MIDTERM OUTCOMES OF TIBIAL TUBERCLE ANTEROMEDIALISATION CERRAHISININ ORTA DONEM SONUCLARI

Objective: Patellofemoral malalignment is a known risk factor for instability, anterior knee pain, chondropathy and arthrosis. Patellofemoral malaligment with a laterally positioned tibial tubercle that results in symptoms of pain and/or instability can be effectively managed with a tibial tubercle osteotomy. Material and Method: We present long term results of 50 knees of 45 patients with patellofemoral malalignment treated with Fulkerson osteotomy at our institution. Results: The mean follow-up time was 116,9 months (60-204). Significant improvement was observed at all of the radiographic parameters when compared with the preoperative values of our cohort. We found that patients' postoperative quality of life increased significantly according to various pain and functional scales. Conclusion: In conclusion, Fulkerson osteotomy is successful in the treatment of patients with lateral patellar instability and/or patellofemoral chondrosis/artrosis owing to patellofemoral malalignment. We believe that careful patient selection is the most important factor determining the overall outcome. Keywords: Patellofemoral malalignment, Tibial tubercle antero-medialisation, Fulkerson osteotomy Amaç: Patellofemoral dizilim bozuklugu instabilite, diz önü agrisi, kondropati ve artroz için bilinen bir risk faktörüdür. Tibial tüberkülün lateral yerlesimli oldugu, agri ve/veya instabilite sikayeti olan patellofemoral dizilim bozuklugu tibial tüberkül osteotomisi ile etkin bir sekilde tedavi edilebilir. Gereç ve Yöntem: Biz çalismamizda patellofemoral dizilim bozuklugu olup klinigimizde Fulkerson osteotomisi yapilmis olan 45 Hastanin toplam 50 dizinin uzun dönem sonuçlarini sunmaktayiz. Ortalama takip zamani 116,9 aydir (60-204). Bulgular: Bizim kohortumuzda tüm radyolojik parametrelerde preoperatif degerlere göre anlamli gelisme görülmüstür. Hastalarimizin çesitli fonksiyonel ve agri skorlamalarina göre yasam kaliteleri postoperatif anlamli olarak artmistir. Sonuç: Sonuç olarak, Fukerson osteotomisi patellofemoral dizilim bozuklugu zemininde lateral patellar instabilite ve/veya patellofemoral kondroz/artrozu olan hastalarda tedavide basarili bir yöntemdir. Dikkatli hasta seçiminin sonucu etkileyen en önemli faktör olduguna inaniyoruz. Anahtar Kelimeler: Patellofemoral dizilim bozuklugu, Tibial tüberkül anteromedializasyonu, Fulkerson osteotomisi