Tibial Tubercle Osteotomy: Indications, Outcomes, and Complications.

Autor: Stokes DJ; Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA., Elrick BP; Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA., Carpenter ML; Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA., Raji Y; Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA., McQuivey KS; Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA., Sherman SL; Department of Orthopaedic Surgery, Stanford University School of Medicine, Redwood City, CA, USA., Frank RM; Department of Orthopaedic Surgery, University of Colorado School of Medicine, Aurora, CO, USA. Rachel.Frank@cuanschutz.edu.; UCHealth CU Sports Medicine - CO Center, 2000 S. Colorado Blvd Tower 1, Suite 4500, Denver, CO, 80222, USA. Rachel.Frank@cuanschutz.edu.
Jazyk: angličtina
Zdroj: Current reviews in musculoskeletal medicine [Curr Rev Musculoskelet Med] 2024 Nov; Vol. 17 (11), pp. 484-495. Date of Electronic Publication: 2024 Aug 05.
DOI: 10.1007/s12178-024-09915-w
Abstrakt: Purpose of Review: The tibial tubercle osteotomy (TTO) is a versatile surgical technique used to treat a range of patellofemoral disorders, including patellar instability, painful malalignment, focal chondral defects, and patellar maltracking that have failed conservative therapies. TTO is a personalized procedure that can be tailored to the pathoanatomy of the patient based on physical examination and imaging. The complication rate associated with TTO strongly depends on the indication for surgery, the severity of the patient's condition, and the surgical approach. Despite the literature on TTO, to our knowledge, no single source has addressed the indications, techniques, outcomes, and complications of this procedure. The purpose of this article is to serve as such a valuable resource.
Recent Findings: Highlights from recent studies we would like to emphasize are two-fold. First, maintaining a distal cortical hinge yields lower complication rates than osteotomies involving complete tubercle detachment with classic or standard techniques. Second, based on current evidence, TTO consistently provides symptomatic relief, and most patients can return to work or sport at their pre-operative level within 3 and 6 months, respectively. TTO is a personalizable surgical technique that may be utilized for multiple patellofemoral disorders and is associated with good outcomes.
(© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)
Databáze: MEDLINE
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