Patellofemoral replacement is a unique procedure with tight indications. As a cartilage restoration and patellofemoral surgeon, I tend to see a higher percentage of patients that meet this criteria. The key to any good surgery is to listen and examine your patients. What do you do if you have a patient with significant painful patellofemoral arthritis, a painful MFC defect with an excellent meniscus and tibial plateau and under 55 years old? We took a unique approach and went outside the box by giving him a patellofemoral replacement and medial femoral condyle cartilage transplant. He had an incredible result and got back to all his activities. Visit https://www.grantgarciamd.com/