Comprehensive Approach to Patellofemoral Chondral Lesion Treatments

• Published in: Bio-orthopaedics pp. 651 - 663
• Main Authors: Ambra, Luiz Felipe Morlin, Gomoll, Andreas H., Abyar, Eildar, Farr, Jack
• Format: Book Chapter
• Language: English
• Published: Berlin, Heidelberg Springer Berlin Heidelberg
• Subjects: Autologous Chondrocyte Implantation; Cartilage Defect; Cartilage Repair; Chondral Defect; Human Amniotic Membrane
• ISBN: 3662541807; 9783662541807
• DOI: 10.1007/978-3-662-54181-4_51

Cartilage lesions frequently involve the patellofemoral joint. Damage from blunt trauma, patellar dislocation and/or degenerative pathology frequently results in gradual articular cartilage deterioration leading to debilitating joint pain, functional impairment, and osteoarthritis. Currently, the standard surgical procedure for end-stage degenerative joint disease is joint arthroplasty. Due to the limitations imposed by the arthroplasty, a biological restoration approach earlier in the disease process is desirable for young and active patients. The pathoanatomy, biomechanics and cartilage thickness are unique to the patellofemoral compartment and must be addressed in a comprehensive manner concomitantly with cartilage restoration. Recognition and correction of these unique features of the PF compartment are critical to the optimization of clinical outcomes.