Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility
Tibial tubercle osteotomy is a well-described treatment option for a variety of patellofemoral disorders. Many techniques have evolved since its inception, including combinations of anteriorization, medialization, and distalization of the tibial tubercle. Although differing in their indications and...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628717301202 |
| _version_ | 1818448380116860928 |
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| author | T.J. Ridley, M.D. Michael Baer, M.D. Jeffrey A. Macalena, M.D. |
| author_facet | T.J. Ridley, M.D. Michael Baer, M.D. Jeffrey A. Macalena, M.D. |
| author_sort | T.J. Ridley, M.D. |
| collection | DOAJ |
| description | Tibial tubercle osteotomy is a well-described treatment option for a variety of patellofemoral disorders. Many techniques have evolved since its inception, including combinations of anteriorization, medialization, and distalization of the tibial tubercle. Although differing in their indications and end goal destination of the tubercle, these techniques share the challenging technical demands of achieving successful correction based off preoperative planning and prevention of intraoperative complications. We present our technique using osteotomy guide pins in a medial to lateral direction, originally described by Fulkerson in 1982. The advantages of our technique include better visualization for angle of osteotomy confirmation; versatility that provides options for any combination of anteriorization, medialization, or distalization; and the opportunity to maintain a distal cortical hinge if so desired. |
| first_indexed | 2024-12-14T20:18:35Z |
| format | Article |
| id | doaj.art-b5a19f36744f4ff28489bcda77e3411d |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T20:18:35Z |
| publishDate | 2017-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-b5a19f36744f4ff28489bcda77e3411d2022-12-21T22:48:47ZengElsevierArthroscopy Techniques2212-62872017-08-0164e1211e1214Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving VersatilityT.J. Ridley, M.D.0Michael Baer, M.D.1Jeffrey A. Macalena, M.D.2Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, Minnesota, U.S.A.; TRIA Orthopaedic Center, Bloomington, Minnesota, U.S.A.; Address correspondence to Jeffrey A. Macalena, M.D., Department of Orthopaedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R 200, Minneapolis, MN 55454, U.S.A.Tibial tubercle osteotomy is a well-described treatment option for a variety of patellofemoral disorders. Many techniques have evolved since its inception, including combinations of anteriorization, medialization, and distalization of the tibial tubercle. Although differing in their indications and end goal destination of the tubercle, these techniques share the challenging technical demands of achieving successful correction based off preoperative planning and prevention of intraoperative complications. We present our technique using osteotomy guide pins in a medial to lateral direction, originally described by Fulkerson in 1982. The advantages of our technique include better visualization for angle of osteotomy confirmation; versatility that provides options for any combination of anteriorization, medialization, or distalization; and the opportunity to maintain a distal cortical hinge if so desired.http://www.sciencedirect.com/science/article/pii/S2212628717301202 |
| spellingShingle | T.J. Ridley, M.D. Michael Baer, M.D. Jeffrey A. Macalena, M.D. Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility Arthroscopy Techniques |
| title | Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility |
| title_full | Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility |
| title_fullStr | Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility |
| title_full_unstemmed | Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility |
| title_short | Revisiting Fulkerson's Original Technique for Tibial Tubercle Transfer: Easing Technical Demand and Improving Versatility |
| title_sort | revisiting fulkerson s original technique for tibial tubercle transfer easing technical demand and improving versatility |
| url | http://www.sciencedirect.com/science/article/pii/S2212628717301202 |
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