Distalization of the patella during tibial callus distraction.
Consecutive distalization of the patella is described in two patients undergoing segmental transportation after high tibial corticotomy. Revision surgery with loosening and proximal reattachment of a portion of the patellar ligament bridging the callus distraction zone could re-establish the correct patellar position. Despite excellent callus formation after tibial corticotomy just below the tibial tuberositas, this procedure should be performed more distally as the fibers of the patellar tendon spread laterally and distally.
Berufsgenossenschaftliche Unfallklinik, University of Tübingen, Germany.
C
C
Eingartner
C
C
Bretschneider
A
A
Badke
K
K
Weise
D000328:Adult; D001859:Bone Neoplasms / Q000601:surgery; D005260:Female; D005597:Fractures, Open / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D018889:Ilizarov Technique / Q000009:adverse effects*; D016916:Joint Deformities, Acquired / Q000209:etiology* / Q000601:surgery; D007719:Knee Joint / Q000503:physiopathology; D008297:Male; D008875:Middle Aged; D017847:Patellar Ligament / Q000002:abnormalities* / Q000601:surgery; D011859:Radiography; D016059:Range of Motion, Articular; D012086:Reoperation; D013977:Tibia / Q000000981:diagnostic imaging / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D016896:Treatment Outcome