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P A THOLOGY Bipolar focal chondral defects of the patellofemoral joint with patellar instability TREA TMENT Autologous chondrocyte implantation of the patella and trochlea with distal realignment (Note that the use of ACI for the patella or for bipolar defects is considered off-label usage, but was indicated and performed with explicit patient and family informed consent and under the guidance of an Institu- tional Review Board protocol allowing prospective study of this patient at the author's institution.

The first of these equations has the straightforward solution Z(z) E exp(kz) F exp kz.

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