Lateral release, Dr Alan Reznik

This is an Arthroscopic Release for tightness around the outsside of the Knee Cap (patella). It is to correct for lateral tilt or tracking and take pressure off the damaged knee cap.

Category:

Science & Technology

Tags:

• Lateral release
• knee cap pain

[WhatHavU]

Hey Dr, great video. Thanks.. I just had my lateral release done on my right knee in 9 weeks ago.. I am doing great in Physical Therapy, but the only place Im not seeing any improvement is in leg extensions.. it causes severe pain, and a little bit of locking. My Dr says to give it some time.. the cause was a work related injury in March of 2010... I can't wait to return to work, my job is very high labor intense, I assemble wimdtowers. About how long b4 one can return to work. A lot of climbin

[DrAReznik]

@WhatHavU --- Thank You- Light jobs may return usually in six weeks but heavy work takes a lot longer. see the comment for SCSoccer and TOGCT.com or my book "the shoulder and knee handbook for all of us" on LULU.com

[SCSoccer911]

I believe that my doctor has made the mistake of giving me a lateral synovectomy vs a chondromalacia patellae surgery. There's a grizzly crunchy feeling when my knee is extended and I feel it interferes with my mobility(feeling like something's in the way). I believe mechanically when the cartilage rubs against whatever's there that's the problem. Because the crunch is still there post op and it's been 6 weeks. I was promised it would be alleviated. I'm a 21 year old soccer player on the road t

[DrAReznik]

@SCSoccer911 So it seems you need a to work on your quads, inflammation and patella superior glide. Please talk to you therapist about getting you back on track. A course of a NSAID will help. Kenisiotapping may also help. G-C may also be worth trying. 6 weeks is too soon to get back to competitive sports. Function may have improved- but sports specific retraining, strength, and endurance is required. This takes much longer!

[DrAReznik]

Sorry to hear your outcome was not great. Pending on your exam you may need a fulkerson realignment (also known a's a tibial tubercle transfer) or a MPFL reconstruction (medial patella femoral ligament) to correct he patella. It also depends on your age, body weight, leg alignment and status of the cartilage in your knee. There is more info in my book the knee and shoulder handbook for all of us go to LULU.com to find it.

[DrAReznik]

Rob4lb Different parts of the knee recover at different rates. Muscle and tendon recover faster than bone. In your case the bone(52 years old) was weakened my lake od loading and now you have increase the loads. I would stick to 3 miles for a while adding non impact first to your current exercises and when 3 miles is pain free than slowly increases your milage. A multiple-vit

, extra vit c nad calcium could help as well.

[AbsolutRachel]

I had this done on my lft knee mayyybe 2 years ago, and my knee is still killing me. The knee cap is still over to the left side. It creeks when I move my leg, and gives out almost weekly. My doctor did not want to do another surgery on my knee because the last one he did (he did 3 in total, 2 for plica) he messed up my nerve and I dont have feeling in part of my leg. Should I see another doctor and see if there is another surgry that can be done to correct whatever is wrong, or am I done for?

[badgerattoadhall]

@DrAReznik I had this surgery in feb2009, & I have to admit some buyers remorse. For about a year after surgery I could not err mechanically run, by that I mean even jog across a street. My knee would also give out daily. It still hurts to jump down from a height but all in all it is finally recovering. Thank you doctor for the helpful video.

[rob4lb]

Dr. - i had LR surgery 14 wks ago. After 8 wks of PT, my quad strength was the same in both knees and told I could start some running. I'm 52 yo marathon runner. Since then, i have run up to 4-5 miles. My knee usually starts to hurt a little after about three miles. It's hard for me to tell if this is normal part of healing or if I still have a problem and am doing damage by continuing to run. Is this typical of LR healing? Any suggestions on how I should structure my runs?

[DrAReznik]

I have had a few patients like this. Pending a good examination that confirms mal-tracking, lateral tightness and/or medial laxity and if she has mature bone (no longer growing) then she may need a TT transfer- Fulkerson realignment with lateral release and possible a MPFL reconstruction to solve this problem. There is no harm in doing more PT. There are a lot of ifs here and again only the examining surgeon can make this call. Please remember, no one can make this decision over the internet.