Anteromedial Tibial Tubercle Osteotomy (Fulkerson Osteotomy)

  • Jack Farr
  • Brian J. Cole
  • James Kercher
  • Lachlan Batty
  • Sarvottam Bajaj


The tibial tubercle (interchangeable with tuberosity) is the most distal anchor of the extensor mechanism and can serve as a tool in altering patellofemoral (PF) mechanics. Known collectively as distal realignment procedures, osteotomies of the tibial tubercle are a useful method to treat a variety of PF conditions by allowing coronal, axial, and sagittal plane adjustments of the patellofemoral articulation which redistribute patellar contact pressures (force and contact area) and potentially improve tracking.


Patella Tendon Tibial Tubercle Complex Regional Pain Syndrome Lateral Patella Arthroscopic Evaluation 
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Copyright information

© Springer-Verlag London Limited 2011

Authors and Affiliations

  • Jack Farr
  • Brian J. Cole
    • 1
  • James Kercher
  • Lachlan Batty
  • Sarvottam Bajaj
  1. 1.Voluntary Clinical, Orthopaedic Surgery, IU School of MedicineOrthoIndy Knee Care Institute, Cartilage Restoration Center of IndianaIndianapolisUSA

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