Anterior Knee Pain (AKP) can be considered according to how it presents.
Our data was not collected prospectively, but when we looked at our experience over 18 years in adolescent AKP every patient had the IPP-fat pad complex, and 84% were cured, with an average follow-up of 64 months. We have performed this surgery throughout a career spanning 28 years on hundreds of adults as well as children and submitted our technique to the journal Arthroscopy Techniques. We see no down-side for a patient who is suffering from this profoundly disabling condition and offer the operation after 3 to 6 months. In children and adolescents, given the devastating cases that we have seen, we recommend the surgery after 3 months.
1. Dye SF, Vaupel GL, Dye CC. Conscious neurosensory mapping of the internal structures of the human knee without intraarticular anesthesia. Am J Sports Med. 1998;26(6):773-777.