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Knee Surgery pp 176–194Cite as

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

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Abstract

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).

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Authors
  1. Fred Flandry
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  2. Raymond Hui
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Editors and Affiliations

  1. Tyson’s Professional Building, Washington Orthopaedic and Knee Clinic, Inc., 8206 Lessburg Pike, #201, 22182, Vienna, VA, USA

    M. Mike Malek M.D.

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Flandry, F., Hui, R. (2001). Complications and Pitfalls in Tibial Tubercle Osteotomy Associated with Distal Extensor Mechanism Realignment. In: Malek, M.M. (eds) Knee Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-87202-0_17

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  • DOI: https://doi.org/10.1007/978-3-642-87202-0_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-87204-4

  • Online ISBN: 978-3-642-87202-0

  • eBook Packages: Springer Book Archive

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