Anterior advancement of the tibial tuberosity in the treatment of the patellofemoral pain syndrome.
Seventy-two patients with disabling patellofemoral pain were treated with anterior advancement of the tibial tuberosity. In a follow-up examination 1-5 years (mean 2.5) postoperatively, 57% of the patients had improved, 19% were unchanged, and 24% were worse. The high failure rate is disturbing, and we warn against too frequent use of the anterior tuberosity advancement procedure. Patients with patellofemoral pain should be approached by establishing a specific diagnosis and applying a specific treatment. In this study we concluded that the only patients who might benefit from the operation were those with grade I-II changes of the patellar cartilage.
D000293:Adolescent; D000328:Adult; D005260:Female; D005269:Femur / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008722:Methods; D008875:Middle Aged; D010146:Pain / Q000601:surgery*; D010329:Patella / Q000601:surgery*; D011183:Postoperative Complications; D013577:Syndrome; D013977:Tibia / Q000601:surgery*