Skip to main content
SpringerLink
Log in

Complications of Tibial Tubercle Osteotomies

  • Chapter
  • First Online:
Patellofemoral Pain, Instability, and Arthritis

Abstract

Tibial tubercle osteotomy is a powerful surgical tool that can be used in multiple patellofemoral pathologic conditions [1]. It can be used to change the position/load between the patella and the trochlear sulcus by moving the tubercle in different directions including distal, medial, anterior, or a combination of these. It is important to understand, however, that there are many complications that can arise if the surgeon is not careful preoperatively, intraoperatively, or postoperatively. This chapter discusses the various complications that can occur and provides suggestions to minimize the risk of complications following tibial tubercle osteotomy.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 139.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Servien E, Verdonk PC, Neyret P. Tibial tuberosity transfer for episodic patellar dislocation. Sports Med Arthrosc Rev. 2007;15(2):61–7. Review

    Article  PubMed  Google Scholar 

  2. Payne J, Rimmke N, Schmitt LC, Flanigan DC, Magnussen RA. The incidence of complications of tibial tubercle osteotomy: a systematic review. Arthroscopy. 2015;31(9):1819–25.

    Article  PubMed  Google Scholar 

  3. Ridley TJ, Baer M, Macalena JA. Revisiting Fulkerson’s original technique for tibial tubercle transfer: easing technical demand and improving versatility. Arthrosc Tech. 2017;6(4):e1211–4.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Sherman SL, Erickson BJ, Cvetanovich GL, Chalmers PN, Farr J, Bach BR, Cole BJ. Tibial tuberosity osteotomy: indications, techniques, and outcomes. Am J Sports Med. 2014;42(8):2006–17.

    Article  PubMed  Google Scholar 

  5. Fulkerson JP. Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res. 1983;177:176–81.

    Google Scholar 

  6. Carlson VR, Boden BP, Sheehan FT. Patellofemoral kinematics and tibial tuberosity-trochlear groove distances in female adolescents with patellofemoral pain. Am J Sports Med. 2017;45(5):1102–9.

    Article  PubMed  Google Scholar 

  7. Kuroda R, Kambic H, Valdevit A, Andrish JT. Articular cartilage contact pressure after tibial tuberosity transfer: a cadaveric study. Am J Sports Med. 2001;29(4):403–9.

    Article  PubMed  Google Scholar 

  8. Pidoriano AJ, Weinstein RN, Buuck DA, Fulkerson JP. Correlation of patellar articular lesions with results from anteromedial tibial tubercle transfer. Am J Sports Med. 1997;25:533–7.

    Article  PubMed  Google Scholar 

  9. Graf KH, Tompkins M, Agel J, Arendt EA. Q-vector measurements: physical examination versus magnetic resonance imaging measurements and their relationship with tibial tubercle-trochlear groove distance. Knee Surg Sports Traumatol Arthrosc. 2018;26(3):697–704.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Minnesota, Minneapolis, MN, USA

    Marc Tompkins & Jeffrey Macalena

  2. TRIA Orthopedic Center, Bloomington, MN, USA

    Marc Tompkins

Authors
  1. Marc Tompkins
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Jeffrey Macalena
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Marc Tompkins .

Editor information

Editors and Affiliations

  1. Lyon-Ortho-Clinic, Lyon, France

    David Dejour

  2. Istituti Ortopedico Rizzoli Clinica, Ortopedica Traumatologica III, Bologna, Italy

    Stefano Zaffagnini

  3. Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN, USA

    Elizabeth A. Arendt

  4. Department of Paediatric Surgery, University of Tampere, Tampere, Finland

    Petri Sillanpää

  5. Clinic Diakonissen LinzOrthopädie & Sportchirurgie Linz, Puchenau, Austria

    Florian Dirisamer

Rights and permissions

Reprints and permissions

Copyright information

© 2020 ESSKA

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Tompkins, M., Macalena, J. (2020). Complications of Tibial Tubercle Osteotomies. In: Dejour, D., Zaffagnini, S., Arendt, E., Sillanpää, P., Dirisamer, F. (eds) Patellofemoral Pain, Instability, and Arthritis. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61097-8_24

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-61097-8_24

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-61096-1

  • Online ISBN: 978-3-662-61097-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation