Bipartite patella is a common pathology, affecting 2 to 3% of the population. Usually these cases are bilateral and asymptomatic. However, a patient with a bipartite patella may complain of pain, which is most likely related to fragment mobility. Conservative treatment with physiotherapy, immobilization, and non-steroidal drugs are encouraged during the initial 6 months following [...]
Medial Patellofemoral Ligament Reconstruction in a Revision Setting: Anchor and Interference Screw Fixation
Recurrent patellar instability is a common pathology and typically affects younger and more active patients. To prevent complete lateral dislocation of the patella, several osseous and soft-tissue procedures have been previously described, including reconstruction of the medial patellofemoral ligament (MPFL), which has been identified as the primary medial stabilizer of the patella. Several effective techniques [...]
Osteochondral Allograft Transfer for The Treatment of Focal Patellar Osteochondral Lesions
Patellar osteochondral lesions are common and particularly disabling injuries that can patients of all ages. For those that have a full thickness, focal patella (kneecap) cartilage lesion, my cartilage restoration procedure of choice is a fresh osteochondral patella allograft. This has both bone and fresh cartilage for transplantation and helps reconstruct the unique aspects of [...]
Multi-compartmental Osteochondral Allografts of Knee with a High Tibial Osteotomy
Chondral lesions of the knee can occur secondary to limb malalignment, as well as a variety of other reasons. To address these interrelated problems, a high tibial osteotomy with concomitant osteochondral allograft transfer may be performed for those that have limb malalignment. Larger, full-thickness cartilage defects, which can be caused by limb malalignment, have proven [...]
Reconstruction of knee cartilage defects with new system – BioUni™ Osteochondral Allograft Transplantation
Chondral lesions of the knee can affect the young, active population, thereby causing severe morbidity and loss of function pain and swelling. Although numerous approaches have been described in the literature, full restoration of hyaline cartilage has yet to be demonstrated. Specifically, larger, full-thickness cartilage defects remain a challenge. For cases of cartilage defects that [...]
Osteotomy of the Tibial Tubercle for Anteromedialization | Patellofemoral Instability Treatment
Patellofemoral instability is a common cause of anterior knee pain. Acute traumatic lateral dislocation is commonly associated with an injury of the medial patellofemoral ligament (MPFL) - the structure that is used to stabilize the kneecap (patella) with recurrent kneecap instability. However, patients who demonstrate lateralization of the tibial tubercle with increased tibial tubercle to [...]