APEX Knee Navigating Pearls and Pitfalls-When is an MPFL Enough, when do you Need a TTO in Addition?

Video Transcription

Video Summary

In the video, Dr. Adam Yankie from Rush University discusses the use of a tibial tubercle osteotomy in the treatment of patellar instability. He explains that tibial tubercle osteotomies should only be utilized when necessary, such as in cases of revisions, cartilage damage, and significant abnormalities. The two factors that can be corrected with a tibial tubercle osteotomy are patella alta and tuberosity lateralization. Dr. Yankie discusses various studies that evaluate the risk factors for recurrent patellar instability and failure of isolated MPFL reconstructions. He emphasizes the importance of considering all factors that increase the risk for recurrence or failure and taking them into account when determining the appropriate treatment approach. Dr. Yankie also presents two case studies to illustrate the role of tibial tubercle osteotomy in patellar instability treatment. Overall, he concludes that tibial tubercle osteotomies should be considered in cases where the anatomy is abnormal or the values are significantly abnormal.

Asset Caption

Adam B. Yanke, M.D., Ph.D.

Meta Tag

Concept Medial Patellofemoral Ligament Reconstruction

Concept Fulkerson Procedure

Concept Patellar instability

Concept Patella Alta

Concept Tibial Tubercle Lateralization

Keywords

tibial tubercle osteotomy

patellar instability

patella alta

tuberosity lateralization

MPFL reconstruction

risk factors

Medial Patellofemoral Ligament Reconstruction

Fulkerson Procedure

Patellar instability

Patella Alta

Tibial Tubercle Lateralization