Fracture of the proximal tibia with immediate weight bearing following fulkerson osteotomy

Stetson, William B.; Friedman, Marc J.; Fulkerson, John P.; Cheng, Margaret S.; Buuck, David

doi:10.1016/s0749-8063(96)90090-0

Cited by 2 publications

(4 citation statements)

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“…One of the most concerning is fracture of the proximal tibia. This seems to be mainly a problem with anteromedialization, [29][30][31] but has been reported with medialization alone. 32 Although rare, it seems to be related to returning to impact activities too early in the recovery phase, although poor surgical technique may also play a role.…”

Section: Complicationsmentioning

confidence: 95%

Distal Realignment (Tibial Tuberosity Transfer)

Feller¹

2012

Sports Medicine and Arthroscopy Review

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Although tibial tuberosity (TT) transfer has for many years been the basis of many protocols for the management of patellar instability, the role of pure medial transfer in particular appears to be declining. In contrast, the greater recognition of the importance of patella alta as a predisposing factor to recurrent patellar dislocation has resulted in a resurgence in the popularity of distal TT transfer. When TT transfer is performed, the direction and amount of transfer is based on the patellar height and the lateralization of the TT relative to the trochlear groove. Patellar height is best assessed on a lateral radiograph with the knee in flexion using a ratio that uses the articular surface of the patella in relation to the height above the tibia. Assessment of lateralization of the TT relative to the trochlear groove can be made using either computed tomography or magnetic resonance imaging scans.

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Section: Complicationsmentioning

confidence: 95%

Distal Realignment (Tibial Tuberosity Transfer)

Feller¹

2012

Sports Medicine and Arthroscopy Review

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“…Some authors advocate the use of an oscillating saw as opposed to an osteotome to avoid inadvertent extension of the osteotomy. 6,7,31 The osteotomized fragment can fracture if it is too thin or if there is overaggressive compression during fixation. 4 Conversely, if the osteotomized fragment is too thick, this can lead to a stress riser at the site of the osteotomy or just distal to it.…”

Section: Complications Of Tibial Tubercle Osteotomymentioning

confidence: 99%

“…Patients should work on passive range of motion while protecting their weight bearing for the first 6 to 8 weeks postoperatively. 7 High-impact activities should be avoided for 6 months, and a return to competitive sports should be delayed for 9 months to a year postoperatively. 5 It is important to note that this review is focused on the incidence of early complications of TTO, and the 4.6% overall risk of complications does not imply that more than 95% of patients who undergo this procedure are doing well with no problems.…”

Section: Complications Of Tibial Tubercle Osteotomymentioning

confidence: 99%

“…These complications range from minor (superficial wound infections and skin irritation) to severe (tibial fracture, osteotomy nonunion, neurovascular complications, deep infection) and can result in significant morbidity. 4,5 Previous reports of complications are typically case series or case reports focused on specific complications [6][7][8] or are more general reviews with a focus on avoidance of complications. 4,5 As a result, the specific risks of individual complications are difficult to estimate, and data regarding the influence of surgical technique on the risk of complications are lacking.…”

mentioning

confidence: 99%

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