Joint Reconstruction

Reconstructive joint surgery is performed to restore normal mechanics and stability for the purpose of regaining normal function. Joint reconstruction can be performed using arthroscopic and/or open techniques.

Deformity Correction

Congenital or developmental deformity can negatively impact the way in which our joints function over time. 

Common deformities and corrective procedures include:


High Tibia Osteotomy (Bow Legged)

Bow legs, also known as Genu Arum is when legs curve outward at the knees while feet and ankles touch. When someone is bow legged their knees will not touch when they stand feet together and toes pointed straight ahead. Individuals who are bow legged may suffer early degeneration of the medial compartment of the knee causing pain and premature arthritis and meniscus failure.

High Tibia Osteotomy (HTO) is a common surgical operation for bow legged correction to reduce knee pain by transferring weight-bearing loads to be distributed evenly across the joint. The procedure is performed to lengthen the shorter side of the tibia. By restoring length to the short side of the bone the alignment is corrected to neutral resolving the deformity (straightening the leg).


Distal Femoral Osteotomy (Knock Knee)

Bow legs, also known as Genu Arum is when legs curve inward at the knees. When someone is knock kneed their knees will touch when they stand with feet and toes pointed straight ahead however their feet and ankles will not touch. Individuals with knock knee have more wear and tear on the outside (lateral side) of their knees.

Distal Femoral Osteotomy (DFO) is a common surgical operation for knock knee correction to prevent over-loading and degeneration of one side of the knee joint. The procedure involves lengthening the lateral side of the distal femur, repositioning the bones and securing them in the proper alignment. This procedure resolves the deformity (straightens the leg) and restore proper balance to the joint.

Knee Multi-ligament Reconstruction

When multiple ligaments are injured during a traumatic event. ACL, PCL, LCL, MCL may be injured in any combination. These are complex knee injuries. 

After examination, your doctor at iOrtho will utilize X-rays and MRI scans to review effected knee ligaments and determine the injury pattern. The knee will be reconstructed in a single or multiple stage procedure.

Patella Realignment

The patella, commonly known as the kneecap can become mal-aligned. This condition is often painful and left untreated, can lead to degeneration of the articular cartilage and premature arthritis. The patella can often be re-aligned using minimally invasive techniques.

Cartilage Transplant

Knee injuries may cause cartilage injury. Cartilage injury when left untreated may lead to progressive deterioration of the joint and premature arthritis. Cartilage transplantation may be an appropriate way to restore natural cartilage and heal the injured area.

Anterior Cruciate Ligament (ACL) Injury

ACL injuries are relatively common sports-related injuries although any mechanism which generates sufficient load within the ACL may cause it to become injured. Typically sports that involve rapid deceleration and pivoting motions are at high risk for injuring the ACL such as soccer, basketball, and football. However, a non-sports mechanism that causes tension within the ACL, typically valgus and internal rotation loads such as a fall from a height, trip and fall, MVA can injure the ACL. ACL injuries may be incomplete (partial) or complete (full) tears. Often with ACL injuries, there may be associated injuries such as meniscus tears and MCL sprains. ACL injuries can be treated non-surgically if they are incomplete or the patient has a low demand lifestyle. Complete tears are typically treated with surgical reconstruction for patients with high demand lifestyles such as athletes, policemen, firemen or other occupations where physical performance is a necessity. Surgical reconstruction is performed arthroscopically and is done on an outpatient basis.

If you suspect you have pain in any of these areas, it's important to consult a medical professional for a proper diagnosis and appropriate management.