Tibial Tubercle Osteotomy

Results showed medial patellofemoral ligament reconstruction with and without tibial tuberosity osteotomy yielded similar outcomes for patients with patellar instability and a tibial tuberosity-trochlear groove distance of 15 mm to 25 mm.

NASHVILLE, Tennessee — In this video from the American Orthopaedic Society for Sports Medicine and Arthroscopy Association of North America Combined Meeting, Seth L. Sherman, MD, discussed the evolution of tibial tubercle osteotomy.

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.

According to recently published results, tibial tubercle osteotomy with concomitant distalization resulted in positive radiographic, clinical and functional outcomes in the treatment of patients with patellar instability and patella alta.

Published results showed anteromedialization tibial tubercle osteotomy with medial patellofemoral ligament imbrication decreased the risk of recurrent patellofemoral instability among patients with trochlear dysplasia.