OBJECTIVE To determine the comparative prevalence, associations with selected patient characteristics, and clinical outcomes of medial and lateral compartment patellofemoral (PF) joint osteoarthritis (OA). METHODS Information was collected by questionnaires, clinical assessment, and radiographs from 745 eligible community-dwelling symptomatic adults age ≥50 years. PF joint space narrowing (JS...

BACKGROUND Defining the optimal cutting plane for derotational osteotomy at the distal femur for correction of torsion in cases of patellofemoral instability is still challenging. This preliminary study investigates changes of frontal alignment by a simplified trigonometrical model and demonstrates a surgical guidance technique with the use of femur cadavers. The hypothesis was that regardless ...

Complications of patellofemoral arthroplasty often occur soon after implantation and, as well as other factors, can be due to the design of the implant or its surgical positioning. A number of studies have previously considered the wear of ultra-high-molecular-weight polyethylene patellae following suboptimal implantation; however, studies have primarily been carried out under a limited number ...

PURPOSE Unbalanced actions of the quadriceps components are closely linked to patellar mal-tracking and patellofemoral pain syndrome. However, it is not clear how individual quadriceps components pull and rotate the patella three dimensionally. The purpose of this study was to investigate in vivo and noninvasively patellar tracking induced by individual quadriceps components. METHODS Individu...

BACKGROUND Rice farming activities involve prolonged manual work and human-machine interaction. Prolonged farming risk-exposure may result in lower limb malalignment. This malalignment may increase the risk of lower extremity injury and physical disabilities. However, the prevalence and factors associated with lower extremity malalignment have not yet been reported. This study aimed to investig...

BACKGROUND Whilst patellofemoral pain is one of the most common musculoskeletal disorders presenting to orthopaedic clinics, sports clinics, and general practices, factors contributing to its development in the absence of a defined arthropathy, such as osteoarthritis (OA), are unclear.The aim of this cross-sectional study was to describe the relationships between parameters of patellofemoral ge...

INTRODUCTION Our objectives were to evaluate the long-term posttreatment changes of orthodontically corrected mandibular anterior malalignment and to determine the factors explaining these changes. METHODS The sample consisted of 66 subjects (mean age, 15.4 ± 1.7 years) selected from 7 private practices. The teeth had been retained for approximately 3 years and followed for 15.6 ± 5.9 years p...

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 Patel...

BACKGROUND Patellofemoral joint osteoarthritis is a highly prevalent disease and an important source of pain and disability. Nonetheless, biomechanical risk factors associated with this disease remain unclear. The purpose of this study was to compare biomechanical factors that are associated with patellofemoral joint loading during walking between individuals with isolated patellofemoral joint ...

Recently, medial patellofemoral ligament reconstruction has gained popularity as a treatment modality for recurrent patellar instability.2-6 Patients who have failed surgical interventions including lateral release, medial patellofemoral ligament reefing, and distal realignment may be good candidates for medial patellofemoral ligament reconstruction. The anatomy and biomechanics of the medial p...