Patellofemoral arthroplasty has a long record of use in the treatment of isolated patellofemoral arthritis, with outcomes influenced by patient selection, surgical technique, and trochlear implant design. The trochlear components have evolved from inlay-style to onlay-style designs, which have reduced the incidence of patellar instability. Minimizing the risk of patellar instability with onlay-...

Background The knee is the most common site of running related injuries (42.1% of all injuries). Orthoses are thought to manage knee pain by reducing internal tibial rotation as the subtalar joint pronates. However, the influence of the footwear that orthoses are placed in is often ignored. This study aimed to determine the immediate effects of footwear and foot orthoses on transverse plane rot...

Functionally, the knee comprises 2 articulations-the patellofemoral and tibiofemoral. Stability of the joint is governed by a combination of static ligaments, dynamic muscular forces, meniscocapsular aponeurosis, bony topography, and joint load. The surgeon is ill equipped to undertake surgical treatment of a dislocated knee without a sound footing in the anatomic complexities of this joint. We...

OBJECTIVES Meniscal extrusion is often present in knees with OA, and has been associated with cartilage changes. It is unknown whether meniscal extrusion is related to subchondral bone. The aim of the study was to examine the relationship between meniscal extrusion and knee cartilage and subchondral bone, and also changes in these structures over 2 years in a cohort with mild to moderate knee O...

We describe the application of a novel analysis method that provides detailed maps of changes in cartilage thickness measured from MRI scans for individuals and cohorts of patients together with regional measures. A cohort of osteoarthritis patients was imaged using a 1.0 T MR scanner over a 36-month period. Hyaline cartilage was manually segmented from a three-dimensional (3D) spoiled gradient...

PURPOSE. To evaluate the outcome of one-stage long-stem total knee arthroplasty (TKA) for patients with arthritic knees and tibiofemoral stress fractures. METHODS. Records of 11 men and 18 women aged 47 to 78 (mean, 66) years who underwent fixed-bearing posterior-stabilised TKA for osteoarthritis or rheumatoid arthritis of the knee with tibial (n=31) and femoral (n=3) stress fractures were revi...