Abstract
The patella is a sesamoid bone located in the anterior part of the knee and being part of its extensor mechanism. It grows the leverage that the quadriceps tendon exerts on the tibia by increasing the angle at which it acts.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Blumensaat C. Die Lageabweichungen und Verrenkungen der Kniescheibe. Ergebn Chir Orthop. 1938;31:149–223.
Enea D, Cane PP, Fravisini M, Gigante A, Dei GL. Distalization and medialization of tibial tuberosity for the treatment of potential patellar instability with patella alta. Joints. 2018;6(2):80–4.
Magnussen RA, De Simone V, Lustig S, Neyret P, Flanigan DC. Treatment of patella alta in patients with episodic patellar dislocation: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2014;22(10):2545–50.
Payne J, Rimmke N, Schmitt LC, Flanigan DC, Magnussen RA. The incidence of complications of tibial tubercle osteotomy: a systematic review. Arthroscopy. 2015;31(9):1819–25.
Yang JS, Fulkerson JP, Obopilwe E, et al. Patellofemoral contact pressures after patellar distalization: a biomechanical study. Arthroscopy. 2017;33(11):2038–44.
Caton J, Deschamps G, Chambat P, Lerat JL, Dejour H. [Patella infera. Apropos of 128 cases]. Rev Chir Orthop Reparatrice Appar Mot. 1982;68(5):317–25.
Perelli S, Ibañez M, Morales-Marin C, et al. Patellar tendon lengthening: rescue procedure for patella baja. Arthrosc Tech. 2020;9(1):e1–8.
Drexler M, Dwyer T, Marmor M, Sternheim A, Cameron HU, Cameron JC. The treatment of acquired patella baja with proximalize the tibial tuberosity. Knee Surg Sports Traumatol Arthrosc. 2013;21(11):2578–83.
Saltzman BM, Rao A, Erickson BJ, et al. A systematic review of 21 tibial tubercle osteotomy studies and more than 1000 Knees: indications, clinical outcomes, complications, and reoperations. Am J Orthop (Belle Mead NJ). 2017;46(6):E396-407.
Wierer G, Hoser C, Elmar H, Elisabeth A, Christian F. Treatment of patella baja by a modified Z-plasty. Knee Surgery Sport Traumatol Arthrosc. 2016;24:2943–7.
Schmidt S, Mengis N, Rippke JN, et al. Treatment of acquired patella baja by proximalization tibial tubercle osteotomy significantly improved knee joint function but overall patient‑reported outcome measures remain diminished after two to four years of follow‑up. Arch Orthop Trauma Surg. 2021.
Vandeputte FJ, Vandenneucker H. Proximalisation of the tibial tubercle gives a good outcome in patients undergoing revision total knee arthroplasty who have pseudo patella baja. Bone Jt J. 2017;99-B:912–6.
Leite CBG, Santos TP, Giglio PN, Pecora JR, Camanho GL, Gobbi RG. Tibial tubercle osteotomy with distalization is a safe and effective procedure for patients with patella alta and patellar instability. Orthop J Sport Med. 2021;9(1):2325967120975101.
Vives-Barquiel MA, Torrents A, Lozano L, et al. Proximalize osteotomy of tibial tuberosity (POTT) as a treatment for stiffness secondary to patella baja in total knee arthroplasty (TKA). Arch Orthop Trauma Surg. 2015;135:1445–51.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2023 The Author(s), under exclusive license to Springer Nature Switzerland AG
About this chapter
Cite this chapter
Monllau, J.C., Sanchez-Muñoz, E. (2023). Tibial Tubercle Osteotomy in Patients with Patella Supera or Infera. In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_37
Download citation
DOI: https://doi.org/10.1007/978-3-031-09767-6_37
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-031-09766-9
Online ISBN: 978-3-031-09767-6
eBook Packages: MedicineMedicine (R0)