The kneecap (patella) should glide smoothly in a groove at the end of the femur. When it sits too high (patella alta) or moves out of place, it can cause instability, recurrent dislocations, and tendon pain. Each dislocation can damage cartilage and increase the risk of early arthritis or even a future total knee replacement (TKA). When non-surgical treatments no longer help, Dr. Corbett Winegar performs a patellar realignment to lower and correctly position the kneecap. This restores stability