Tibial Tubercle Osteotomy With Anteriorization and Distalization for Treatment of Patellar Instability With Patella Alta

Joseph Temperato; Clayton W. Nuelle

doi:10.1016/j.eats.2022.02.009

journal article Open Access May 16, 2022

Tibial Tubercle Osteotomy With Anteriorization and Distalization for Treatment of Patellar Instability With Patella Alta

Joseph Temperato Clayton W. Nuelle

Arthroscopy Techniques Vol. 11 No. 6 · Wiley

View at Publisher Save 10.1016/j.eats.2022.02.009

Abstract

Abstract

Patellofemoral instability is a common cause of knee pain that can lead to long‐standing pain, chondral injury, recurrent dislocations, and degenerative changes if not treated appropriately. Tibial tubercle osteotomy is indicated when there is anatomy predisposing to patellar maltracking and instability, namely abnormal patellar height or tibial tubercle location. In this Technical Note, we describe a technique for tibial tubercle anteriorization and distalization as part of the overall treatment algorithm for patellar instability with associated patella alta. This method of tibial tubercle osteotomy reliably produces anterior and distal translation of the patella to correct patellar height and decrease contact pressure across the patellofemoral joint.

Technique Video

video

See video under supplementary data.

Topics

No keywords indexed for this article. Browse by subject →

References

22

[1]

Redziniak D.E. "Patellar instability" J Bone Joint Surg Am (2009)

[2]

10.1177/03635465000280040601

[3]

10.1177/0363546503260788

[4]

10.1177/0363546518803936

[5]

10.1007/bf01552649

[6]

10.2106/jbjs.f.00508

[7]

10.1016/j.joca.2018.10.013

[8]

10.1097/jsa.0b013e318259bc40

[9]

10.1016/j.otsr.2014.12.001

[10]

10.1055/s-0030-1248121

[11]

10.1007/s00167-017-4594-7

[12]

10.1177/0363546519888467

[13]

10.1007/s00167-010-1355-2

[14]

10.1177/0363546519838405

[15]

10.1177/0363546511427117

[16]

10.1007/s00167-013-2445-8

[17]

10.1177/2325967121999642

[18]

10.1177/2325967120975101

[19]

10.1016/j.arthro.2020.12.171

[20]

10.1053/j.otsm.2015.02.007

[21]

10.1007/s00167-014-3388-4

[22]

KnapikDM KunzeKN AzuaE VadheraA Yanke AB Chahla J.Radiographic and clinical outcomes after tibial tubercle osteotomy for the treatment of patella alta: A systematic review and meta‐analysis [published online May 26 2021].Am J Sports Med.https://doi.org/10.1177/03635465211012371. 10.1177/03635465211012371

Cited By

7

Distally Based Patella Tendon Shortening With Medial Patellotibial Ligament Reconstruction

Harris S. Slone, Jonathan Pire · 2024

Arthroscopy Techniques

Metrics

7

Citations

22

References

Details

Published: May 16, 2022
Vol/Issue: 11(6)
License: View

Authors

J

Joseph Temperato

Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A.

C

Clayton W. Nuelle

Department of Orthopaedic Surgery University of Missouri Columbia Missouri U.S.A.; Thompson Laboratory for Regenerative Orthopaedics University of Missouri Columbia Missouri U.S.A.

Funding

Arthrex

American Academy of Orthopaedic Surgeons

American Orthopaedic Society for Sports Medicine

Arthroscopy Association of North America

Ajinomoto Animal Nutrition North America

Cite This Article

Joseph Temperato, Clayton W. Nuelle (2022). Tibial Tubercle Osteotomy With Anteriorization and Distalization for Treatment of Patellar Instability With Patella Alta. Arthroscopy Techniques, 11(6). https://doi.org/10.1016/j.eats.2022.02.009

Tibial Tubercle Osteotomy With Anteriorization and Distalization for Treatment of Patellar Instability With Patella Alta

You May Also Like