Anteromedialization of the Tibial Tuberosity for Patellofemoral Malalignment

Abstract

Anteromedialization of the tibial tuberosity is a new and highly effective technique for transferring the tibial tuberosity when anteriorization is desired in addition to medial shift of the patellar tendon insertion. Prompt primary bone healing can be achieved, allowing rapid rehabilitation with substantially improved patellofemoral mechanics. No bone grafting is necessary to achieve anteriorization, although only slight to moderate anteriorization is possible in most cases. Realignment of the patellofemoral mechanism and relief of patellofemoral contact stress can be achieved in one procedure.