A Modified Osteotomy for Anteromedialization of the Tibial Tubercle.
expert_opinion · Level V
Where this comes from
- Record sourced from PubMed, PMID 28970998.
- Also identified by DOI 10.1016/j.eats.2017.03.028 and PMC identifier 5621784.
- Licence recorded as CC BY-NC-ND.
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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.
Anatomy
- tibia