Modified Technique of Tibial Tuberosity Transfer
Tibial tuberosity transfer is a well-established procedure in the treatment of patellar instability and in selected cases of anterior knee pain. Several techniques have been advocated in the literature. Some of the common complications associated with this procedure have been pain and discomfort due...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2015-08-01
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| Series: | Arthroscopy Techniques |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2212628715000390 |
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| author | Gopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth) Abbas Raad, M.R.C.S. Amit Kotecha, M.B.B.S., M.R.C.S. Sanjiv Chugh, F.R.C.S.(Tr&Orth) Ejaz Mughal, F.R.C.S.(Tr&Orth) |
| author_facet | Gopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth) Abbas Raad, M.R.C.S. Amit Kotecha, M.B.B.S., M.R.C.S. Sanjiv Chugh, F.R.C.S.(Tr&Orth) Ejaz Mughal, F.R.C.S.(Tr&Orth) |
| author_sort | Gopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth) |
| collection | DOAJ |
| description | Tibial tuberosity transfer is a well-established procedure in the treatment of patellar instability and in selected cases of anterior knee pain. Several techniques have been advocated in the literature. Some of the common complications associated with this procedure have been pain and discomfort due to prominent screw heads, necessitating their removal; nonunion and delayed union of the osteotomy; and failure of fixation. Tibial fractures have also been reported in some case reports. We present our technique of tibial tuberosity transfer using two 4-mm cannulated screws for stabilization of the tuberosity fragment. We have used this technique either for isolated tibial tuberosity transfer or as part of a combined procedure along with medial patellofemoral ligament reconstruction in treating patellar instability. Using this technique, we have encountered no patients with wound problems, nonunion, delayed union, or loss of fixation and only 1 patient with a metal work problem needing a second procedure for its removal. We attribute our good outcomes to the preservation of the soft-tissue attachments to the tuberosity fragment; minimal soft-tissue dissection, which allows rapid bony consolidation of the osteotomy, which in turn allows accelerated rehabilitation; and the use of 4-mm cannulated screws for fixation of the osteotomy, minimizing the potential for metal work problems. |
| first_indexed | 2024-12-14T17:19:55Z |
| format | Article |
| id | doaj.art-d03d753f1d4a437f96f1fd5db7eba744 |
| institution | Directory Open Access Journal |
| issn | 2212-6287 |
| language | English |
| last_indexed | 2024-12-14T17:19:55Z |
| publishDate | 2015-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Arthroscopy Techniques |
| spelling | doaj.art-d03d753f1d4a437f96f1fd5db7eba7442022-12-21T22:53:21ZengElsevierArthroscopy Techniques2212-62872015-08-0144e349e352Modified Technique of Tibial Tuberosity TransferGopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth)0Abbas Raad, M.R.C.S.1Amit Kotecha, M.B.B.S., M.R.C.S.2Sanjiv Chugh, F.R.C.S.(Tr&Orth)3Ejaz Mughal, F.R.C.S.(Tr&Orth)4Address correspondence to Gopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth), 175 Quinton Road, Harborne, Birmingham, England B17 0RN.; New Cross Hospital, Wolverhampton, EnglandNew Cross Hospital, Wolverhampton, EnglandNew Cross Hospital, Wolverhampton, EnglandNew Cross Hospital, Wolverhampton, EnglandNew Cross Hospital, Wolverhampton, EnglandTibial tuberosity transfer is a well-established procedure in the treatment of patellar instability and in selected cases of anterior knee pain. Several techniques have been advocated in the literature. Some of the common complications associated with this procedure have been pain and discomfort due to prominent screw heads, necessitating their removal; nonunion and delayed union of the osteotomy; and failure of fixation. Tibial fractures have also been reported in some case reports. We present our technique of tibial tuberosity transfer using two 4-mm cannulated screws for stabilization of the tuberosity fragment. We have used this technique either for isolated tibial tuberosity transfer or as part of a combined procedure along with medial patellofemoral ligament reconstruction in treating patellar instability. Using this technique, we have encountered no patients with wound problems, nonunion, delayed union, or loss of fixation and only 1 patient with a metal work problem needing a second procedure for its removal. We attribute our good outcomes to the preservation of the soft-tissue attachments to the tuberosity fragment; minimal soft-tissue dissection, which allows rapid bony consolidation of the osteotomy, which in turn allows accelerated rehabilitation; and the use of 4-mm cannulated screws for fixation of the osteotomy, minimizing the potential for metal work problems.http://www.sciencedirect.com/science/article/pii/S2212628715000390 |
| spellingShingle | Gopalakrishna Pemmaraju, F.R.C.S.(Tr&Orth) Abbas Raad, M.R.C.S. Amit Kotecha, M.B.B.S., M.R.C.S. Sanjiv Chugh, F.R.C.S.(Tr&Orth) Ejaz Mughal, F.R.C.S.(Tr&Orth) Modified Technique of Tibial Tuberosity Transfer Arthroscopy Techniques |
| title | Modified Technique of Tibial Tuberosity Transfer |
| title_full | Modified Technique of Tibial Tuberosity Transfer |
| title_fullStr | Modified Technique of Tibial Tuberosity Transfer |
| title_full_unstemmed | Modified Technique of Tibial Tuberosity Transfer |
| title_short | Modified Technique of Tibial Tuberosity Transfer |
| title_sort | modified technique of tibial tuberosity transfer |
| url | http://www.sciencedirect.com/science/article/pii/S2212628715000390 |
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