2 failed lateral releases in 8 months/dislocations. & tears. Shallow trochler groove. Total knee or patellar realignment? Medial pain full thicartil

Try realignment . 53 is still young 4 tka. Find a good knee specialist who can do xam x-rays & other imaging 2help u make an informed decision.
Depends. If there is arthritis present, you would probably do best with a total knee. You also may need a patellar realignment which can be done at the same time if necessary. If there is not arthritis, see someone who does a lot of patellofemoral treatments. Surgery to repair this can be challenging.