Patellofemoral instability is related to anatomy. Magnetic resonance imaging (MRI) provides anatomic detail, but spoiled gradient echo (SPGR) imaging during isometric quadriceps contraction provides objective functional data for diagnosing patellofemoral laxity. Knee MRI studies and medical charts of 398 patients were retrospectively reviewed. Two independent blinded observers evaluated the kne...

OBJECTIVE To determine the differences in load-bearing patellofemoral joint cartilage thickness between genders. To determine the differences in load-bearing cartilage thickness between pain-free controls and individuals with patellofemoral pain. METHODS The articular cartilage thickness of the patella and anterior femur was estimated from magnetic resonance images in 16 young, pain-free cont...

Patellofemoral joint replacement is a successful treatment option for isolated patellofemoral osteoarthritis. The short and mid-term outcomes are related to malposition and unexplained pain. Whether external rotation of the femoral component in isolated patellofemoral joint replacement is required is unclear. The primary aim of this study is to determine the CT-measured femoral component rotati...

Introduction: Patients with patellofemoral instability with trochlear dysplasia may be treated with trochlear osteotomy. Case presentation: We present a patient with patellofemoral instability treated with trochlear osteotomy. The procedure resulted in nonunion with painful bony impingement and isolated patellofemoral osteoarthritis. Patellofemoral arthroplasty was performed. Conclusion: Patell...

Purpose: Given the high prevalence of varus malalignment of the knee and the consequences of walking on different surfaces on this malalignment, the aim of the present study was to investigate the effect of walking inclination on knee angle in the frontal plane of patients with varus malalignment. Methods: 18 male subjects with varus malalignment classified at grade 3 bowleg, within the a...

BACKGROUND The treatment of isolated patellofemoral arthritis is controversial. Several surgical procedures have been used to treat the severely degenerated patellofemoral joint, with varying degrees of success. The purpose of this study was to determine the clinical results of a custom patellofemoral arthroplasty for the treatment of isolated patellofemoral degenerative arthritis of the knee. ...

The treatment of combined knee pathology is a challenging problem that requires careful attention to all aspects of the underlying disease. This is true of the interplay among malalignment and meniscal or articular cartilage restoration in the knee. Optimal outcomes are contingent on a comprehensive preoperative evaluation of patient-specific factors (patient expectations, patient age, and acti...

Patellofemoral joint arthritis is a common condition which can be extremely debilitating. Although it is a common condition, the treatment of isolated patellofemoral arthritis varies and remains controversial. The objective of this review is to provide an overview of the current understanding of patellofemoral arthritis and various different surgical options, indications, and their respective o...

conclusions the fixator-assisted lengthening plate technique helps to maintain the stability and alignment at both sides of an osteotomy during tibial elongation. it allows the early removal of the external fixator immediately after lengthening is completed. this technique can be applied in children with open physes and in patients with a narrow medullary canal who are unsuitable for limb lengt...

BACKGROUND Patellofemoral pain is a very common musculoskeletal condition. In the last years, evidence regarding this disease increased exponentially. Although widely investigated, this problem still frustrates patients and clinicians for having an unfavorable prognosis. Some gaps still exist in the understanding and managing of patellofemoral pain. Numerous cross-sectional association studies ...