Complications of a self-centering sliding tibial tubercle osteotomy for patellofemoral complaints; low incidence of non-union and fracture - 19/08/20
, Akkie Rood a, Siebren Tigchelaar a, Sebastiaan A.W. van de Groes b, Sander Koëter a
Bienvenue sur EM-consulte, la référence des professionnels de santé.
Article gratuit.
Connectez-vous pour en bénéficier!
Abstract |
Background |
A tibial tubercle osteotomy (TTO) is a commonly performed procedure in young and active patients with patellofemoral complaints. Previous small patient series demonstrated a relatively high risk of complications, which appear to be technique dependent. The purpose of this large case series is to quantify the risk of procedure specific postoperative complications related to a uniform self-centering TTO technique in a large cohort, performed by two different surgeons in one center.
Hypothesis |
We hypothesize that non-union or fracture occurs in less than 1% of the procedures.
Patients and methods |
Five hundred and twenty-nine knees in four hundred and forty-seven patients who underwent a self-centering TTO with at least one year of follow-up were included. We performed a retrospective cohort review. Tibial fracture, osteotomy non-union, neurovascular complications, infection and wound complications that required surgical intervention were defined as major complications, miscellaneous complications were defined minor.
Results |
The major finding in this study is the low incidence of non-union (0.6%) and tibial fracture (0.4%). In total 9 (1.7%) major complications were reported. Minor complications included superficial wound infection in five patients, two patients had a venous thrombo-embolism (VTE).
Conclusion |
A self-centering TTO is a relatively safe technique with a low number of non-union and fracture.
Level of evidence |
Level IV, retrospective cohort study.
Le texte complet de cet article est disponible en PDF.Keywords : Patella, Patellofemoral joint, Patellar instability, Patellofemoral pain, Tibial tubercle osteotomy
Plan
Vol 106 - N° 5
P. 957-961 - septembre 2020 Retour au numéro
Article précédent
- Knee laxity in anterolateral complex injuries versus medial meniscus posterior horn injuries in anterior cruciate ligament injured knees: A cadaveric study
- Ji Hyun Ahn, In Jun Koh, Michelle H. McGarry, Nilay A. Patel, Charles C. Lin, Thay Q. Lee, Byeongyeong Ryu
- Volumetric assessment of extrusion in medial meniscus posterior root tears through semi-automatic segmentation on 3-tesla magnetic resonance images
- Changwan Kim, Seong-Il Bin, Bum-Sik Lee, Won-Joon Cho, June-Goo Lee, Gi-Woon Yoon, Jong-Min Kim
Bienvenue sur EM-consulte, la référence des professionnels de santé.