1. Patellofemoral Pain, Instability, and Arthritis
2. Genetics and Syndromes with Patellofemoral Disorders
3. Detecting and Addressing Psychological Factors
4. Imaging Analysis of Patella Instability Factors
5. Magnetic Resonance Imaging of the Patellofemoral Articular Cartilage
6. Computed Tomography and Arthro-CT Scan in Patellofemoral Disorders
7. The Role of Tibial and Femoral Rotational Torsion Abnormalities in the Treatment of Patellofemoral Dysfunction
8. Pathophysiology of Anterior Knee Pain
9. Patellofemoral Pain Syndrome: The Value of Single Photon Emission Computerized Tomography and Conventional Computerized Tomography (SPECT/CT)
10. Non-operative Treatments for Patellofemoral Arthritis
11. Is There a Surgical Treatment of Patellofemoral Pain?
12. Anatomic Instability Factors: Principals and Secondary for Patellar Instability
13. Influence of Risk Factors in the Natural History
14. History and Clinical Examination of Patellofemoral Instability
15. First-Time Dislocation: How to Deal with It
16. Medial Patellofemoral Anatomy: Surgical Implications in Patellofemoral Instability
17. Medial Retinaculum Reefing for Patellar Instability
18. Medial Patellofemoral Ligament (MPFL) Reconstruction
19. Medial Patellotibial Ligament: Clinical Application and Surgical Reconstruction for Patellar Stabilization
20. Tibial Tubercle Osteotomies: Indications and Results
21. Tibial Tubercle Anteromedialization Osteotomy
22. Tibial Tubercle Osteotomies: Techniques and Distalization
23. Tibial Tubercle Osteotomies: Techniques and Medialization
24. Complications of Tibial Tubercle Osteotomies
25. Trochleoplasty: Indications and Results
26. Patellofemoral Pain, Instability, and Arthritis Trochleoplasty Techniques: Arthroscopy
27. Trochleoplasty Techniques: Sulcus Deepening acc. Bereiter
28. Trochleoplasty Techniques: Deepening Lyon
29. Lengthening Osteotomy with or Without Elevation of the Lateral Trochlear Facet
30. Trochleoplasty Techniques: Recession Osteotomy
31. Trochleoplasty Techniques: Complications
32. Lateral Release of the Lateral Patellar Retinaculum: Literature Review for Select Patellofemoral Disorders
33. Surgical Rehabilitation for Select Patellar Stabilizing Procedures
34. Designing a Rehabilitation Programme for the Patient with Patellofemoral Pain
35. Obligatory Dislocators, Dislocation in Flexion
36. Is There an Indication for Patella Osteotomies?
37. Is There an Indication for Correcting a Valgus Knee?
38. Simple to Complex Cases
39. Isolated Patellofemoral Osteoarthritis: Natural History and Clinical Presentation
40. Techniques for Cartilage Restoration in the Patellofemoral Joint
41. Isolated Patellofemoral Unipolar Cartilage Lesions: When to Intervene
42. Partial Lateral Patella Facetectomy and Management of the Lateral Soft Tissues
43. Arthroplasty Design of the Patellofemoral Joint
44. Indications for Patellofemoral Arthroplasty in Isolated Patellofemoral Arthritis
45. Complications of Patellofemoral Arthroplasty
46. Review of Patella Disorders in Skeletally Immature Patients
47. Specific Procedures for Pediatric Dislocation
48. Trochleoplasty in Children and Adolescents
49. Patellar Tendon Shortening
50. Tibial Tubercle Procedure: Old Osgood-Schlatter
51. Derotational Osteotomies in Patella Instability
52. Guided Growth Surgery
This excellently illustrated book adopts an evidence-based approach to evaluate the efficacy of different techniques for the imaging and treatment of patellofemoral pain, instability, and arthritis. The aim is to equip practitioners with an informative guide that will help them to manage disorders of the patellofemoral joint by casting light on the many issues on which a consensus has been lacking. The opening chapters supply essential background information and explain the role of various imaging modalities, including radiography, CT, MRI, and bone scan. The various conservative and surgical treatment approaches for each of the three presentations – pain, instability, and arthritis – are then described and assessed in depth, with precise guidance on indications and technique. Postoperative management and options in the event of failed surgery are also evaluated. Throughout, careful attention is paid to the literature in an attempt to establish the level of evidence for each imaging and treatment method. The new edition has been thoroughly updated, with inclusion of additional chapters, in order to present the latest knowledge on biomechanics, diagnosis, surgical techniques, and rehabilitation.
