title: Tibial tubercle osteotomy for patello-femoral joint disorders.
abstract: Tibial tubercle osteotomy has a long history in the management of patella instability and patello-femoral arthritis. This review aims to provide a comprehensive review of the literature describing the biomechanics of the patello-femoral joint and the rationale behind the use of the tibial tubercle osteotomy in modern day practice. Several different tibial tubercle osteotomies are available and we aim to detail the concepts behind their use and the subsequent clinical results. With continued developments of chondrocyte implantation techniques, the potential to fill defects on the chondral surface of either the patella or trochlea in conjunction with a tibial tubercle osteotomy may well become more commonplace in a group that is commonly young and difficult to manage. Level of evidence III.
authors.affiliation: Yeovil District Hospital, Higher Kingston, Yeovil, BA21 4AT, Somerset, UK. matthewhall74@me.com.
authors.forename: Matthew J
authors.initials: MJ
authors.lastname: Hall
authors.affiliation: Royal Devon and Exeter Hospital, Devon, UK.
authors.forename: Vipul I
authors.initials: VI
authors.lastname: Mandalia
mesh_terms: D001168:Arthritis / Q000601:surgery*; D001696:Biomechanical Phenomena; D006801:Humans; D007593:Joint Instability / Q000601:surgery*; D010027:Osteotomy / Q000379:methods*; D057071:Patellofemoral Joint / Q000502:physiology / Q000503:physiopathology* / Q000601:surgery*; D013977:Tibia / Q000601:surgery
keywords: Anterior knee pain; Patella dislocation; Patello-femoral joint; Tibial tubercle osteotomy