Does focal chondromalacia patella with a 3 mm grade iii chondral defect of the lateral facet warrant surgery?

Recommendations for Surgery are not based on imaging alone. The clinical picture including symptoms, physical exam, and prior therapies trialed also influence the recommendation. Please see a physician in person for next steps regarding your imaging.

Your age suggests thus could be a biomechanical problem Do you probate? Do you have have femoral anteversion or knock kneed. This can place the knee joint in an abnormal position thus abnormal function. A podiatrist trained in biomechanics can help access prior to requiring surgery. I feel being able to delay needing surgery is a benefit.