffness are common in the early stages. Physiotherapy helps manage inflammation and guides the healing tissues to restore optimal function and stability in the knee.
Our experienced musculoskeletal physiotherapists will use the following treatments to ensure you make the best possible recovery:
- Manual therapy to improve joint mobility and reduce stiffness
- Soft tissue techniques to manage scar tissue and promote healing
- Strengthening exercises for the quadriceps, hip, and surrounding muscles
- Proprioception and balance training to restore knee stability
- Gait re-education to normalize walking patterns
- Functional and sport-specific exercises to safely return to your activities
- Pain and swelling management using modalities such as ice, compression, and elevation
Summary
Patella Alignment Surgery is an effective treatment when conservative stretching or strengthening exercises are insufficient to correct misalignment. Post-surgery physiotherapy is an integral part of the healing process, ensuring you achieve the best possible functional recovery. At AcePhysioSports.com, our experienced musculoskeletal physiotherapists provide a range of therapeutic techniques tailored to your individual needs. To learn more about how physiotherapy can help rehabilitate you following patella alignment surgery, please contact us via email at admin@acephysiosports.com or call us on +65 8153 5374.
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Our clinics are open:
Mon - Fri: 8am - 8pm
Sat: 8am - 4pm
Sun: On Appointment Basis
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