Patel Raahil, Rivera Richard J, Parekh Sunny, Cabarcas Brandon, Hill Brent, Carlson Rachel, Kumar Neil
Department of Orthopaedic Surgery, University of South Florida Morsani College of Medicine, Tampa, Florida, U.S.A.
Florida Orthopaedic Institute, Tampa, Florida, U.S.A.
Arthrosc Tech. 2024 Aug 8;14(1):103159. doi: 10.1016/j.eats.2024.103159. eCollection 2025 Jan.
Tibial tubercle osteotomy (TTO) is a surgical technique commonly indicated for patellofemoral instability and/or patellar chondral repair. In select patients, soft tissue procedures alone (medial patellofemoral ligament reconstruction) are not sufficient to address patellar instability due to significant bony malalignment, particularly in patients with a >20-mm tibial tubercle-trochlear groove distance on advanced imaging. For these cases, a TTO procedure may be used either in adjunct to medial patellofemoral ligament reconstruction or in isolation. Among the postoperative complications of TTOs, compartment syndrome poses a threat as one of the most severe. In this Technical Note, we present a technique that aims to reduce the risk of postoperative compartment syndrome by eliminating dissection of the anterior compartment musculature during the approach.
胫骨结节截骨术（TTO）是一种常用于治疗髌股关节不稳和/或髌骨软骨修复的外科技术。在部分患者中，由于存在明显的骨排列不齐，单纯的软组织手术（髌股内侧韧带重建）不足以解决髌骨不稳问题，尤其是在影像学检查显示胫骨结节 - 滑车沟距离大于20毫米的患者中。对于这些病例，TTO手术可作为髌股内侧韧带重建的辅助手段使用，也可单独进行。在TTO的术后并发症中，骨筋膜室综合征是最严重的威胁之一。在本技术说明中，我们介绍一种旨在通过在手术入路过程中避免切开前侧骨筋膜室肌肉组织来降低术后骨筋膜室综合征风险的技术。
