Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique
Tibial tubercle osteotomy (TTO) is a surgical technique commonly indicated for patellofemoral instability and/or patellar chondral repair. In select patients, soft tissue procedures alone (medial patellofemoral ligament reconstruction) are not sufficient to address patellar instability due to signif...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-01-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628724002846 |
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| Summary: | Tibial tubercle osteotomy (TTO) is a surgical technique commonly indicated for patellofemoral instability and/or patellar chondral repair. In select patients, soft tissue procedures alone (medial patellofemoral ligament reconstruction) are not sufficient to address patellar instability due to significant bony malalignment, particularly in patients with a >20-mm tibial tubercle-trochlear groove distance on advanced imaging. For these cases, a TTO procedure may be used either in adjunct to medial patellofemoral ligament reconstruction or in isolation. Among the postoperative complications of TTOs, compartment syndrome poses a threat as one of the most severe. In this Technical Note, we present a technique that aims to reduce the risk of postoperative compartment syndrome by eliminating dissection of the anterior compartment musculature during the approach. |
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| ISSN: | 2212-6287 |