Patellofemoral Cartilage Repair

Current Reviews in Musculoskeletal Medicine
Alexandre Barbieri MestrinerAndreas H Gomoll

Abstract

This review provides an overview of well-established and newly developed cartilage repair techniques for cartilage defects in the patellofemoral joint (PFJ). An algorithm will be presented for approaching cartilage defects considering the distinct anatomy of both the patellar and trochlear articular surfaces. Recent studies on cartilage repair in the PFJ have demonstrated improved outcomes in an attempt to delay or obviate the need for arthroplasty, and improve symptoms in young patients. While autologous chondrocyte implantation shows good and excellent outcomes for chondral lesions, osteochondral defects are adequately addressed with osteochondral allograft transplantation. In case of patellar malalignment, concomitant tibial tubercle osteotomy can significantly improve outcomes. Particulated cartilage and bone marrow aspirate concentrate are potential new alternative treatments for cartilage repair, currently in early clinical studies. Due to the frequency of concomitant anatomic abnormalities in the PFJ, a thorough clinical examination combined with careful indication for each procedure in each individual patient combined with meticulous surgical technique is central to achieve satisfying outcomes. Additional comparative st...Continue Reading

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Citations

Dec 18, 2019·Cartilage·Renato AndradeJoão Espregueira-Mendes
Dec 26, 2019·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·Jason B SmoakJohn M Marzo
Jan 21, 2021·The Journal of Bone and Joint Surgery. American Volume·Travis J DekkerRobert F LaPrade

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Methods Mentioned

BETA
biopsy
lavage

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