Rehabilitation After Anteromedialization of the Tibial Tuberosity

Salari, Nima; Horsmon, G.; Cosgarea, Andrew J.

doi:10.1016/j.csm.2009.12.006

Cited by 5 publications

(7 citation statements)

References 18 publications

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“…If an osteotomy is performed, patients are typically restricted from weight-bearing from 2 to 6 weeks postoperatively. Motion and strengthening goals remain the same, and target return dates are similar 88 .…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

“…MPFL reconstruction protocols are typically composed of 4 phases that account for tissue healing and maturation: (1) the postoperative and protective phase, (2) the intermediate and proliferative phase focusing on progressive weight-bearing and range of motion, (3) the maturation and progressive strengthening phase, and (4) the return-to-sport phase (Table V). The rehabilitation protocols and goals for TTO and trochleoplasty with or without MPFL reconstruction are largely the same as for MPFL reconstruction alone, with the major difference being a delay in weight-bearing and range-of-motion progressions 88 .…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

“…The mean recommended time to discontinue bracing has been reported as between 5.7 and 6.3 weeks, with a range of 2 to 9 weeks 87,89 . Bracing protocols are similar following TTO, with the recommendation to discontinue bracing at 8 weeks 88 .…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

“…Range-of-motion protocols differ slightly if TTO is performed. Some protocols recommend a brace locked in full extension for the first postoperative week, although an emphasis should still be placed on early range of motion to promote blood flow, modulate pain, aid in the prevention of arthrofibrosis, and restore normal movement to the joint 88 . The goal following TTO is full range of motion by 8 weeks 88 .…”

Section: Postoperative Rehabilitationmentioning

confidence: 99%

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Lateral Patellar Dislocation

et al. 2022

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Nonoperative treatment of a lateral patellar dislocation produces favorable functional results, but as high as 35% of individuals experience recurrent dislocations.» Medial patellofemoral ligament reconstruction is an effective treatment to prevent recurrent dislocations and yield excellent outcomes with a high rate of return to sport.» Both nonoperative and postoperative rehabilitation should center on resolving pain and edema, restoring motion, and incorporating isolated and multijoint progressive strengthening exercises targeting the hip and knee.» Prior to return to sports, both functional and isolated knee strength measurements should be used to determine leg symmetry strength and to utilize patient-reported outcome measures to assess the patient's perceived physical abilities and patellofemoral joint stability.

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Section: Postoperative Rehabilitationmentioning

confidence: 99%

Section: Postoperative Rehabilitationmentioning

confidence: 99%

Section: Postoperative Rehabilitationmentioning

confidence: 99%

Section: Postoperative Rehabilitationmentioning

confidence: 99%

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Lateral Patellar Dislocation

et al. 2022

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“…Furthermore, osteotomies with a distal cut perpendicular to the anterior tibial cortex, thus violating the anterior tibial cortex, showed an increased fracture risk [ 8 , 14 ]. An adapted rehabilitation protocol can also prevent this risk [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Delayed Spontaneous Fracture of the Proximal Tibia after Tibial Tubercle Osteotomy for Treatment of Patella Instability: A Case Report

Goetz,

Manon,

Quintart

2023

jocr

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Introduction: Tibial tubercle osteotomy (TTO) is a surgical procedure commonly used. Several local postoperative complications have been identified in the literature, such as early proximal tibial fractures. In exceptional cases, these fractures can occur later in the postoperative period, i.e., after 6 months. The current paper described a case study of this rare delayed complication. Case Report: An athletic 24-year-old military man was admitted to the emergency department following a spontaneous proximal tibial fracture below and arising from the TTO site realized 7 months earlier. Conclusion: Delayed spontaneous fractures of the proximal tibia following TTO are extremely rare complications. This paper describes a case of delayed spontaneous fracture in a young athlete. Factors contributing to this fracture are analyzed. An adaptation of the surgical technique and rehabilitation protocol is discussed. Keywords: Tibial tubercle osteotomy, complications, delayed tibial fracture, rehabilitation

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