Advanced Concepts in Patellofemoral Surgery (AANA22)-Advanced Concepts in PF Surgery_ When and How to Perform TTO and Distalization

Advanced Concepts in PF Surgery_ When and How to Perform TTO and Distalization

Video Transcription

Video Summary

The presentation emphasizes the MPFL reconstruction as the primary treatment for patellar instability but highlights when to add a tibial tuberosity osteotomy (TTO) to address maltracking due to anatomical imbalances like patella alta, lateralized tuberosity, or chondral lesions. Combining TTO with MPFL reconstruction improves stability and reduces failure risk by correcting biomechanical forces and improving patellar engagement. Distalizing or anteromedializing TTOs can unload cartilage and improve tracking. The speaker stresses individualized treatment based on radiographic measures and clinical evaluation, warns of possible complications like delayed union, and notes high return-to-sport rates with combined procedures.

Keywords

MPFL reconstruction

patellar instability

tibial tuberosity osteotomy

patella alta

patellar tracking