Return to Sports After Tibial Tubercle Osteotomy for Patellofemoral Pain and Osteoarthritis

Liu, Joseph N.; Wu, Hao-Hua; Garcia, Grant H.; Kalbian, Irene; Strickland, Sabrina M.; Stein, Beth E. Shubin

doi:10.1016/j.arthro.2017.09.021

Cited by 44 publications

(51 citation statements)

References 25 publications

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“…The sports questionnaire we used has been used previously in the literature to report sport-related outcomes of more common orthopaedic procedures. [19][20][21][22] To further elucidate levels of RTS, sports were stratified by the level of demand on the lower extremities, as determined by previous studies by Garcia et al 19,21 and at our discretion ( Table 1).…”

Section: Methodsmentioning

confidence: 99%

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Puzzitiello

Liu

Garcia³

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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Section: Methodsmentioning

confidence: 99%

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Puzzitiello

Liu

Garcia³

et al. 2020

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…Anteromedialization TTO may be important to unload a painful distal/lateral patella articular lesion before MPFL or MQTFL reconstruction in patients with chronic lateral tracking associated with instability. After anteromedialization of the tibial tuberosity, 83% of patients return to sports at an average of 7.8 months after surgery, 12 in spite of preoperative lateral patellofemoral arthrosis and/or pain, again pointing out the importance of patellofemoral alignment surgery in selected patients with lateral patellofemoral overload and maltracking associated with patella instability. In patients with severe trochlea dysplasia, trochleoplasty may be indicated when traditional alignment/medial stabilization is insufficient, 13 although Liu et al 2 suggest that MPFL reconstruction is sufficient despite trochlea dysplasia.…”

Section: Isolated Medial Patellofemoral Ligament Reconstruction: a Symentioning

confidence: 99%

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

Fulkerson¹

2018

Arthroscopy: The Journal of Arthroscopic & Related Surgery

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“…13,37,63 0.00 96.43 Nonweightbearing range of motion is safe and desired if no associated osteotomy is performed. 35,54 7.14 89.29 Progressive weightbearing, as tolerated, with a knee brace locked in full extension does not excessively load the patellofemoral joint and is safe if no associated osteotomy is performed. 35,55,77 0.00 100.00 a ACI, autologous chondrocyte implantation; OCA, osteochondral allograft transplantation.…”

Section: Graft and Surgical Technique Considerationsmentioning

confidence: 99%

An Expert Consensus Statement on the Management of Large Chondral and Osteochondral Defects in the Patellofemoral Joint

Chahla

Hinckel

Yanke

et al. 2020

Orthopaedic Journal of Sports Medicine

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Background: Cartilage lesions of the patellofemoral joint constitute a frequent abnormality. Patellofemoral conditions are challenging to treat because of complex biomechanics and morphology. Purpose: To develop a consensus statement on the functional anatomy, indications, donor graft considerations, surgical treatment, and rehabilitation for the management of large chondral and osteochondral defects in the patellofemoral joint using a modified Delphi technique. Study Design: Consensus statement. Methods: A working group of 4 persons generated a list of statements related to the functional anatomy, indications, donor graft considerations, surgical treatment, and rehabilitation for the management of large chondral and osteochondral defects in the patellofemoral joint to form the basis of an initial survey for rating by a group of experts. The Metrics of Osteochondral Allografts (MOCA) expert group (composed of 28 high-volume cartilage experts) was surveyed on 3 occasions to establish a consensus on the statements. In addition to assessing agreement for each included statement, experts were invited to propose additional statements for inclusion or to suggest modifications of existing statements with each round. Predefined criteria were used to refine statement lists after each survey round. Statements reaching a consensus in round 3 were included within the final consensus document. Results: A total of 28 experts (100% response rate) completed 3 rounds of surveys. After 3 rounds, 36 statements achieved a consensus, with over 75% agreement and less than 20% disagreement. A consensus was reached in 100.00% of the statements relating to functional anatomy of the patellofemoral joint, 88.24% relating to surgical indications, 100.00% relating to surgical technical aspects, and 100.00% relating to rehabilitation, with an overall consensus of 95.5%. Conclusion: This study established a strong expert consensus document relating to the functional anatomy, surgical indications, donor graft considerations for osteochondral allografts, surgical technical aspects, and rehabilitation concepts for the management of large chondral and osteochondral defects in the patellofemoral joint. Further research is required to clinically validate the established consensus statements and better understand the precise indications for surgery as well as which techniques and graft processing/preparation methods should be used based on patient- and lesion-specific factors.

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Return to Sports After Tibial Tubercle Osteotomy for Patellofemoral Pain and Osteoarthritis

Cited by 44 publications

References 25 publications

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Return to Sport and Outcomes After Concomitant Lateral Meniscal Allograft Transplant and Distal Femoral Varus Osteotomy

Editorial Commentary: Medial Patellofemoral Ligament Reconstruction Alone Works Well When the Patient Has Normal Alignment, But Don't Forget to Move the Tibial Tubercle When Necessary!

An Expert Consensus Statement on the Management of Large Chondral and Osteochondral Defects in the Patellofemoral Joint

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