Supratrochlear Rim Resection: Autologous Matrix-Induced Chondrogenesis–Based Arthroscopic Technique for Patients With Isolated Patellar Chondromalacia

Isolated patellar chondromalacia in patients with patella alta and no history of patellar subluxations or dislocations is associated with a supratrochlear rim at the entrance to the femoral trochlea. This technical note outlines an arthroscopic technique called supratrochlear rim resection, which pr...

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Main Authors: Tomasz Piontek, Ph.D., M.D, Bartosz Bąbik, M.D, Jakub Bąbik, M.Sc., Artur Banach, Ph.D.
Format: Article
Language:English
Published: Elsevier 2025-07-01
Series:Arthroscopy Techniques
Online Access:http://www.sciencedirect.com/science/article/pii/S2212628725001409
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Summary:Isolated patellar chondromalacia in patients with patella alta and no history of patellar subluxations or dislocations is associated with a supratrochlear rim at the entrance to the femoral trochlea. This technical note outlines an arthroscopic technique called supratrochlear rim resection, which proposes a line of treatment that addresses not only symptoms (patellar cartilage defect) but also a suspected biomechanical reason (supratrochlear rim). The proposed technique combines resection of the supratrochlear rim with a modification of autologous matrix-induced chondrogenesis cartilage reconstruction on the femoral side at the location of the resected rim, as well as on the patellar defect.
ISSN:2212-6287