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Medial Transfer of the Anterior Tibial Tuberosity. Historical considerations
81
A second study performed in the A. Trillat
center showed that the measurement of the TT-
TG after an osteotomy of theATT is not simple.
“Is TT-TG reliable after medialization of the
ATT?”
Since 1987, osteotomy of the ATT is proposed
in many others surgical situations:
- in the management of patello-femoral osteo
arthritis (G. Py thesis and more recent results
were reported by Ferran Montserrat),
- in the approach of the lateral compartment
during lateral unicompartimental knee arthro
plasty,
- in the approach of some total knee arthroplasty
(patella infera, stiffknee…),
- in some revision of total knee arthroplasty .
Conclusions
If in the past, osteotomy of the ATT was almost
always performed to treat episodic patellar
instability. Nowadays, the proximal gestures
seem to become more and more frequent.
Nevertheless in some indications when
morphological abnormalities are obvious, we
continue to perform an ATT osteotomy
according to the indications defined in 1987
and the technique described by “Elmslie-
Trillat… Roux”.
The authors have no potential conflict of
interest in this presentation.
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