A self-centring osteotomy of the tibial tubercle for patellar maltracking or instability: results with ten-years' follow-up

The Bone & Joint Journal
S TigchelaarA B Wymenga

Abstract

An increased tibial tubercle-trochlear groove (TT-TG) distance is related to patellar maltracking and instability. Tibial tubercle transfer is a common treatment option for these patients with good short-term results, although the results can deteriorate over time owing to the progression of osteoarthritis. We present a ten-year follow-up study of a self-centring tibial tubercle osteotomy in 60 knees, 30 with maltracking and 30 with patellar instability. Inclusion criteria were a TT-TG ≥ 15 mm and symptoms for > one year. One patient (one knee) was lost to follow-up and one required total knee arthroplasty because of progressive osteoarthritis. Further patellar dislocations occurred in three knees, all in the instability group, one of which required further surgery. The mean visual analogue scores for pain, and Lysholm and Kujala scores improved significantly and were maintained at the final follow-up (repeated measures, p = 0.000, intergroup differences p = 0.449). Signs of maltracking were found in only a minority of patients, with no difference between groups (p > 0.05). An increase in patellofemoral osteoarthritis was seen in 16 knees (31%) with a maximum of grade 2 on the Kellgren-Lawrence scale. The mean increase in grade...Continue Reading

References

Jan 1, 1992·The Journal of Bone and Joint Surgery. British Volume·A ArnbjörnssonL Ryd
May 1, 1982·The American Journal of Sports Medicine·J Lysholm, J Gillquist
Jan 1, 1994·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·H DejourC Guier
Jan 1, 1993·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·U M KujalaO Nelimarkka
Sep 5, 2002·The Journal of Bone and Joint Surgery. British Volume·K NakagawaH Moriya
Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
Oct 3, 2003·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·M J F DiksP G Anderson
Jul 8, 2005·The American Journal of Sports Medicine·Joseph R CarneyJay S Cox
Jan 6, 2006·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Sander KoëterAlbert van Kampen
Oct 3, 2006·The Knee·D KarataglisD J A Learmonth
Nov 3, 2006·Clinical Orthopaedics and Related Research·Emil D W Hauser
Feb 27, 2007·The Journal of Bone and Joint Surgery. British Volume·S KoëterA B Wymenga
May 17, 2007·Sports Medicine and Arthroscopy Review·Andrew A Amis
Jan 10, 2008·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·F Alan Barber, John E McGarry
Oct 12, 2010·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Petri J SillanpääHarri Pihlajamäki
Feb 19, 2011·BMC Musculoskeletal Disorders·Stefan Endres, Axel Wilke
Apr 3, 2013·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Karl F SchüttlerTurgay Efe

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Citations

Sep 25, 2015·Operative Orthopädie und Traumatologie·C KonradsT Barthel
Jul 14, 2016·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Loes SchiphouwerSander Koëter
Apr 19, 2017·The American Journal of Sports Medicine·Victor R CarlsonBarry P Boden
Jul 19, 2019·Journal of Exercise Rehabilitation·Jorge Hugo VillafañeStefano Negrini
Jul 1, 2020·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·T BayoumiJ P van der List
Dec 29, 2016·The American Journal of Sports Medicine·Victor R CarlsonFrances T Sheehan
Mar 1, 2020·Archives of Orthopaedic and Trauma Surgery·Akkie RoodSebastiaan A W van de Groes
Jun 28, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Rutger J P WindAte B Wymenga
Dec 1, 2018·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Laurie A HiemstraOlufemi R Ayeni
Jan 7, 2021·Orthopaedic Journal of Sports Medicine·Rishi ChatterjiChristopher C Dodson
Jul 2, 2021·Arthroscopy, Sports Medicine, and Rehabilitation·Tarik BayoumiJelle P van der List
Aug 6, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Jordy D P van SambeeckSander Koëter

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