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We applied Iateral release in 57 patients having patellofemoral problems with different causes in the Istanbul University Istanbul Faculty of Medicine, Department of Orthopaedics and Traumatology, between December 1983-March 1995. The procedures were applied subcutaneously with open mini-insicion in 11 patients and intraaticularly with arthroscopy in 46 patients. Mean follow-up was 3.5 years. Patients were evaluated according to modified Lysholm scoring system and 65% excellent, very good and good result were obtained. In different Iiteratures, 7 -17% complication rates were given, so Iateral release is not an innocent procedure. Lateral release applied for anterior knee pain of very carefully choosen cases shows very dramatic improvement.