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A Modified Osteotomy for Anteromedialization of the Tibial Tubercle.

ABSTRACT: Tibial tubercle osteotomy is a common treatment option for a number of patellofemoral joint disorders including chondromalacia, "anterior knee pain" syndromes, patellofemoral arthritis, and patellar instability. Tibial tubercle osteotomy can modify tracking and/or patellofemoral contact forces to effect the unloading of chondral defects of the patella or trochlea, correct multiplanar suboptimal alignment, and be used in conjunction with soft-tissue stabilization procedures for instability. The purpose of this Technical Note is to describe, in detail, a modified osteotomy for anteromedialization of the tibial tubercle. The technique combines the concepts of Elmslie-Trillat and Fulkerson and modifies their techniques to produce an osteotomy that decreases lateral patellar pressure and centers the patella correctly in the trochlear groove.

SUBMITTER: Saper MG

PROVIDER: S-EPMC5621784 | biostudies-literature | 2017 Aug

REPOSITORIES: biostudies-literature

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A Modified Osteotomy for Anteromedialization of the Tibial Tubercle.

Saper Michael G MG Cox Benjamin A BA Shneider David A DA

Arthroscopy techniques 20170724 4

Tibial tubercle osteotomy is a common treatment option for a number of patellofemoral joint disorders including chondromalacia, "anterior knee pain" syndromes, patellofemoral arthritis, and patellar instability. Tibial tubercle osteotomy can modify tracking and/or patellofemoral contact forces to effect the unloading of chondral defects of the patella or trochlea, correct multiplanar suboptimal alignment, and be used in conjunction with soft-tissue stabilization procedures for instability. The p ...[more]

PMID: 28970998

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