APEX Knee Navigating Pearls and Pitfalls-TTO: When and How

Video Transcription

Video Summary

Dr. Jack Farr reviews tibial tubercle osteotomies focusing on indications—pain, patellar instability, and combined cases—and surgical techniques. He emphasizes tailored treatment addressing multiple risk factors to stabilize the patella while minimizing chondral overload and surgical morbidity. Procedures include straight medialization for lateralized tubercles, anteriorization to unload cartilage, intermedialization for distal lesions, distalization for patella alta, and proximalization for select patella infera cases. Surgical steps detail osteotomy cuts, fixation methods, and the importance of lateral retinacular lengthening when needed. Postoperative rehab stresses weight-bearing restrictions and early motion to optimize outcomes. Proper patient selection and technique yield good results.

Asset Caption

Dr. Jack Farr II

Keywords

tibial tubercle osteotomy

patellar instability

surgical techniques

postoperative rehabilitation

patient selection