2021 Annual Meeting Knee Access Pass-17-Year-Old with Recurrent Lateral Patella Instability

17-Year-Old with Recurrent Lateral Patella Instability

Video Transcription

Video Summary

This talk focuses on indications and techniques for tibial tubercle osteotomies (TTOs) in treating patellofemoral instability and cartilage issues. The main indication is anteromedialization to unload cartilage, with distalization reserved for severe patella alta cases. The speaker emphasizes that TTO is not a universal fix and should be used thoughtfully, considering factors like TTTG variability, trochlear dysplasia, and combined abnormalities. Isolated MPFL reconstruction remains a reliable workhorse. Careful patient selection, surgical technique, and cautious postoperative rehab are vital. Newer less invasive osteotomy techniques minimize tissue disruption and improve outcomes while lowering complications. Current research supports combining TTO with cartilage repair and soft-tissue procedures.

Asset Caption

Dr. Seth Sherman

Keywords

tibial tubercle osteotomy

patellofemoral instability

anteromedialization

patella alta

MPFL reconstruction