ArticleOrthopaedic journal of sports medicine2021
Tibial Tubercle Osteotomy With Distalization Is a Safe and Effective Procedure for Patients With Patella Alta and Patellar Instability.
Article in Orthopaedic journal of sports medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 44 citations in OpenAlex.
- Patellar Tendon Imbrication With a Double-Row Configuration for the Treatment of Patella Alta in Skeletally Immature Patients.Arthroscopy techniques · 2026Article
- Distal cortical notching significantly decreases tibial stability following tibial tubercle osteotomy: An in vitro porcine biomechanical study.Journal of experimental orthopaedics · 2026Article
- Equivalent outcomes without increased morbidity in MPFL reconstruction and distalising tibial tubercle osteotomy versus isolated MPFL reconstruction.Journal of orthopaedics · 2026Article
- Surgical Techniques to Address Patellofemoral Instability: An Individualized Approach.Arthroscopy techniques · 2025Article
- Incidence of Complications, Recurrent Instability, and All-Cause Reoperations After Tibial Tubercle Osteotomy for Patellofemoral Instability: A Systematic Review and Meta-analysis of the Literature.Orthopaedic journal of sports medicine · 2025Review
- Return to Alta: Patellar Height Increases Over Time After Tibial Tubercle Osteotomy With Distalization.Orthopaedic journal of sports medicine · 2025Article
- Incidence, indications, and risk factors for revision tibial tubercle osteotomy: A national database study.Journal of experimental orthopaedics · 2025Article
- Tibial tubercle torsion is associated with patellar height when measured by computed tomography.Journal of experimental orthopaedics · 2025Article
- Reasons for and Complications Following Revision Tibial Tubercle Osteotomy.Orthopaedic journal of sports medicine · 2025Article
- Tibial Tubercle Osteotomy: Indications, Outcomes, and Complications.Current reviews in musculoskeletal medicine · 2024Review
- Decreased Effective Patellar Tendon Length following Distalization Tibial Tubercle Osteotomy without Patellar Tendon Tenodesis.Orthopaedic journal of sports medicine · 2024Article
- Proximal bone block with distal screw trajectory improves mechanical stability during distalization tibial tubercle osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- Is the patella apprehension test a valid diagnostic test for patellar instability? A systematic review.Journal of orthopaedics · 2023Review
- Combined distal femoral osteotomy and tibial tuberosity distalization is effective in patients presenting with patellar instability and patellofemoral pain due to patella alta and femoral malalignment.Archives of orthopaedic and trauma surgery · 2023Article
- Tibial Tubercle Osteotomy With Distalization for the Treatment of Patella Alta.Arthroscopy techniques · 2023Article
- Correction of tibial tubercle trochlea groove distance is related to torsional correction in high tibial derotational osteotomy.Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA · 2023Article
- The Influence of Surgical Realignment Procedures on Dynamic Patellar Tracking: A Dynamic Magnetic Resonance Imaging-Controlled Feasibility Study.Diagnostics (Basel, Switzerland) · 2022Article
- Change of the cross-sectional area of vastus medialis oblique in patients with recurrent patellar dislocation treated by tibial tubercle transfer combined with medial patellofemoral ligament reconstruction on axial CT.Journal of orthopaedic surgery and research · 2022Article
- Radiographic Evaluation of Pediatric Patients with Patellofemoral Instability.Current reviews in musculoskeletal medicine · 2022Review
- Patellar Tendon Imbrication for the Treatment of Patella Alta in Skeletally Immature Patients.Arthroscopy techniques · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTibial tubercle osteotomy with concomitant distalization for the treatment of patellar instability remains controversial, as it may cause anterior knee pain and chondral degeneration. PURPOSE: To evaluate radiographic, clinical, and functional outcomes in patients who had patellar instability with patella alta and underwent tibial tubercle osteotomy with distalization (TTO-d) as well as medial patellofemoral ligament reconstruction. STUDY
designCase series; Level of evidence, 4.
methodsIncluded in this study were 25 patients (31 cases) (mean age at surgery, 28.7 years; range, 14-33 years) with patellar instability and patella alta who underwent TTO-d with minimum 1-year follow-up. The Caton-Deschamps index (CDI), tibial tubercle-trochlear groove (TT-TG) distance, and amount of distalization were assessed. Clinical and functional variables included J-sign, anterior knee pain, apprehension test, Tegner activity level, and Kujala score.
resultsThe mean follow-up period was 2.62 years. The mean TT-TG was 16.15 mm (range, 7-24 mm); the mean CDI changed from 1.37 (1.25-1.7) preoperatively to 1.02 (0.9-1.12) postoperatively (
conclusionTTO-d resulted in good radiographic, clinical, and functional outcomes providing proper patellar stability to patients with patella alta. TTO-d appears to be a safe and efficient procedure with low complication rates, providing an additional tool for the personalized treatment of patellar instability.
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