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Circle Reading hospital 100 Drake Way Reading RG2 0NE

Isolated lateral tilt plus patella femoral cartilage loss in young patient

Lateral patella tilt is common in patient with Genu Valgum and increase
anteversion of the femur

Majority of the patients do not feel any symptoms until late twenties
but with rising pressure on the lateral side of the Patellofemoral
region , degeneration of lateral sided Patellofemoral joint starts to
develop.

Patient develops symptoms of pain and loss of function . Main functional
problem starts during kneeling or running.

It’s a challenging situation because offering
joint replacement in young age is not advisable due to high risk of
early failure . Cartilage transplant over patellafemoral region has
shown low survival ship in long term studies.

Options are limited and each patient should be treated according to 3
factors

1: Personality of surgeon
2: Personality of patient
3: Personality of patient cartilage and bone

Surgical options apart from cartilage transplant in over 40 years old
are

1: Arthroscopic Lateral release
3: Open Facetectomy

42 year old gentleman presented with long term pain and discomfort over
the Patellofemoral region .
He underwent open facetectomy under my care.
3 weeks following surgery pain free and recovering well

Some times the answer to complex problems came be simple

Isolated lateral tilt plus patella femoral cartilage loss in young patient

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