Tibial Tubercle Osteotomy

Results published in the American Journal of Sports Medicine showed tibial tubercle osteotomy with vs. without distalization yielded similar postoperative outcomes for patients with patellofemoral instability, malalignment and patella alta.

A 21-year-old man presented with bilateral knee recurrent patellar instability.

Compared with conservative rehabilitation, an early rapid rehabilitation protocol may yield improved functional scores and an earlier return to daily activities after patellar realignment surgery, according to published results.

A 69-year-old woman was referred for evaluation of left knee pain. She had a total knee arthroplasty performed 13 years ago and subsequently underwent a one-stage revision surgery for infection 2 years later.

GRAPEVINE, Texas — At one center, tibial tubercle osteotomy was performed in 20% of 700 total knee arthroplasty cases in a 10-year period, Sébastien Lustig, MD, PhD, said at the American Association of Hip and Knee Surgeons Annual Meeting.

A common injury seen in orthopedic surgery, patellar dislocation accounts for about 2% to 3% of knee injuries and is the second most traumatic knee injury after ACL tears in the adolescent and young adult population.

SAN FRANCISCO — Use of IV tranexamic acid during tibial tubercle osteotomy did not significantly impact blood loss or hemarthrosis, opioid consumption, postoperative pain or functional outcomes, according to results presented here.

According to the published results, tibial tubercle osteotomy for patients with patellofemoral malalignment and chondral disease without instability resulted in positive clinical outcomes and acceptable complication and failure rates.

Since describing anteromedialization tibial tubercle osteotomy for realignment and unloading of the patella in 1983, indications have changed.

Since describing anteromedialization tibial tubercle osteotomy for realignment and unloading of the patella in 1983, I have done about 1,500 anteromedial tibial tubercle transfers.