Abstract
In patella alta associated with an excessively long patellar tendon, it is more logical to shorten the patellar tendon than to distalize the tibial tubercle (TT). We have therefore developed a technique to correct this anomaly. It is particularly indicated in patients who are skeletally immature in which a TT transfer would be contraindicated. However, it must be used with caution. It is not a conventional Z-plasty as it has the advantage of maintaining the integrity of the posterior half of the patellar tendon, limiting the risk of rupture postoperatively. It is often combined with an MPFL reconstruction. Jack Andrish has recently described a similar technique.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag London
About this chapter
Cite this chapter
Servien, E., Archbold, P. (2014). Shortening the Patellar Tendon. In: Neyret, P., Demey, G. (eds) Surgery of the Knee. Springer, London. https://doi.org/10.1007/978-1-4471-5631-4_32
Download citation
DOI: https://doi.org/10.1007/978-1-4471-5631-4_32
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-5630-7
Online ISBN: 978-1-4471-5631-4
eBook Packages: MedicineMedicine (R0)