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CHONDROMALACIA OF THE PATELLA
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Removal of a small, moderate or major part of the articular cartilage of the patella for chondromalacia has been successful in twenty-two knees out of twenty-eight. These knees are functionally at least as good as after a successful patellectomy, and their appearance is better. Only one knee that was initially improved by operation deteriorated during a follow-up period of five to seven years. Of the six unsuccessful results, four were in patients whose symptoms began during adolescence. Excision of articular cartilage therefore seems to be contra-indicated during adolescence and when there is reason to believe that the chondromalacia will be rapidly progressive. Failure of excision of articular cartilage to relieve the symptoms within a few months is an indication for patellectomy.
British Editorial Society of Bone & Joint Surgery
Title: CHONDROMALACIA OF THE PATELLA
Description:
Removal of a small, moderate or major part of the articular cartilage of the patella for chondromalacia has been successful in twenty-two knees out of twenty-eight.
These knees are functionally at least as good as after a successful patellectomy, and their appearance is better.
Only one knee that was initially improved by operation deteriorated during a follow-up period of five to seven years.
Of the six unsuccessful results, four were in patients whose symptoms began during adolescence.
Excision of articular cartilage therefore seems to be contra-indicated during adolescence and when there is reason to believe that the chondromalacia will be rapidly progressive.
Failure of excision of articular cartilage to relieve the symptoms within a few months is an indication for patellectomy.
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