Knee Surgery pp 176-194 | Cite as

Complications and Pitfalls in Tibial Tubercle Osteotomy Associated with Distal Extensor Mechanism Realignment

  • Fred Flandry
  • Raymond Hui


Osteotomy of the tibial tubercle is a surgical tactic that should be reserved for the treatment of symptomatic instability, arthritic deterioration of the patellofemoral articulation, or extensile exposure. This chapter primarily addresses reported complications resulting from surgery for the first two indications as components of distal extensor mechanism realignments, although there can be carryover to the third indication. Although they are technically straightforward, procedures for tubercle osteotomy demand a thorough understanding of the regional anatomy, treatment goals, precise execution of the osteotomy, and fixation for a successful outcome. An outline of problems encountered with tibial tubercle osteotomies lists complications in broad groups (Table 17.1).


Patellar Tendon Compartment Syndrome Solution Strategy Tibial Tubercle Extensor Mechanism 
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© Springer Science+Business Media New York 2001

Authors and Affiliations

  • Fred Flandry
  • Raymond Hui

There are no affiliations available

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