Knee Pain Associated with Misalignment of the Knee Joint

opinion Essay
1290 words
1290 words

Knee Pain Associated with Misalignment of the Knee Joint

Introduction & Background

I chose to write about knee pain and the misalignment of the knee joint, because it is something that I suffer from on a daily basis. In the last 11 years I have had three knee surgeries I have had part of my medial meniscus taken out and then followed it seven years later with the complete removal of the lateral meniscus. Due to my very valgus alignment, which is when you knee joint points towards the midline they then decided to do a distal femoral osteotomy. With this surgery they cut my right femur in half at the distal head and created a gap with donor bone. They then put a plate with seven screws in it to hold the femur in place. When the surgery is complete in my case I was unable to bear weight for two months due to the fact that the donor bone may be crushed or the Plate and screws could break during the first part of the healing process.

More common that the distal femoral osteotomy is the closing wedge or tibal osteotomy this is used for varus or bull legged people, whereas the distal femoral is used for valgus or “knock knee” which is how my doctor explained it to me. In the closing wedge osteotomy All the same procedure are the same as In the distal only this time the surgery is done on the medial side of the head of the tibia.

Although this is a major surgery this can be a very good surgery for a young person because there are not many other options. In the long run this can save a 33 year old person like my self up to 20 years before getting a knee replacement, which my doctor is certain I will need. So as drastic as this might sound it can be quite beneficial. Currently the rate of success on second time knee...

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...X(US) Feb. 6 2001

Jack Farr et al. Methods and Intruments for Improved Meniscus Transplantation. US 6,699,252 B2 Oct. 17, 2002 US 2002/0151975 A1

Wilson, B., Rankin, H., & Barnes, C. L. (2011). Long-term results of an unloader brace in patients with unicompartmental knee osteoarthritis. Orthopedics (Online), 34(8), e334-e337. doi:

Kevin M. Turpin et al(2012). Biomechanical and Clinical Outcomes With Shock-Absorbing Insoles in Patients With Knee Osteoarthritis: Immediate Effects and Changes After 1 Month of Wear. Archives of Physical Medicine and Rehabilitation Volume 93, Issue 3, March 2012, Pages 503–508Wylde, V., Dieppe,

P., Hewlett, S., & Learmonth, I. D. (2007). Total knee replacement: Is it really an effective procedure for all? The Knee, 14(6), 417-23. doi:

In this essay, the author

  • Explains how they chose to write about knee pain and the misalignment of the knee joint because they suffer from it daily.
  • Explains that the first option before getting to the point of an osteotomy is to try and rehab the muscles around the joint.
  • Recommends using a wedge in the shoe to shift your weight from the side with the most pain to the other side.
  • Describes a knee brace that forces the joint into the opposite direction of your alignment deformity.
  • Explains the keyhole technique and the double bone plug technique.
  • Opines that there is no easy way to correct the meniscus degeneration and recommends a study on young adults or high school age children who participate in sport.
  • Describes the pros and cons of a rotating-hinge total knee revision arthroplasty.
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