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Patellofemoral Instability in the Adult Female with Recurrent Instability, Chondrosis of Patella and Trochlea

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The Patellofemoral Joint

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Abstract

In this chapter, three surgeons from various regions of the world review a case of patellofemoral (PF) instability in the adult female with recurrent instability, the chondrosis of patella and trochlea. The case was 40 years old female who underwent medial patellofemoral ligament (MPFL) reconstruction for recurrent patellar instability on her left knee. Her patellar recurrent instability was improved due to MPFL reconstruction; however, the patient still had symptomatic bipolar full-thickness chondral lesions, and slight maltracking of the patella remained. Thus, she underwent anteromedial tibial tubercle transfer and autologous chondrocyte implantation for bipolar chondral lesions of the PF joint. At 6 years after the surgery, she was doing well without any symptoms on her left knee. This case-based discussion will include an outline of factors that influence surgical decision making, recommended treatment approaches.

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Author information

Authors and Affiliations

  1. Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, Japan

    Kanto Nagai & Ryosuke Kuroda

  2. Orthopaedics and Traumatology Unit—IRCCS Rizzoli Orthopaedic Institute, Bologna, Italy

    Stefano Zaffagnini

  3. DIBINEM Department, University of Bologna, Bologna, Italy

    Stefano Zaffagnini

  4. Department of Orthopaedic Surgery, Hospital del Trauma, San José, Costa Rica

    Mauro Núñez

Authors
  1. Kanto Nagai
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  2. Ryosuke Kuroda
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  3. Stefano Zaffagnini
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  4. Mauro Núñez
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Corresponding author

Correspondence to Ryosuke Kuroda .

Editor information

Editors and Affiliations

  1. NorthShore Orthopaedic & Spine Institute, NorthShore University HealthSystem, Evanston, IL, USA

    Jason L. Koh

  2. Orthopaedic Surgery, Kobe University Hospital, Kobe, Japan

    Ryosuke Kuroda

  3. Clínica Espregueira - FIFA Medical Centre of Excellence, Porto, Portugal

    João Espregueira-Mendes

  4. Bioresearch Foundation, Orthopaedic Arthroscopic Surgery Intl, Milano, Italy

    Alberto Gobbi

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Nagai, K., Kuroda, R., Zaffagnini, S., Núñez, M. (2022). Patellofemoral Instability in the Adult Female with Recurrent Instability, Chondrosis of Patella and Trochlea. In: Koh, J.L., Kuroda, R., Espregueira-Mendes, J., Gobbi, A. (eds) The Patellofemoral Joint. Springer, Cham. https://doi.org/10.1007/978-3-030-81545-5_13

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  • DOI: https://doi.org/10.1007/978-3-030-81545-5_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81544-8

  • Online ISBN: 978-3-030-81545-5

  • eBook Packages: MedicineMedicine (R0)

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