Grawe Brian, Stein Shubin
Department of Orthopedic Surgery, University of Cincinnati Academic Health Center, Cincinnati, Ohio.
Department of Orthopedic Surgery, Weill Cornell Medical College, New York, New York.
J Knee Surg. 2015 Aug;28(4):279-84. doi: 10.1055/s-0035-1544973. Epub 2015 Jan 30.
Osteotomy of the tibial tubercle is a versatile procedure that can be utilized for several common pathologies about the patellofemoral joint. Most commonly, tuberosity transfer is employed for the treatment of patellar instability or symptomatic overload of the patella. The osteotomy can be combined with soft tissue realignment procedures or cartilage reconstructive techniques. A precise understanding of the surgical anatomy and the biomechanics of the patellofemoral articulation is essential for producing a successful outcome during surgery. Tailoring the direction of transfer to the pathoanatomy of each patient is critical for producing a durable and lasting result following a tibial tubercle osteotomy. When evaluating a patient for a possible transfer, a thorough history and physical evaluation must be undertaken, along with imaging to the patellofemoral joint. Several useful advanced imaging techniques can also be used to guide the surgeon toward the most appropriated osteotomy for the patient. The purpose of this article is to review the indications for performing a tibial tubercle osteotomy, and highlighting the various techniques for transfer.
胫骨结节截骨术是一种用途广泛的手术，可用于治疗髌股关节的几种常见病变。最常见的是，结节转移用于治疗髌骨不稳定或髌骨有症状的负荷过重。截骨术可与软组织重新排列手术或软骨重建技术相结合。精确了解手术解剖结构和髌股关节的生物力学对于手术取得成功结果至关重要。根据每位患者的病理解剖结构调整转移方向对于胫骨结节截骨术后产生持久且长期的效果至关重要。在评估患者是否可能进行转移时，必须进行全面的病史和体格检查，以及对髌股关节进行影像学检查。几种有用的先进成像技术也可用于指导外科医生为患者选择最合适的截骨术。本文的目的是回顾进行胫骨结节截骨术的适应症，并强调各种转移技术。
