The concept of knee preservation iencompasses a wide spectrum of knee procedures focused on alignment correction. When extremes of abnormal alignment occur in conjunction with wear and tear, arthritis can progressively occur. Perhaps the most effective way to stop or slow this progression is to realign the knee to a natural position. This is a technically complex procedure requiring precise planning and execution. Dr. Frush is Michigan’s highest volume osteotomy surgeon as well as one of the most experienced osteotomy surgeons in the Midwest. He learned alongside Detroit’s renowned sports surgeon, Dr. Robert Teitge who is now retired and has patients from his practice now see Dr. Frush. Alignment procedures are often combined with cartilage restoration (meniscal transplant/repair, cartilage transplant/repair) and ligament reconstruction procedures where necessary.