Extended tibial tubercle osteotomy in total knee arthroplasty
Thirty tibial tubercle osteotomies were performed to obtain exposure and facilitate patellar tracking in 29 patients who underwent total knee arthroplasty. The thickness and width of the bone fragment were gradually tapered from proximal to distal. Fixation was obtained with three or four titanium s...
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| Veröffentlicht in: | The Journal of arthroplasty 1996-12, Vol.11 (8), p.964-967 |
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| container_title | The Journal of arthroplasty |
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| creator | Ries, Michael D. Richman, Jonathan A. |
| description | Thirty tibial tubercle osteotomies were performed to obtain exposure and facilitate patellar tracking in 29 patients who underwent total knee arthroplasty. The thickness and width of the bone fragment were gradually tapered from proximal to distal. Fixation was obtained with three or four titanium screws. Average follow-up period was 18 months. Twenty-nine of the osteotomies healed primarily. In one patient, postoperative displacement of the tibial tubercle developed requiring additional screw and suture fixation. Extended tibial tubercle osteotomy is a useful technique during difficult total knee arthroplasty. Poor tibial bone stock is a relative contraindication. The authors recommend that a long tapered bone fragment that is 1.5 to 2 cm thick at the level of the tibial tubercle be elevated and fixation achieved with screws. |
| doi_str_mv | 10.1016/S0883-5403(96)80138-0 |
| format | Article |
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The thickness and width of the bone fragment were gradually tapered from proximal to distal. Fixation was obtained with three or four titanium screws. Average follow-up period was 18 months. Twenty-nine of the osteotomies healed primarily. In one patient, postoperative displacement of the tibial tubercle developed requiring additional screw and suture fixation. Extended tibial tubercle osteotomy is a useful technique during difficult total knee arthroplasty. Poor tibial bone stock is a relative contraindication. 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The thickness and width of the bone fragment were gradually tapered from proximal to distal. Fixation was obtained with three or four titanium screws. Average follow-up period was 18 months. Twenty-nine of the osteotomies healed primarily. In one patient, postoperative displacement of the tibial tubercle developed requiring additional screw and suture fixation. Extended tibial tubercle osteotomy is a useful technique during difficult total knee arthroplasty. Poor tibial bone stock is a relative contraindication. The authors recommend that a long tapered bone fragment that is 1.5 to 2 cm thick at the level of the tibial tubercle be elevated and fixation achieved with screws.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Bone Screws</subject><subject>exposure</subject><subject>Female</subject><subject>Humans</subject><subject>knee arthroplasty</subject><subject>Knee Prosthesis - methods</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Osteotomy</subject><subject>Tibia - surgery</subject><subject>tibial tubercle</subject><issn>0883-5403</issn><issn>1532-8406</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1996</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtOwzAURC0EKqXwCZWyQrAI2PEjzgIhVJWHVIlF2VuOfSMMaVxsB9G_J32ILau7mJk7moPQlOAbgom4XWIpac4ZpleVuJaYUJnjIzQmnBa5ZFgco_Gf5RSdxfiBMSGcsxEayUoKXvIxupv_JOgs2Cy52uk2S30NwbSQ-ZjAJ7_aZK7Lkk-D9tkBZDqk9-DXrY5pc45OGt1GuDjcCVo-zt9mz_ni9ell9rDIDRU45VYUTWErQbjBpaytaETFBWWG1rVm2JZWasosFoawYZphUBSFLsvGGCgNnaDL_dd18F89xKRWLhpoW92B76MqpWCVZHww8r3RBB9jgEatg1vpsFEEqy00tYOmtkRUJdQOmsJDbnoo6OsV2L_UgdKg3-91GDZ-OwgqGgedAesCmKSsd_80_AKCSnxV</recordid><startdate>19961201</startdate><enddate>19961201</enddate><creator>Ries, Michael D.</creator><creator>Richman, Jonathan A.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19961201</creationdate><title>Extended tibial tubercle osteotomy in total knee arthroplasty</title><author>Ries, Michael D. ; Richman, Jonathan A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c360t-d62f2d9615c078bd6f695634c3bba40d7d8a34d06c14016c4e222a77fcce7c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1996</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Bone Screws</topic><topic>exposure</topic><topic>Female</topic><topic>Humans</topic><topic>knee arthroplasty</topic><topic>Knee Prosthesis - methods</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Osteotomy</topic><topic>Tibia - surgery</topic><topic>tibial tubercle</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ries, Michael D.</creatorcontrib><creatorcontrib>Richman, Jonathan A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of arthroplasty</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ries, Michael D.</au><au>Richman, Jonathan A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Extended tibial tubercle osteotomy in total knee arthroplasty</atitle><jtitle>The Journal of arthroplasty</jtitle><addtitle>J Arthroplasty</addtitle><date>1996-12-01</date><risdate>1996</risdate><volume>11</volume><issue>8</issue><spage>964</spage><epage>967</epage><pages>964-967</pages><issn>0883-5403</issn><eissn>1532-8406</eissn><abstract>Thirty tibial tubercle osteotomies were performed to obtain exposure and facilitate patellar tracking in 29 patients who underwent total knee arthroplasty. 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| ispartof | The Journal of arthroplasty, 1996-12, Vol.11 (8), p.964-967 |
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| language | eng |
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| source | MEDLINE; Elsevier ScienceDirect Journals |
| subjects | Adult Aged Aged, 80 and over Bone Screws exposure Female Humans knee arthroplasty Knee Prosthesis - methods Male Middle Aged Osteotomy Tibia - surgery tibial tubercle |
| title | Extended tibial tubercle osteotomy in total knee arthroplasty |
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