A dislocating or unstable kneecap (patella) can cause pain, loss of confidence in movement, and limitations in daily life or sport. Patellofemoral stabilisation surgery is designed to correct underlying structural issues and prevent future dislocations.

Mr. Andrew Pearse, an expert in knee surgery based in Worcestershire, uses minimally invasive surgical techniques and personalised care plans to deliver excellent outcomes. This guide explains the procedure, recovery process, potential risks, and why so many patients trust Mr. Pearse with their knee health.

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What is Patellofemoral Stabilisation Surgery?

Patellofemoral stabilisation surgery is performed to address recurrent dislocations or chronic instability of the kneecap. The most common technique involves reconstructing the medial patellofemoral ligament (MPFL)—the key structure that keeps the kneecap aligned.

This surgery is typically recommended when:

• The patella dislocates repeatedly or feels unstable.
• Non-surgical treatments like physiotherapy or bracing have not resolved the issue.
• There are anatomical abnormalities such as a shallow trochlear groove or malalignment.

The goal of patellofemoral stabilisation surgery is to restore proper patella alignment and reduce the risk of further dislocations or damage to the knee joint.

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Who Can Benefit from Patellofemoral Stabilisation Surgery?

This surgery may be suitable for individuals who:

• Experience recurrent kneecap dislocations or instability.
• Feel their kneecap “slipping” or “giving way” during movement.
• Suffer from pain and reduced function despite conservative treatment.
• Are active in sports or physical activities and wish to regain confidence in their knee.

Mr. Pearse will perform a thorough assessment including physical examination and imaging (such as MRI and X-rays) to confirm the diagnosis and recommend the best treatment approach.

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Patellofemoral Stabilisation Surgery in Worcestershire: The Procedure

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Pre-operative Preparation

Before surgery, Mr. Pearse and his team will ensure you are fully prepared by providing:

• A detailed consultation to assess your symptoms and confirm the treatment plan.
• Diagnostic imaging and pre-surgical health checks.
• Guidance on prehabilitation exercises to strengthen surrounding muscles.

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The Surgery Itself

Patellofemoral stabilisation is most commonly performed under general anaesthesia using keyhole (arthroscopic) or minimally invasive open techniques. The procedure typically takes around 1 to 1.5 hours and may involve:

• Reconstruction of the MPFL using a tendon graft (often from your hamstring).
• Correction of patella alignment if needed (e.g., tibial tubercle osteotomy).
• Repair of damaged cartilage if present.

Mr. Pearse performs this procedure at leading Worcestershire facilities, including:

• The Droitwich Spa Hospital
• Spire South Bank Hospital in Worcester
• Worcestershire Acute Hospitals NHS Trust

These centres offer advanced operating theatres and dedicated rehabilitation services for optimal care.

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Duration and Post-operative Care

After the procedure:

• You’ll recover in a monitored environment before being discharged—usually on the same day or after an overnight stay.
• A knee brace may be provided to protect the repair.
• Crutches will be used for support as you begin gradual weight-bearing.
• Pain is managed with medication, and physiotherapy begins shortly after surgery.

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Recovery and Aftercare

Recovery varies based on the extent of surgery, but general milestones include:

• Weeks 1–2: Use of crutches and brace; early physiotherapy begins.
• Weeks 3–6: Improved mobility; gradual strengthening exercises.
• 2–3 Months: Increased function and reduced pain; return to light activity.
• 4–6 Months: Return to full physical activity or sport, with consultant clearance.

Mr. Pearse provides tailored rehabilitation plans and regular follow-ups to monitor progress and adjust care based on your recovery.

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Risks and Complications

As with any surgical procedure, there are some potential risks, including:

• Infection
• Blood clots
• Knee stiffness or reduced motion
• Persistent pain or instability
• Graft failure or re-dislocation (rare)

Mr. Pearse uses precise surgical methods and a patient-centred approach to reduce risks and ensure complications are identified and treated early.

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Why Choose Mr. Andrew Pearse in Worcestershire?

Mr. Andrew Pearse is a specialist in treating knee instability and patellofemoral disorders. Patients choose his care because of:

• Access to high-quality surgical centres across Worcestershire.
• Expertise in advanced ligament reconstruction and alignment techniques.
• Tailored rehabilitation to support long-term success and a return to normal life.

Whether you’ve had long-standing kneecap issues or a recent dislocation, Mr. Pearse can provide the expert care and confidence you need to move forward.

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FAQs

Is patellofemoral stabilisation surgery painful?
You may feel discomfort initially, but it is well controlled with pain relief and rehabilitation support.

How soon can I return to sport after surgery?
Most patients return to full activity or sport within 4 to 6 months, depending on progress and clearance from your surgeon.

Will I need physiotherapy after surgery?
Yes. Physiotherapy is essential to restore strength, movement, and kneecap stability.

Will the kneecap stay in place after the surgery?
In most cases, yes. The surgery significantly reduces the risk of future dislocations, especially when combined with rehabilitation.

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Book Your Consultation

If you’re dealing with kneecap instability or repeated dislocations, speak to Mr. Andrew Pearse about patellofemoral stabilisation surgery.Contact us today to schedule a consultation at one of Mr. Pearse’s Worcestershire clinics.