Advanced Concepts in Patellofemoral Surgery (AANA22)-Advanced Concepts in PF Surgery: When and How to Perform TTO and Distalization

Advanced Concepts in PF Surgery: When and How to Perform TTO and Distalization

Video Transcription

Video Summary

In this video, the speaker discusses the use of tuberosity osteotomy in combination with MPFL (medial patellofemoral ligament) reconstruction for the treatment of patellar instability. The speaker explains that an imbalance in patellar forces can lead to maltracking and instability, and suggests that a tuberosity osteotomy may be necessary in certain cases to improve the imbalance. The speaker cites various studies that identify risk factors for recurrent dislocations and highlight the potential benefits of combining an osteotomy with MPFL reconstruction in improving outcomes. Different types of tuberosity osteotomies are discussed, including medialization, antramedialization, and distalization. The speaker emphasizes the importance of individualizing the treatment approach based on the patient's specific needs and anatomy. The risks and complications associated with tuberosity osteotomies are also mentioned. The video concludes with a summary algorithm for the use of tuberosity osteotomy in combination with MPFL reconstruction.

Asset Caption

Andrew J. Cosgarea, M.D.

Keywords

tuberosity osteotomy

MPFL reconstruction

patellar instability

maltracking

recurrent dislocations