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Tibial Tuberosity Osteotomy

2013; SAGE Publishing; Volume: 42; Issue: 8 Linguagem: Inglês

10.1177/0363546513507423

1552-3365

Seth L. Sherman, Brandon J. Erickson, Gregory L. Cvetanovich, Peter N. Chalmers, Jack Farr, Bernard R. Bach, Brian J. Cole,

Total Knee Arthroplasty Outcomes

Tibial tuberosity osteotomy (TTO) is a well-described treatment option for a broad range of patellofemoral joint disorders, including patellofemoral instability, patellar and trochlear focal chondral lesions, and patellofemoral arthritis. The purpose of this article is to review the evolution of the TTO procedure, from the original Hauser procedure to the current anteromedialization procedure, as well as discuss the pertinent anatomy and radiographs that accompany this procedure. The article highlights the surgical techniques for some of the more commonly performed TTO procedures and discusses the outcomes of the various TTO techniques. Complications, as well as clinical pearls to avoid these complications, are also included.