Patellofemoral Update
Patellofemoral Update
January 17, 2020
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Age may be a predictor of good outcomes after patellofemoral joint microfracture

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According to results from a systematic review, clinical outcomes improved at midterm follow-up after microfracture for chondral lesions in the patellofemoral joint. Successful outcomes and longevity of the procedure may be predicted by patient age, although investigators found little evidence on the impact of defect size, severity and location on outcomes.

Using Embase, PubMed, CENTRAL, BIOSIS, and CINAHL databases between January 1980 and January 2019, researchers identified eight articles that included a total of 174 patients with full-thickness patellofemoral chondral lesions. All the articles included assessed outcomes or outcome predictors of microfracture in patients with patellofemoral chondral lesions.

Results showed that all studies saw improved clinical outcomes in the patellofemoral joint after microfracture. Younger patients compared to older patients saw greater improvements in clinical outcomes. However, investigators noted the impact of size, severity or location of chondral lesions on clinical outcomes after microfracture was unclear. – by Monica Jaramillo

 

Disclosure: The study was funded by the Ralph C. Wilson Jr. Foundation.