Long story short: does anyone have any experience with patellar ligament “tightening” for the sake of alignment? What are the risks / benefits?
NOTE: SEEKING OUT OF CURIOSITY. WANT TO KNOW ABOUT THE EXPERIENCES OF FELLOW CYCLISTS. I WILL NOT TAKE ANY RESPONSES AS PROFESSIONAL MEDICAL ADVISE NOR SHOULD ANYONE READING THIS TOPIC DO SO.
Long form: So in HS I had a bad dislocation of my kneecap. At the time I was slated to play college sports. So my dr thought it best to skip surgery, shorten rest time, and go straight to PT. In my recollection, he warned me this may mean more knee pain and potentially a loose patella later in life and 17 year old me (+ scholarship calculating parents) decided that was a fair trade. Well, that day has come.
There’s always been a little big of nagging pain in my knee especially after a long training block, but after completing an Everesting in June, where the last few laps were at about 45 rpms (because of dying on the bike, not choice), my knee really hurts if I push hard on the pedals. My sprint power has dropped in half or more, my hill climbing has suffered, it’s not good. My riding volume has dropped from 9-10 hrs / week to 1-3 hrs. I finally decided to go back to the doctor and have it checked out. Lo and behold there is a fair amount of misalignment in my knee cap. The doctor said that he might go in and realign the kneecap. That “could” fix things and relieve the pain but it might not. We could also just go to PT again and try and fix misalignment that way. More or less left it to me.
Has anyone had experience with this or other knee surgeries? I’m somewhat paranoid to make things worse. After all, I can still ride today, though no where near where I want to be. It hurts and I can’t win town line sprints anymore, but if the surgery goes poorly and took me off the bike in a more serious way, I’d be devastated.
I haven’t looked much into this specific surgery, but I’m curious what cyclists opinions are. My doctor is not a cyclist, though he is the top rated knee doctor in my area and one of the best in the country.
Thoughts, opinions, and experiences are appreciated and again, I’m mulling this over and making a personal choice in conjunction with my doctor. I won’t consider anything said here as professional medical advice nor should anyone else.