ArticleKnee surgery, sports traumatology, arthroscopy : official journal of the ESSKA2020
Derotational femoral osteotomy changes patella tilt, patella engagement and tibial tuberosity trochlear groove distance.
Article in Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.
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Who cites it
20 citing papers in PubMed, 34 citations in OpenAlex.
- Assessment and management of torsional malalignment in paediatric patients with patellofemoral joint instability.Journal of children's orthopaedics · 2026Article
- Combined Distal Femoral Osteotomy and Medial Patellofemoral Ligament Reconstruction for Patellar Instability and Genu Valgus: A Case Report and Literature Review.Orthopaedic surgery · 2025Review
- Distal Femoral Derotational Osteotomy for Excessive Femoral Anteversion.Arthroscopy techniques · 2025Article
- Femoral inherent torsion is more accurate than femoral anteversion angle in evaluating femoral torsion to determine whether combine derotational distal femoral osteotomy or not.BMC musculoskeletal disorders · 2025Article
- Radiological assessment of lower limb torsional deformities: a narrative review.Annals of joint · 2025Review
- Intraoperative control by Schanz-screws is inaccurate to achieve the exact amount of correction in de-rotational osteotomies.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Observational
- Derotational distal femur osteotomy combined with medial patellofemoral ligament reconstruction yields satisfactory results in recurrent patellar dislocation with excessive femoral anteversion angle and trochlear dysplasia.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Axial orientation of the femoral trochlea is superior to femoral anteversion for predicting patellar instability.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Outcomes After Derotational Distal Femoral Osteotomy for Recurrent Patellar Dislocations With Increased Femoral Anteversion: A Systematic Review and Meta-analysis.Orthopaedic journal of sports medicine · 2023Review
- Hip Pain after Distal Femoral Derotational Osteotomy for a Patient with Patellar Instability: A Case Report.Orthopaedic surgery · 2023Article
- Femoral Anteversion Measured by the Surgical Transepicondylar Axis Is Correlated with the Tibial Tubercle-Roman Arch Distance in Patients with Lateral Patellar Dislocation.Medicina (Kaunas, Lithuania) · 2023Article
- Tibial tubercle-Roman arch (TT-RA) distance is superior to tibial tubercle-trochlear groove (TT-TG) distance when evaluating coronal malalignment in patients with knee osteoarthritis.European radiology · 2022Article
- Predictors of Graft Failure After Primary Medial Patellofemoral Ligament Reconstruction.Orthopaedic journal of sports medicine · 2022Article
- Pathological Thresholds of Segmental Femoral Torsion in Patients With Patellar Dislocation: Influence on Patellofemoral Malalignment.Orthopaedic journal of sports medicine · 2022Article
- Derotational distal femoral osteotomy yields satisfactory clinical outcomes in pathological femoral rotation with failed medial patellofemoral ligament reconstruction.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2022Article
- Ipsilateral patellofemoral morphological abnormalities are more severe than those of contralateral joints in patients with unilateral patellar dislocation.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Coronal and Transverse Malalignment in Pediatric Patellofemoral Instability.Journal of clinical medicine · 2021Article
- Increased external tibial torsion is an infratuberositary deformity and is not correlated with a lateralized position of the tibial tuberosity.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- Healthy middle-aged Asian and Caucasian populations present with large intra- and inter-individual variations of lower limb torsion.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2021Article
- The effect of increased femoral anteversion on the morphological and trabecular microarchitectural changes in the trochlea in an immature rabbit.Journal of advanced research · 2020Article
Corrections and comments
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe aim was to assess the influence of femoral derotational osteotomy on patella tilt (PT), axial patella engagement (AEI) and tibial tuberosity trochlear groove distance (TTTG).
methodsDerotational femoral osteotomy was performed on ten lower limbs of body donors embalmed with alcohol-glycerine. Femoral torsion, tibial torsion, knee torsion, PT, AEI and TTTG were evaluated on axial CT slices for an absolute femoral torsion of 15°, 20°, 25°, 30°, 35° and 40°. A linear mixed model analysis was used to estimate the effect of femoral torsion on PT, AEI, TTTG and knee torsion adjusted for correlation due to repeated observations. Estimates with 95% confidence intervals were used to represent the mean change in the dependent variables for one unit of change (degree, mm or AEI) in the predictor variable.
resultsA significant correlation was observed between femoral torsion and AEI (p < 0.001), PT (p < 0.001) and TTTG distance (p = 0.002). In cases of increased internal femoral torsion, a significant decreased AEI (estimate - 0.003, 95% CI - 0.003 to - 0.002), an increased PT (estimate 0.3, 95% CI 0.2-0.4) and an increased TTTG distance (estimate 0.1, 95% CI 0.1-0.2) were observed. No correlation was seen between change in femoral torsion and knee torsion (n.s.).
conclusionsDerotational femoral osteotomy has a significant impact on patella tilt and axial patella engagement. Moreover, TTTG distance is slightly changed by a derotational femoral osteotomy, which has to be taken into account preoperatively when considering surgical procedures. LEVEL OF EVIDENCE: Level V.
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