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Rotational Osteotomy for Femoral Version/Tibial Torsion

  • Advances in Patellofemoral Surgery (S Sherman, Section Editor)
  • Published:
Current Reviews in Musculoskeletal Medicine Aims and scope Submit manuscript

Abstract

Purpose of Review

The purpose of this review is to discuss the current state of knowledge regarding axial plane deformities in patellofemoral instability, indications and techniques for treatment of those deformities, and outcomes following treatment.

Recent Findings

There is opportunity for more information in the literature on all aspects of axial plane deformities in patellofemoral instability. This includes how to assess axial plane deformities on imaging, what is normal and what is an appropriate goal for correction, what techniques are best used depending on the deformity or concomitant pathology, and larger and more discriminating studies on outcomes.

Summary

Rotational deformity of both the tibia and femur is an important risk factor to consider as a cause of patellar instability. Recent research has shown that surgical correction of these deformities on either the femoral or tibial side can have a positive effect on outcome in terms of patellar instability and knee pain. Further research, however, is warranted to determine what are normal values for femoral version and tibial torsion, and at what values surgical intervention is warranted.

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Authors and Affiliations

  1. Department of Orthopedic Surgery, University of Minnesota, 2450 Riverside Avenue South, Suite R200, Minneapolis, MN, 55454, USA

    Melissa Albersheim, Michael Chau & Marc Tompkins

  2. Orthopedics and Sports Medicine, Sanford Health, 1720 University Drive South, Fargo, ND, 58103, USA

    Benjamin Noonan

  3. Pediatric Orthopedics, Gillette Children’s Specialty Health Care, 200 University Avenue East, St. Paul, MN, 55101, USA

    Trenton Cooper

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Correspondence to Marc Tompkins.

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Melissa Albersheim, Benjamin Noonan, Michael Chau, Trenton Cooper, and Marc Tompkins declare that they have no conflict of interest.

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Albersheim, M., Noonan, B., Chau, M. et al. Rotational Osteotomy for Femoral Version/Tibial Torsion. Curr Rev Musculoskelet Med 15, 667–672 (2022). https://doi.org/10.1007/s12178-022-09807-x

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