AANA19 Knee Access Pass-Blarney_ Distalization is the Answer-Dr. William R. Beach, M.D.

Blarney_ Distalization is the Answer-Dr. William R. Beach, M.D.

Video Transcription

Video Summary

This talk discusses tibial tubercle osteotomy (TTO) beyond treating patellar instability, also addressing maltracking, chondral defects, and osteoarthritis. Key points include the importance of correcting tibial tubercle (TT) distance over 20 mm to balance patellar tracking and reduce contact pressure by 8-15%. Proper TTO techniques depend on individual patellar surface health and pathology, with variations like medial or anteromedial shifts tailored to unstable or degenerative joints. MPFL reconstruction is challenging if TT distance is increased. TTO is versatile for instability, maltracking, and cartilage restoration, making it essential in patellofemoral surgery.

Keywords

tibial tubercle osteotomy

patellar instability

maltracking

chondral defects

patellofemoral surgery