Appraisal of surgical treatment of 47 cases of patellofemoral instability

Abstract

Proximal and distal realignments produce better results than isolated proximal realignment in patients with joint degeneration or with greater duration of disease. The realignment surgery does not produce good results in patients with advanced disease.

Anterior knee pain from the evolutionary perspective

“…Despite musculoskeletal disorders representing an increasing global problem that account for one third of the entire burden of disability in the UK, much of the information available in contemporary knee literature regarding AKP and the PFJ is surprising and contradictory [2]. In many cases AKP is thought to be related to patellofemoral subluxation and instability [3], a condition for which there is no consensus for treatment with over one hundred described techniques for the surgical correction of patellofemoral dysplasia [4,5]. With modern designs of knee replacement up to 20% of arthroplasty patients remain dissatisfied with the outcome, the PFJ being the leading source of complications [6,7].…”