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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| Format: | Article |
| Language: | English |
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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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| author | Raahil Patel, M.D. Richard J. Rivera, B.S. Sunny Parekh, D.O. Brandon Cabarcas, M.D. Brent Hill, M.D. Rachel Carlson, P.A.-C. Neil Kumar, M.D., M.B.A. |
| author_facet | Raahil Patel, M.D. Richard J. Rivera, B.S. Sunny Parekh, D.O. Brandon Cabarcas, M.D. Brent Hill, M.D. Rachel Carlson, P.A.-C. Neil Kumar, M.D., M.B.A. |
| author_sort | Raahil Patel, M.D. |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-32c18bb96bd146a385cd1766944f6115 |
| institution | Kabale University |
| issn | 2212-6287 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj-art-32c18bb96bd146a385cd1766944f61152025-01-30T05:14:05ZengElsevierArthroscopy Techniques2212-62872025-01-01141103159Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut TechniqueRaahil Patel, M.D.0Richard J. Rivera, B.S.1Sunny Parekh, D.O.2Brandon Cabarcas, M.D.3Brent Hill, M.D.4Rachel Carlson, P.A.-C.5Neil Kumar, M.D., M.B.A.6Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.; Address correspondence to Richard J. Rivera, B.S., Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, 560 Channelside Drive, Tampa, FL 33602, U.S.A.Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.Florida Orthopaedic Institute, Tampa, Florida, U.S.A.Florida Orthopaedic Institute, Tampa, Florida, U.S.A.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.http://www.sciencedirect.com/science/article/pii/S2212628724002846 |
| spellingShingle | Raahil Patel, M.D. Richard J. Rivera, B.S. Sunny Parekh, D.O. Brandon Cabarcas, M.D. Brent Hill, M.D. Rachel Carlson, P.A.-C. Neil Kumar, M.D., M.B.A. Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique Arthroscopy Techniques |
| title | Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique |
| title_full | Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique |
| title_fullStr | Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique |
| title_full_unstemmed | Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique |
| title_short | Anterior Compartment Sparing Tibial Tubercle Osteotomy Using Back-Cut Technique |
| title_sort | anterior compartment sparing tibial tubercle osteotomy using back cut technique |
| url | http://www.sciencedirect.com/science/article/pii/S2212628724002846 |
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