Anterior tibial tubercle osteotomy using cerclage wire fixation in total knee replacement: a modification of the usual technique
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Anterior tibial tubercle (ATT) osteotomy facilitates exposure in knee arthroplasty. However, it is not without complications. We have introduced some technical modifications that reduce the surgical aggression by designing a short osteotomy that does not invade the intramedullary canal, and synthesizing it with three cerclage wires with a particular layout that increases the solidity of the system. A retrospective review was performed on the surgical revision of total knee replacement cases intervened in our center that required an ATT osteotomy from February 2014 to February 2015, and who had a minimum clinical follow-up of 12 months. In all cases, there was an average proximal increase in ATT of 5 mm and, however, did not result in any loss of knee extension. All the osteotomies achieved complete bone consolidation at 3 months. There were no other complications. Our technique may be a valid option as it shows satisfactory results and demonstrates that a small increase in ATT does not affect the final clinical outcome.
KeywordsKnee Exposure Tubercle Osteotomy Arthroplasty
Compliance with ethical standards
Conflict of interest
Joan Manuel Burdeus González-Solís, Iván Díez-Santacoloma and Albert Isidro Llorens declare that they have no conflict of interest.
Human and animal rights
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
- 3.Trousdale RT, Hanssen AD, Rand JA, Cahalan TD (1993) V-Y quadricepsplasty in total knee arthroplasty. Clin Orthop Relat Res 286:48–55Google Scholar
- 7.Whiteside LA, Ohl MD (1990) Tibial tubercle osteotomy for exposure of the difficult total knee arthroplasty. Clin Orthop Relat Res 260:6–9Google Scholar
- 8.Whiteside LA (1995) Exposure in difficult total knee arthroplasty using tibial tubercle osteotomy. Clin Orthop Relat Res 321:32–35Google Scholar