Anteromedialization of the tibialtubercle: A 4- to 12-year follow-up

Buuck, David; Fulkerson, John P.

doi:10.1053/otsm.2000.6581

Cited by 57 publications

(26 citation statements)

References 7 publications

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“…Buuck and Fulkerson report on an 8.2-year follow-up period after tibial tuberosity transfer for patellofemoral instability, during which they registered good or execellent results in 86%. 29 In a study published in 2010 comprising 61 knees subjected to tibial tuberosity transfer, Caton and Dejour registered excellent stability in 76.8%. 30 The positive effect of isolated femoral varization osteotomy at a valgus axis causing patellofemoral dysbalance is also well known.…”

Section: Discussionmentioning

confidence: 96%

“…Tibial tuberosity osteotomies have been described in various studies. Buuck and Fulkerson report on an 8.2‐year follow‐up period after tibial tuberosity transfer for patellofemoral instability, during which they registered good or execellent results in 86% . In a study published in 2010 comprising 61 knees subjected to tibial tuberosity transfer, Caton and Dejour registered excellent stability in 76.8% .…”

Section: Discussionmentioning

confidence: 98%

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Torsional osteotomies of the femur

Dickschas

Harrer

Reuter

et al. 2014

Journal Orthopaedic Research

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Various pathologies of the hip or knee, such as patellofemoral malalignment or femoroacetabular impingement may be caused by a femoral torsional deformity. When diagnosed and analyzed, it is treated by femoral torsional osteotomy. Thirty femoral torsional osteotomies in 25 patients were included, the principal symptoms were patellar dislocation in 15 patients, anterior knee pain in 17, and femoroacetabular impingement in two. A computed‐tomography‐based measurement of the torsional angle was performed in all patients. Japanese Knee Society score, Tegner activity score, Lysholm score, and visual analog scale score were determined before surgery and at follow‐up after 41 (6–113) months. Femoral internal torsion was on average 40.9° (29° − 66°; normal 24°). Surgical treatment consisted of a femoral external torsional osteotomy of on average 13.8° (5° − 26°). Tegner activity score increased non‐significantly (p‐value 0.326) from 3.57 to 3.71. Japanese Knee Society score improved significantly from 72 to 87 (p‐value 0.004) while Lysholm score rose significantly from 66 to 84 points (p‐value 0.004). Pain relief was demonstrated by a significant decrease in the VAS score from 5.6 to 2.4 (p‐value 0.007). No further patellar dislocation was reported. Torsional deformities of the femur frequently cause symptoms in the knee or hip joint. After thorough assessment and diagnostic investigation, a femoral external torsional osteotomy provides significant pain relief as well as patellofemoral stability. © 2014 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 33:???–???, 2015.

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Section: Discussionmentioning

confidence: 96%

Section: Discussionmentioning

confidence: 98%

Torsional osteotomies of the femur

Dickschas

Harrer

Reuter

et al. 2014

Journal Orthopaedic Research

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“…Anteromedial tibial tubercle transfer produces good long-term results in patients with patellofemoral arthritis who have healthy cartilage onto which the patellar tracking may be transferred. 6,23 Anteromedialization has a wellestablished record of success in young patients; however, there has been less experience with this procedure in older adult patients, in whom joint replacement often is considered a first choice. More often than not, the latter are treated with a TKA because of additional arthritis in the medial or lateral compartment.…”

Section: Introductionmentioning

confidence: 99%

Anteromedialization of the Tibial Tubercle for Patellofemoral Arthritis in Patients > 50 Years

Carofino¹,

Fulkerson²

2010

J Knee Surg

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“…Fulkerson and associates reported 93 % good and excellent results subjectively and 89 % good and excellent results objectively [97]. A review of their results demonstrated an overall 74 % of their 42 patients as having good or excellent results at an average of 8.2 years postoperatively [98]. More recently, Tsuda et al reported a significant improvement in Fulkerson and Kujala scores in 62 knees that underwent Fulkerson procedure with or without lateral release [99].…”

Section: Bony Realignment Proceduresmentioning

confidence: 97%

Modern management of patellar instability

Rhee

Pavlou

Oakley

et al. 2012

International Orthopaedics (SICOT)

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Recurrent patellofemoral instability is a disabling condition, attributed to a variety of anatomical aetiologies. Trochlear dysplasia, patella alta, an increased tibial tubercle trochlear groove distance of greater than 20 mm and soft tissue abnormalities such as a torn medial patellofemoral ligament and inadequate vastus medialis obliquus are all factors to be considered. Management of this condition remains difficult and controversial and knowledge of the functional anatomy and biomechanics of the patellofemoral joint, a detailed history and clinical examination, and an accurate patient assessment are all imperative to formulate an appropriate management plan. Surgical treatment is based on the underlying anatomical pathology with an aim to restore normal patellofemoral kinematics. We summarise aspects of assessment, treatment and outcome of patellofemoral instability and propose an algorithm of treatment.

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Anteromedialization of the tibialtubercle: A 4- to 12-year follow-up

Cited by 57 publications

References 7 publications

Torsional osteotomies of the femur

Torsional osteotomies of the femur

Anteromedialization of the Tibial Tubercle for Patellofemoral Arthritis in Patients > 50 Years

Modern management of patellar instability

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