Complications d’une ostéotomie autocentrée coulissante de la tubérosité tibiale antérieure pour pathologie fémoro-patellaire : faible incidence de pseudarthrose et de fracture - 23/08/20
Complications of a self-centering sliding tibial tubercle osteotomy for patellofemoral complaints: Low incidence of nonunion and fracture
, Akkie Rood a, Siebren Tigchelaar a, Sebastiaan A.W. van de Groes b, Sander Koëter aAbstract |
Background |
A tibial tubercle osteotomy (TTO) is a commonly performed procedure in young and active patients with patellofemoral complaints. Previous small patient series demonstrated a relatively high risk of complications, which appear to be technique dependent. The purpose of this large case series is to quantify the risk of procedure specific postoperative complications related to a uniform self-centering TTO technique in a large cohort, performed by two different surgeons in one center.
Hypothesis |
We hypothesize that nonunion or fracture occurs in less than 1% of the procedures.
Patients and methods |
Five hundred and twenty-nine knees in four hundred and forty-seven patients who underwent a self-centering TTO with at least one year of follow up were included. We performed a retrospective cohort review. Tibial fracture, osteotomy nonunion, neurovascular complications, infection and wound complications that required surgical intervention were defined as major complications, miscellaneous complications were defined minor.
Results |
The major finding in this study is the low incidence of non-union (0.6%) and tibial fracture (0.4%). In total, 9 (1.7%) major complications were reported. Minor complications included superficial wound infection in five patients, two patients had a venous thromboembolism (VTE).
Conclusion |
A self-centering TTO is a relatively safe technique with a low number of nonunion and fracture.
Level of evidence |
Level IV, retrospective cohort study.
El texto completo de este artículo está disponible en PDF.Keywords : Patella, Patellofemoral joint, Patellar instability, Patellofemoral pain, Tibial tubercle osteotomy
| ☆ | Cet article peut être consulté in extenso dans la version anglaise de la revue Orthopaedics & Traumatology: Surgery & Research sur Science Direct (sciencedirect.com) en utilisant le DOI ci-dessus. |
Vol 106 - N° 5
P. 549 - septembre 2020 Regresar al número
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