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The Journal of Bone & Joint Surgery British Volume
Vol. 42-B, Issue 1 | Pages 65 - 70
1 Feb 1960
Wiles P Andrews PS Bremner RA

Removal of a small, moderate or major part of the articular cartilage of the patella for chondromalacia has been successful in twenty-two knees out of twenty-eight. These knees are functionally at least as good as after a successful patellectomy, and their appearance is better.

Only one knee that was initially improved by operation deteriorated during a follow-up period of five to seven years.

Of the six unsuccessful results, four were in patients whose symptoms began during adolescence. Excision of articular cartilage therefore seems to be contra-indicated during adolescence and when there is reason to believe that the chondromalacia will be rapidly progressive.

Failure of excision of articular cartilage to relieve the symptoms within a few months is an indication for patellectomy.






The Journal of Bone & Joint Surgery British Volume
Vol. 40-B, Issue 3 | Pages 377 - 377
1 Aug 1958
Wiles P


The Journal of Bone & Joint Surgery British Volume
Vol. 40-B, Issue 3 | Pages 375 - 377
1 Aug 1958
Wiles P


The Journal of Bone & Joint Surgery British Volume
Vol. 39-B, Issue 2 | Pages 429 - 429
1 May 1957
Wiles P


The Journal of Bone & Joint Surgery British Volume
Vol. 39-B, Issue 2 | Pages 429 - 429
1 May 1957
Wiles P


The Journal of Bone & Joint Surgery British Volume
Vol. 39-B, Issue 2 | Pages 429 - 429
1 May 1957
Wiles P



The Journal of Bone & Joint Surgery British Volume
Vol. 38-B, Issue 1 | Pages 95 - 113
1 Feb 1956
Wiles P Andrews PS Devas MB

1. Chondromalacia, sometimes a precursor of osteoarthritis, is present in the articular cartilage of the patella of most people by the age of thirty; it causes symptoms in only a few, and it gives rise to osteoarthritis in fewer still. It may progress slowly or quickly but there is no clinical method of assessing the prognosis at an early stage.

2. The earliest change is swelling of the cartilage associated with a decrease in the chondroitin sulphuric acid content of the matrix. Later the cartilage fissures and flakes off to expose the bone, and there are reactive changes in the cartilage, bone and synovial membrane. The process is described and the etiology discussed.

3. The symptoms, signs and treatment are discussed. Operation, which has been performed only when there are disabling symptoms, may consist in removing part or the whole of the articular cartilage, or in excision of the patella. The results in forty-six knees are given.



















The Journal of Bone & Joint Surgery British Volume
Vol. 34-B, Issue 1 | Pages 14 - 21
1 Feb 1952
Gordon-Taylor G Wiles P Patey DH Warwick WT Monro RS





The Journal of Bone & Joint Surgery British Volume
Vol. 31-B, Issue 3 | Pages 410 - 413
1 Aug 1949
Gordon-Taylor G Wiles P