• Offers detailed guidance on imaging and treatment
• Casts light on contentious issues
• Adopts an evidence-based approach throughout
• Stefano Zaffagnini, MD, is a Full Professor of Orthopaedics and Traumatology at the University of Bologna, Italy and Head of the Complex Department, of the Orthopaedics and Traumatology Clinic (II) and the Sports Traumatology Excellence Center at the Rizzoli Orthopaedic Institute Bologna Italy. His main interests in clinical practice and research are sports traumatology, ACL reconstruction, knee biomechanics, computer-assisted surgery, meniscal replacement, cartilage surgery, and partial/total knee replacement. Dr. Zaffagnini has served on a number of ESSKA, ISAKOS, and SIGASCOT committees and is a past chairman of SIGASCOT. He has also been the Scientific Chairman for three ESSKA and ISAKOS Congresses. He is an editorial board member for a number of journals in the field, the author of more than 300 articles in international journals, and the editor of 14 books.
David H. Dejour, MD, is an orthopaedic surgeon and Medical Director of the Department of Knee and Sports Medicine at the Lyon-Ortho-Clinic in Lyon, France. He is current President of the European Society for Sports Traumatology, Knee Surgery and Arthroscopy (ESSKA) and served as Chairman of the ESSKA Arthroscopy Committee from 2010 to 2012. Dr. Dejour is the editor of four books and more than 80 articles in peer-reviewed international journals. He is an editorial board member for various journals, including Knee Surgery, Sports Traumatology, Arthroscopy; International Orthopaedics (corresponding member); and Joints (official journal of SIGASCOT).
• Elizabeth A. Arendt, MD, is Professor and Vice Chair of the Department of Orthopaedic Surgery at the University of Minnesota, Minneapolis, USA. She has served on many professional committees, including the ESSKA Scientific Committee and the ISAKOS Knee Committee, which she chaired from 2015 to 2017. She is a memeber of the International Patellofemoral Study Group. Dr. Arendt has been the recipient of many honors and awards incliding the Patellofemoral Lifetime Achievement Award. She is an editorial board member for a number of journals, including The American Journal of Sports Medicine, and has authored more than 100 peer-reviewed journal articles and 40 book chapters.
• Petri Sillanpää, MD, PhD, is chief surgeon in the Department of Orthopaedics and Trauma at Pihjalalinna Koskisairaala Hospital, Tampere, Finland. He also lectures in pediatric orthopaedics at the University of Tampere. Dr. Sillanpää is an expert in knee and sports medicine and especially patellofemoral joint and pediatric knee disorders, on which he has published many studies. He is current president of the Finnish Arthroscopy Association and a board member of the Finnish Knee Association. He is chairman of the ESSKA Patellofemoral Instability Committee and a member of the ISAKOS Knee: Sports & Preservation Committee and the International Patellofemoral Study Group.
• Florian Dirisamer, MD, is a specialist in orthopaedic sports medicine who has worked in private practice since 2014, having previously been Head of the Knee & Sports Division at St. Vincent Hospital in Linz, Austria. His clinical and scientific focus is on knee surgery, including complex reconstructions, patellofemoral joint, meniscus allograft, transplantation, and arthroplasty, and his journal publications reflect these interests. Dr. Dirisamer is co-chair of the Austrian Society for Arthroscopy and Joint Surgery’s patellofemoral committee and a member of the ESSKA Osteotomy Committee.