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Journal of Bone and Joint Surgery - British Volume, Vol 89-B, Issue 6, 709-716.
doi: 10.1302/0301-620X.89B6.19064  
Copyright © 2007 by British Editorial Society of Bone and Joint Surgery
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Assessment and management of chronic patellofemoral instability

J. S. Mulford, FRACS, Senior Knee Fellow1; C. J. Wakeley, FRCR, Consultant Radiologist2; and J. D. J. Eldridge, FRCS, Consultant Orthopaedic Surgeon3

1 Avon Orthopaedic Centre, Southmead Hospital, Southmead Road, Westbury-on-Trym, Bristol BS10 5NB, UK.
2 Department of Radiology
3 Orthopaedic Department, Bristol Royal Infirmary, Marlborough Street, Bristol, BS2 8HW, UK.

Correspondence should be sent to Mr J. D. J. Eldridge; e-mail: jonathan.eldridge{at}btinternet.com

Chronic patellofemoral instability can be a disabling condition. Management of patients with this condition has improved owing to our increased knowledge of the functional anatomy of the patellofemoral joint. Accurate assessment of the underlying pathology in the unstable joint enables the formulation of appropriate treatment. The surgical technique employed in patients for whom non-operative management has failed should address the diagnosed abnormality. We have reviewed the literature on the stabilising features of the patellofemoral joint, the recommended investigations and the appropriate forms of treatment.




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M. R. Utting, J. S. Mulford, and J. D. J. Eldridge
A prospective evaluation of trochleoplasty for the treatment of patellofemoral dislocation and instability
J Bone Joint Surg Br, February 1, 2008; 90-B(2): 180 - 185.
[Abstract] [Full Text] [PDF]

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Assessment and management of chronic patellofemoral instability
Benedict A Rogers
J Bone Joint Surg Br Online, 1 Aug 2007 [Full text]
Authors' reply:
Jonathan D J Eldridge, et al.
J Bone Joint Surg Br Online, 17 Aug 2007 [Full text]

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Hip, Knee, Trauma, Upper limb, Foot & Ankle, Paediatrics, Oncology, Spine, Arthroplasty, General