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Recurrent patellar dislocation stems from structural defects — particularly abnormal trochlear groove shape, found in 68–85% of cases compared with 3–6% of the general population — that physiotherapy cannot correct.

Combining a collagen-scaffold injection with autologous stem cells outperformed stem-cell therapy alone in Grade IV knee osteoarthritis—where joint replacement is standard.

Robotic-assisted unicompartmental knee replacement produced 0% reinterventions over five years in a randomised trial, versus 9% for manual surgery—a precision-placement advantage that measurably reduces the need for revision.

An acellular collagen scaffold injected into focal knee cartilage defects recruits the patient's own progenitor cells; these cells progressively replace the collagen framework with native repair tissue, delivering a mean functional improvement of 30 points sustained at 12–36 months.

Midlife knee pain often comes from three common generators: degenerative meniscus tears, patellar tendinopathy and prepatellar or infrapatellar bursitis. Each has a distinct pattern of pain, swelling and trigger, and most cases start with conservative treatment, not scans or surgery.

Patellofemoral arthroplasty replaces only the kneecap joint, sparing healthy tibiofemoral cartilage; it reduces perioperative risk compared with total knee replacement but carries a durability trade-off, with ten-year survival around 85% versus 95%.
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Consultant Cartilage Surgeon • Visiting Professor, University of Lincoln
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