The Patella

The problems of the patellofemoral joint remain a challenge to the orthopaedic surgeon. In spite of many articles in scientific journals, an outstanding monograph, and several excellent textbook chapters, the patella is still an enigma in many respects. The etiology of patellar pain is controversial, and there is no completely satisfying explanation for its cause or its relationship to chondromalacia. Curiously, neither the widespread use of arthroscopy nor the advent of newer diagnostic tests such as CT scanning and magnetic resonance imaging have cast much light. Without a better understanding of why patellar disorders occur it is not surprising that there is no consensus on how to fix them. Arthros copy has contributed little except to the patient's psyche. The currently most popular surgical treatment for recurrent dislocation of the patella was first described 50 years ago. One concrete advance, albeit a small one, is a better understanding of the role of anatomical abnormalities and patellofemoral dysplasia in patellar instabilities. It gives me great pleasure that many of the contributors are, like Dr.

This open access book describes and illustrates the surgical techniques, implants, and technologies used for the purpose of personalized implantation of hip and knee components. This new and flourishing treatment philosophy offers important benefits over conventional systematic techniques, including component positioning appropriate to individual anatomy, improved surgical reproducibility and prosthetic performance, and a reduction in complications. The techniques described in the book aim to reproduce patients’ native anatomy and physiological joint laxity, thereby improving the prosthetic hip/knee kinematics and functional outcomes in the quest of the forgotten joint. They include kinematically aligned total knee/total hip arthroplasty, partial knee replacement, and hip resurfacing. The relevance of available and emerging technological tools for these personalized approaches is also explained, with coverage of, for example, robotics, computer-assisted surgery, and augmented reality. Contributions from surgeons who are considered world leaders in diverse fields of this novel surgical philosophy make this open access book will invaluable to a wide readership, from trainees at all levels to consultants practicing lower limb surgery

The experts show clinicians the newest and most effective solutions to patellar malalignment and pain. With The Patella: A Team Approach, readers get a new understanding of the basic nomenclature and the causes of patellar pain. The book provides a rational strategy for diagnosis with a step-by-step guide to the history and physical examination, a sensible approach to using imaging studies, and the many causes of patellar pain without malalignment. The authors present a hands-on approach to team treatment with guidance in the McConnell Taping Technique, practical application of surface electromyography, the ins and outs of orthotics, and insights and recommendations from two renowned experts in the field.

​ A picture is worth a thousand words, and the goal of this atlas is to better understand patellofemoral conditions through pictures. Hence the reason we have decided to publish this book, which is a collection of the finest images of patellofemoral joint surgery, ​supplied by world renowned specialists in Knee surgery. All the images, footnotes and summaries are compiled in order to convey a simple understanding of this complex problem. This is a very practical book, aimed at the general orthopedic surgeon and also those that specialize in surgery of the knee. The book is divided into four sections, the first section focuses on the etiopathogenic bases, the second section focuses on emerging technologies, the third section includes difficult clinical cases studied, and the fourth section provides a description of the most important surgical techniques for the knee extensor mechanism.

Clinically oriented and richly illustrated, this book provides complete guidance on the surgical and non-surgical management of the anterior knee pain syndrome and is aimed at orthopedic surgeons, sports medicine practitioners, knee specialists and physical therapists.

This practical case-based book assists clinicians in the evaluation and treatment of patellofemoral patients by reviewing critical elements for assessment and presenting clinical scenarios in which different experts provide their recommendations for treatment. Subdivided in 6 parts it explores the joint’s anatomy and mechanics, as well as case-based evaluation and treatment of patellofemoral instability, arthritis and chondrosis, traumatic injuries and degenerative tendinopathies. Moreover, the closing part offers an overview of the latest advances and future developments. Written in collaboration with ISAKOS, this book offers a valuable guide for orthopedists and sports medicine treating common and complex injuries of this joint.

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.