There are specific situations where an injury around or adjacent to the knee joint
can affect the tracking of the patella and cause anterior knee pain as a side-
Once again, it is probably advisable to try conservative means such as physiotherapy and orthotics before embarking on surgical correction.
If surgery is contemplated, then a full three-
The surgical plan is then made which usually involves the strengthening of tissues on one side and release of tissues on the other to get the patella to sit properly in its groove. Almost invariably the kneecap will sit laterally or to the outside rather than medially (or to the inside of) the knee and most surgical operations are designed to correct this mal alignment.
Sometimes the patient has been unfortunate enough to have developed a very shallow groove and surgery to deepen the groove can be contemplated. Other options are to move the attachment of the patella tendon to a more medial or inside position that will cause the patella to move away from the lateral side and sit more comfortably in its normal midline position.