Cargando…
A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate
INTRODUCTION: In patients with recurrent patellar dislocations, a tibial tubercle osteotomy (TTO) can be indicated to correct patella alta or an increased trochlear groove–tibial tubercle distance. Several surgical techniques are described. Previous studies emphasize that detaching osteotomies resul...
Autores principales: | , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Berlin Heidelberg
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674346/ https://www.ncbi.nlm.nih.gov/pubmed/32112160 http://dx.doi.org/10.1007/s00402-020-03375-w |
_version_ | 1783611484934242304 |
---|---|
author | Rood, Akkie van Sambeeck, Jordy Koëter, Sander van Kampen, Albert van de Groes, Sebastiaan A. W. |
author_facet | Rood, Akkie van Sambeeck, Jordy Koëter, Sander van Kampen, Albert van de Groes, Sebastiaan A. W. |
author_sort | Rood, Akkie |
collection | PubMed |
description | INTRODUCTION: In patients with recurrent patellar dislocations, a tibial tubercle osteotomy (TTO) can be indicated to correct patella alta or an increased trochlear groove–tibial tubercle distance. Several surgical techniques are described. Previous studies emphasize that detaching osteotomies results in devascularisation, which can lead to non-union and tibial shaft fractures. The aim of this study was to report the complication rates directly related to the surgical technique of a V-shaped TTO, where the tubercle is completely released from its periosteum using a step-cut osteotomy. METHODS: The retrospective case series comprised a large cohort of 263 knees with patella alta in 203 patients who underwent a V-shaped TTO, with or without additional realignment procedures, between March 2004 and October 2017. Data were obtained from available patient files. Complications were defined as minor or major. RESULTS: Thirteen major complications were registered (4.9%) including two tibial fractures (0.75%) and one non-union (0.37%). Five complications (1.9%) were defined as minor. Removal of the screws because of irritation or pain was seen in 22 cases (8.2%). CONCLUSION: A V-shaped TTO is a safe procedure. The presumed higher risk for tibial fractures or pseudo-arthrosis could not be confirmed. |
format | Online Article Text |
id | pubmed-7674346 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Springer Berlin Heidelberg |
record_format | MEDLINE/PubMed |
spelling | pubmed-76743462020-11-30 A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate Rood, Akkie van Sambeeck, Jordy Koëter, Sander van Kampen, Albert van de Groes, Sebastiaan A. W. Arch Orthop Trauma Surg Orthopaedic Surgery INTRODUCTION: In patients with recurrent patellar dislocations, a tibial tubercle osteotomy (TTO) can be indicated to correct patella alta or an increased trochlear groove–tibial tubercle distance. Several surgical techniques are described. Previous studies emphasize that detaching osteotomies results in devascularisation, which can lead to non-union and tibial shaft fractures. The aim of this study was to report the complication rates directly related to the surgical technique of a V-shaped TTO, where the tubercle is completely released from its periosteum using a step-cut osteotomy. METHODS: The retrospective case series comprised a large cohort of 263 knees with patella alta in 203 patients who underwent a V-shaped TTO, with or without additional realignment procedures, between March 2004 and October 2017. Data were obtained from available patient files. Complications were defined as minor or major. RESULTS: Thirteen major complications were registered (4.9%) including two tibial fractures (0.75%) and one non-union (0.37%). Five complications (1.9%) were defined as minor. Removal of the screws because of irritation or pain was seen in 22 cases (8.2%). CONCLUSION: A V-shaped TTO is a safe procedure. The presumed higher risk for tibial fractures or pseudo-arthrosis could not be confirmed. Springer Berlin Heidelberg 2020-02-28 2020 /pmc/articles/PMC7674346/ /pubmed/32112160 http://dx.doi.org/10.1007/s00402-020-03375-w Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. |
spellingShingle | Orthopaedic Surgery Rood, Akkie van Sambeeck, Jordy Koëter, Sander van Kampen, Albert van de Groes, Sebastiaan A. W. A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title | A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title_full | A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title_fullStr | A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title_full_unstemmed | A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title_short | A detaching, V-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
title_sort | detaching, v-shaped tibial tubercle osteotomy is a safe procedure with a low complication rate |
topic | Orthopaedic Surgery |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7674346/ https://www.ncbi.nlm.nih.gov/pubmed/32112160 http://dx.doi.org/10.1007/s00402-020-03375-w |
work_keys_str_mv | AT roodakkie adetachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vansambeeckjordy adetachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT koetersander adetachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vankampenalbert adetachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vandegroessebastiaanaw adetachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT roodakkie detachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vansambeeckjordy detachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT koetersander detachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vankampenalbert detachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate AT vandegroessebastiaanaw detachingvshapedtibialtubercleosteotomyisasafeprocedurewithalowcomplicationrate |