Yeah, it is good to note that orth surgeons are not necessarily your "go to" for sports specific information. They are often great at surgery but lousy at all else (sadly). Good example, if they specialize in knees and treat mostly skiing, soccer, B-Ball etc injuries they may be great surgeons but know little to nothing about the repetitive stresses/dynamics of cycling. Try a sports med knee specialist w/ a good background in cycling specific issues for better feedback/advise. This includes non-surgical sports med folks who can often better address the ongoing cycling dynamics relevant for better injury prevention.