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. 2013 Jun;6(2):141-9.
doi: 10.1007/s12178-013-9157-z.

The evaluation and management of cartilage lesions affecting the patellofemoral joint

Eric J Strauss  1 , David K Galos
Affiliations

The evaluation and management of cartilage lesions affecting the patellofemoral joint

Eric J Strauss et al. Curr Rev Musculoskelet Med. 2013 Jun.

Abstract

Patellofemoral chondral lesions are unique and difficult-to-treat entities often affecting a young and active patient population. Recent advances in our understanding of cartilage injuries, surgical techniques, and surgical technology have provided treatment options for symptomatic patients with lesions of the patellofemoral compartment. A number of surgical treatment options are available, including surgical microfracture, autologous or juvenile chondrocyte implantation, osteochondral autograft transfer, and osteochondral allograft implantation. Management decisions are based on a number of patient- and lesion-related factors in an effort to relieve pain, restore function, and preserve the patellofemoral articulation. The present article reviews the evaluation and management of cartilage injuries affecting the patellofemoral joint.

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Figures

Fig. 1
Fig. 1
Autologous chondrocyte implantation and tibial tubercle osteotomy used to treat a 29-year-old female with persistent pain, swelling, and mechanical symptoms related to a patellar chondral lesion that had failed a prior attempt at surgical microfracture
See this image and copyright information in PMC

References

    1. Insall JJ, Falvo KAK, Wise DWD. Chondromalacia patellae. A prospective study. J Bone Joint Surg Am. 1976;58(1):1–8. - PubMed
    1. Fox AJSA, Wanivenhaus FF, Rodeo SAS. The basic science of the patella: structure, composition, and function. J Knee Surg. 2012;25(2):127–141. doi: 10.1055/s-0032-1313741. - DOI - PubMed
    1. Tecklenburg KK, Dejour DD, Hoser CC, et al. Bony and cartilaginous anatomy of the patellofemoral joint. Knee Surg Sports Traumatol Arthrosc. 2006;14(3):235–240. doi: 10.1007/s00167-005-0683-0. - DOI - PubMed
    1. Stäubli HUH, Dürrenmatt UU, Porcellini BB, et al. Anatomy and surface geometry of the patellofemoral joint in the axial plane. J Bone Joint Surg Br. 1999;81(3):452–458. doi: 10.1302/0301-620X.81B3.8758. - DOI - PubMed
    1. Zwerver JJ, Bredeweg SWS, Hof ALA. Biomechanical analysis of the single-leg decline squat. CORD Conf Proc. 2007;41(4):264–268. - PMC - PubMed

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