Tibial Tubercle Osteotomies: a Review of a Treatment for Recurrent Patellar Instability

被引:17
作者
Grimm N.L. [1 ]
Lazarides A.L. [1 ]
Amendola A. [1 ]
机构
[1] Department of Orthopaedic Surgery, Duke University Medical Center, 2301 Erwin Road, Durham, 27705, NC
关键词
Patellar instability; Patellofemoral; Patellofemoral pain; Tibial tubercle osteotomy;
D O I
10.1007/s12178-018-9482-3
中图分类号
学科分类号
摘要
Purpose of Review: The goal of this review is to provide an overview of current surgical treatment options for tibial tubercle osteotomies as a treatment for recurrent patellofemoral instability. As such we sought to provide the reader with the most current answers to why treatment practices have changed and how this has affected the outcome of surgical treatment for patellar instability. Recent Findings: As our understanding of patellofemoral biomechanics have grown, appropriate surgical and non-surgical treatment options have followed suit to address these findings. Summary: A clear understanding of the pathomechanics causing the patient’s patellar instability is germane to choosing the most appropriate surgical intervention to address this instability. Likewise, understanding the goal of the intervention chosen—e.g., unloading, realignment—is paramount. These surgical techniques may be technically challenging and surgical specialists with experience in these techniques are recommended for optimal outcomes. © 2018, Springer Science+Business Media, LLC, part of Springer Nature.
引用
收藏
页码:266 / 271
页数:5
相关论文
共 35 条
[1]  
Elias J.J., Soehnlen N.T., Guseila L.M., Cosgarea A.J., Dynamic tracking influenced by anatomy in patellar instability, Knee, 23, 3, pp. 450-455, (2016)
[2]  
Liu J.N., Mintz D.N., Nguyen J.T., Brady J.M., Strickland S.M., Shubin Stein B.E., Magnetic resonance imaging validation of tibial tubercle transfer distance in the Fulkerson osteotomy: a clinical and cadaveric study, Arthroscopy, 34, 1, pp. 189-197, (2018)
[3]  
Reider B., Marshall J.L., Koslin B., Ring B., Girgis F.G., The anterior aspect of the knee joint, J Bone Joint Surg Am, 63, 3, pp. 351-356, (1981)
[4]  
Wiberg G., Roentgenographic and anatomic studies on the patellofemoral joint with special reference to chondromalaciae patellae, Acta Orthop Scand, 12, pp. 319-410, (1941)
[5]  
Balcarek P., Jung K., Ammon J., Walde T.A., Frosch S., Schuttrumpf J.P., Et al., Anatomy of lateral patellar instability: trochlear dysplasia and tibial tubercle-trochlear groove distance is more pronounced in women who dislocate the patella, Am J Sports Med, 38, 11, pp. 2320-2327, (2010)
[6]  
van Huyssteen A.L., Hendrix M.R., Barnett A.J., Wakeley C.J., Eldridge J.D., Cartilage-bone mismatch in the dysplastic trochlea: an MRI study, J Bone Joint Surg Br, 88, 5, pp. 688-691, (2006)
[7]  
Pfirrmann C.W., Zanetti M., Romero J., Hodler J., Femoral trochlear dysplasia: MR findings, Radiology, 216, 3, pp. 858-864, (2000)
[8]  
Maquet P.A., Biomechanical treatment of femoro-patellar arthrosis: advancement of the patellar tendon, Revue du rhumatisme et des maladies osteo-articulaires, 30, pp. 779-783, (1963)
[9]  
Maquet P., Advancement of the tibial tuberosity, Clin Orthop Relat Res, 115, pp. 225-230, (1976)
[10]  
Ferguson A.B., Brown T.D., Fu F.H., Rutkowski R., Relief of patellofemoral contact stress by anterior displacement of the tibial tubercle, J Bone Joint Surg Am, 61, 2, pp. 159-166, (1979)