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Comprehensive Approach to Patellofemoral Chondral Lesion Treatments

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Bio-orthopaedics

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Abstract

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.

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Authors and Affiliations

  1. Department of Orthopedics and Traumatology, Universidade Federal de São Paulo, São Paulo, SP, Brazil

    Luiz Felipe Morlin Ambra

  2. Department of Orthopedic Surgery, Cartilage Repair Center, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Andreas H. Gomoll

  3. Cartilage Restoration Center of Indiana, OrthoIndy Hospital, Indianapolis, IN, USA

    Eildar Abyar & Jack Farr

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  1. Luiz Felipe Morlin Ambra
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  2. Andreas H. Gomoll
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  3. Eildar Abyar
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  4. Jack Farr
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Corresponding author

Correspondence to Jack Farr .

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Editors and Affiliations

  1. O.A.S.I. Bioresearch Foundation NPO, Milan, Italy

    Alberto Gobbi

  2. Clínica do Dragão, Espregueira-Mendes Sports Centre – FIFA Medical Centre of Excellence, Porto, Portugal

    João Espregueira-Mendes

  3. Musculoskeletal and Joint Research Foundation, San Diego, California, USA

    John G. Lane

  4. Department of Orthopedics, Acibadem University, Istanbul, Turkey

    Mustafa Karahan

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Ambra, L.F.M., Gomoll, A.H., Abyar, E., Farr, J. (2017). Comprehensive Approach to Patellofemoral Chondral Lesion Treatments. In: Gobbi, A., Espregueira-Mendes, J., Lane, J., Karahan, M. (eds) Bio-orthopaedics. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54181-4_51

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