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Patellofemoral Osteotomies

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Cartilage Restoration
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Abstract

While the role of patellofemoral (PF) osteotomies in the treatment of PF disorders continues to evolve, there is a common goal: optimize the contact area and decrease PF forces when possible. By definition, this decreased force with increased contact area results in decreased PF stress.

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References

  1. Teitge RA. Osteotomy in the treatment of patellofemoral instability. Tech Knee Surg. 2006;5:2–18.

    Article  Google Scholar 

  2. Paulos L, Swanson SC, Stoddard GJ, et al. Surgical correction of limb malalignment for instability of the patella: a comparison of 2 techniques. Am J Sport Med. 2009;37:1288–300.

    Article  Google Scholar 

  3. Dejour H, Walch G, Nove-Josserand L, Guier C. Factors of patellar instability: an anatomic radiographic study. Knee Surg Sports Traumatol Arthrosc. 1994;2(1):19–26.

    Article  CAS  PubMed  Google Scholar 

  4. Seitlinger G, Scheurecker G, Högler R, Labey L, Innocenti B, Hofmann S. Tibial tubercle-posterior cruciate ligament distance: a new measurement to define the position of the tibial tubercle in patients with patellar dislocation. Am J Sports Med. 2012;40(5):1119–25.

    Article  PubMed  Google Scholar 

  5. Daynes J, Hinckel BB, Farr J. Tibial tuberosity-posterior cruciate ligament distance. J Knee Surg. 2016;29(6):471–7.

    Article  PubMed  Google Scholar 

  6. Kuroda R, Kambic H, Valdevit A, et al. Articular cartilage contact pressure after tibial tuberosity transfer. A cadaveric study. Am J Sport Med. 2001;29:403–9.

    Article  CAS  Google Scholar 

  7. Pandit S, Frampton C, Stoddart J, et al. Magnetic resonance imaging assessment of tibial tuberosity-trochlear groove distance: normal values for males and females. Int Orthop. 2011;35:1799–803.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Hauser E. Total tendon transplant for slipping patella: a new operation for recurrent dislocation of the patella. Surg Gynecol Obstet. 1938;66:199–214.

    Google Scholar 

  9. Farr J, Schepsis A, Cole B, et al. Anteromedialization: review and technique. J Knee Surg. 2007;20:120–8.

    Article  PubMed  Google Scholar 

  10. Maquet P. Advancement of the tibial tuberosity. Clin Orthop Relat Res. 1976;115:225–30.

    Google Scholar 

  11. Fulkerson JP. Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res. 1983;(177):176–81.

    Google Scholar 

  12. Brittberg M, Lindahl A, Nilsson A, et al. Treatment of deep cartilage defects in the knee with autologous chondrocyte transplantation. N Engl J Med. 1994;331:889–95.

    Article  CAS  PubMed  Google Scholar 

  13. Liu JN, Mintz DN, Nguyen JT, Brady JM, Strickland SM, Shubin Stein BE. Magnetic resonance imaging validation of tibial tubercle transfer distance in the Fulkerson osteotomy: a clinical and cadaveric study. Arthroscopy. 2017. pii: S0749-8063(17)30761-2.

    Google Scholar 

  14. Staubli HU, Dürrenmatt U, Porcellini B, Rauschning W. Anatomy and surface geometry of the patellofemoral joint in the axial plane. J Bone Joint Surg Br. 1999;81(3):452–8.

    Article  Google Scholar 

  15. Mayer C, Magnussen RA, Servien E, et al. Patellar tendon tenodesis in association with tibial tubercle distalization for the treatment of episodic patellar dislocation with patella alta. Am J Sport Med. 2012;40:346–51.

    Article  Google Scholar 

  16. Neyret P, Robinson AHN, Le Coultre B, et al. Patellar tendon length—the factor in patellar instability? Knee. 2002;9:3–6.

    Article  PubMed  Google Scholar 

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Farr, J., Gomoll, A.H. (2018). Patellofemoral Osteotomies. In: Farr, J., Gomoll, A. (eds) Cartilage Restoration. Springer, Cham. https://doi.org/10.1007/978-3-319-77152-6_26

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  • DOI: https://doi.org/10.1007/978-3-319-77152-6_26

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-77151-9

  • Online ISBN: 978-3-319-77152-6

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