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Tibial Tubercle Anteromedialization Osteotomy (Fulkerson Osteotomy)

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Anterior Knee Pain and Patellar Instability

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Abstract

The tibial tubercle (interchangeable with tuberosity) is the most distal attachment of the extensor mechanism. As a result, it and can serve as a tool in altering patellofemoral (PF) mechanicsThe tibial tubercle (interchangeable with tuberosity) is the most distal attachment of the extensor mechanism. As a result, it and can serve as a tool in altering patellofemoral (PF) mechanics. Known collectively as tibial tubercle osteotomies (TTO) or distal realignment procedures, osteotomies of the tibial tubercle are a useful method to treat a variety of PF conditions by allowing coronal, axial, and sagittal plane adjustments of the patellofemoral articulation, which redistribute patellar contact pressures (force and contact area) and potentially improve tracking.

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Author information

Authors and Affiliations

  1. Indiana University School of Medicine, Indianapolis, IN, USA

    Andrew Gudeman

  2. Knee Preservation and Cartilage Restoration Center, OrthoIndy, Indianapolis, IN, USA

    Jack Farr

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  1. Andrew Gudeman
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  2. Jack Farr
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Correspondence to Jack Farr .

Editor information

Editors and Affiliations

  1. Department of Orthopedic Surgery, Hospital Arnau de Vilanova, Valencia, Spain

    Vicente Sanchis-Alfonso

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Gudeman, A., Farr, J. (2023). Tibial Tubercle Anteromedialization Osteotomy (Fulkerson Osteotomy). In: Sanchis-Alfonso, V. (eds) Anterior Knee Pain and Patellar Instability. Springer, Cham. https://doi.org/10.1007/978-3-031-09767-6_38

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  • DOI: https://doi.org/10.1007/978-3-031-09767-6_38

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  • Online ISBN: 978-3-031-09767-6

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