Triple positioning of tibial tubercle osteotomy for patellofemoral disorders

Wang, Ching‐Jen; Wong, To; Ko, Jih‐Yang; Siu, Ka-Kit

doi:10.1016/j.knee.2012.10.027

Cited by 8 publications

(33 citation statements)

References 29 publications

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“…Furthermore, it is well known that PF malalignment and chondral disease is a multifactorial pathology, and different factors, such as patellar and trochlear morphology, may play a role affecting the outcomes of TTO alone in these patients. However, few studies evaluated factors related to outcomes in TTOs for PF chondral disease, but no association with patellar or trochlear morphology was recognized [7][8][9][10] .…”

Section: What Are the New Findings?mentioning

confidence: 99%

“…In all studies the indication for surgery was chronic anterior knee pain. Twelve studies reported as main indication persistent anterior knee pain after 6 to 12 months of conservative treatment, including quadriceps and hamstrings muscle stretching, closed chain exercises, vastus medialis and lateralis as well as hip muscles strengthening and core balancing [7][8][9][10]13,[19][20][21][22][23]25,26 . Two studies reported the presence of lateral patellar tracking as a prerequisite for surgery, but they did not specify how it was evaluated 18,24 .…”

Section: Demographic Datamentioning

confidence: 99%

“…Two studies reported the presence of lateral patellar tracking as a prerequisite for surgery, but they did not specify how it was evaluated 18,24 . Four studies reported a pathologic Q angle as a mandatory requirement to indicate surgery 9,10,19,20 . Only two study described the presence of a TT-TG distance greater than 15 mm as a mandatory requirement for TTO 9,22 .…”

Section: Demographic Datamentioning

confidence: 99%

“…Seven studies evaluated the pre-operative patellar tilt angle 7,9,18,19,23,26,27 , but only three studies (128 knees) reported the values, with a weighted average of 11.6° (SD 1.7) 9,19,27 . Seven studies evaluated the congruence angle 7,9,10,18,19,26,28 , but only three studies (118 knees) 9,19,28 reported the values, with a weighted average of 17.5° (SD 7.4). Three studies described the patellar height using the Insall-Salvati ratio 9,10,23 , but only Wang et al (62 cases) reported the value, with an average of 1.09 (SD 0.1) 10 .…”

Section: Pre-operative Assessmentmentioning

confidence: 99%

“…Seven studies evaluated the congruence angle 7,9,10,18,19,26,28 , but only three studies (118 knees) 9,19,28 reported the values, with a weighted average of 17.5° (SD 7.4). Three studies described the patellar height using the Insall-Salvati ratio 9,10,23 , but only Wang et al (62 cases) reported the value, with an average of 1.09 (SD 0.1) 10 . Two studies described the patellar height using the Caton index (91 cases), with an average of 1 (range 0.7-1.5) 18,22 .…”

Section: Pre-operative Assessmentmentioning

confidence: 99%

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Tibial tubercle osteotomy for patellofemoral malalignment and chondral disease provided good outcomes: A systematic review

Rosso¹,

Rossi²,

Cottino³

et al. 2022

Journal of ISAKOS

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Section: What Are the New Findings?mentioning

confidence: 99%

Section: Demographic Datamentioning

confidence: 99%

Section: Demographic Datamentioning

confidence: 99%

Section: Pre-operative Assessmentmentioning

confidence: 99%

Section: Pre-operative Assessmentmentioning

confidence: 99%

See 3 more Smart Citations

Tibial tubercle osteotomy for patellofemoral malalignment and chondral disease provided good outcomes: A systematic review

Rosso¹,

Rossi²,

Cottino³

et al. 2022

Journal of ISAKOS

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Tibial tubercle osteotomy for patello-femoral joint disorders

Hall

Mandalia

2014

Knee Surg Sports Traumatol Arthrosc

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Tibial tubercle osteotomy has a long history in the management of patella instability and patello-femoral arthritis. This review aims to provide a comprehensive review of the literature describing the biomechanics of the patello-femoral joint and the rationale behind the use of the tibial tubercle osteotomy in modern day practice. Several different tibial tubercle osteotomies are available and we aim to detail the concepts behind their use and the subsequent clinical results. With continued developments of chondrocyte implantation techniques, the potential to fill defects on the chondral surface of either the patella or trochlea in conjunction with a tibial tubercle osteotomy may well become more commonplace in a group that is commonly young and difficult to manage. Level of evidence III.

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Tibial tubercle transfer leads to clinically relevant improvement in patients with patellar maltracking without instability: a systematic review and meta-analysis

Bayoumi

Benner

Stavenuiter

et al. 2020

Knee Surg Sports Traumatol Arthrosc

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Purpose To assess the diferent surgical techniques and their outcomes following tibial tubercle transfer (TTT) in patients with patellar maltracking. Methods A systematic search of the literature was performed in PubMed, EMBASE and Cochrane Library. Studies reporting patient-reported outcome measures (PROMs) or clinical outcome following: TTT in patients with patellar maltracking were included. Collected PROMs were Lysholm, Kujala, IKDC score, and VAS pain. Clinical outcome included reported clinical success, patient satisfaction, complications and removal of hardware (ROH). Overall pre-, post-operative and change scores were estimated using random-efects meta-analysis models. Results were reported as overall mean and per transfer direction. Results A total of 26 studies and 761 patients (818 knees, mean age 35 years, mean follow-up 5.0 years) were included. In 73% of the studies, surgery was performed after failed conservative treatment. Transfer direction was anteromedial in 76% of all procedures. Overall Lysholm score improved from 61 to 91, Kujala from 52 to 85, IKDC from 53 to 81, and VAS from 6.2 to 2.5, respectively. Clinical success was reported in 79% of patients, and 80% of patients reported to have satisfactory results. Rates of complications and ROH were 13% and 29%, respectively. Conclusions TTT for management of patellar maltracking can lead to good results with clinically meaningful improvement, an overall clinical success of 79% and overall patient satisfaction of 80% when appreciating the underlying anatomic condition and using appropriate technique. The level of evidence was low, and large-scale prospective, comparative cohort studies with uniform outcome scales are needed to conirm these indings. Level of evidence IV.

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Triple positioning of tibial tubercle osteotomy for patellofemoral disorders

Cited by 8 publications

References 29 publications

Tibial tubercle osteotomy for patellofemoral malalignment and chondral disease provided good outcomes: A systematic review

Tibial tubercle osteotomy for patellofemoral malalignment and chondral disease provided good outcomes: A systematic review

Tibial tubercle osteotomy for patello-femoral joint disorders

Tibial tubercle transfer leads to clinically relevant improvement in patients with patellar maltracking without instability: a systematic review and meta-analysis

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