Chondromalacia Patella Treatment

Chondromalacia Patella treatment is mainly surgical, serious symptoms should be more timely surgery, the lesions under the patella for proper treatment.

1. Patella cartilage keratectomy: including cartilage superficial cutting, cutting of bone cartilage and bone drilling.

1) cartilage superficial cutting:
Cutting with sharp knife until the degradation of the cartilage part of the normal cartilage. Shallow cut capacity after the cartilage repair while very weak, but the truncated cartilage erosion after several months of shaping the role of the surface becomes smooth, and covered with several layers of flat cells, so that the effect of surgery to obtain more satisfactory.

2) cutting the cartilage to bone:
Has reached such as bone cartilage damage, cutting full-thickness cartilage can be repaired so that the wound edge into a slope, not to deal with exposed bone. Below the medullary cavity of the full-thickness cartilage defects, can be slow endogenous regeneration, cartilage regeneration to hyaline cartilage.

3) cutting to the bone and cartilage drilling:
Cutting to the full-thickness lesions of cartilage, exposed bone with Kirschner wire drilling a few holes, resulting in bleeding bone bed, the depth of the medullary cavity of full-thickness articular cartilage defects can be obtained from the marrow mesenchymal tissue of the exogenous repair.

Above arthroscopic surgery can achieve, with planing-cutting also feasible joint surgical incision under direct vision.

2. patella plasty:
Cutting to the cartilage lesion, the greater the exposed bone (2 ~ 3cm), available nearby or cutting a layer of the synovial fat pad suture flip cover over the exposed bone surface.

3. patellar resection:
Such as older patients, symptoms of heavy, exposed bone area (more than 3cm), the relative wear of the femoral cartilage are also greater ankle, angioplasty should not make the patella, the patella could be considered for resection.