What is Elmslie Trillat procedure?
The Elmslie-Trillat procedure is a procedure for correction of patello-femoral malalignment in acute and recurrent dislocations or subluxation of the patella. Originally described by Cesar Roux, the procedure was modified by Elmslie diffused in literature by Trillat.
How long does a tibial tubercle osteotomy last?
In order to maintain the new position of the bone, two screws are placed to secure the bone; screws may be removed at a later point if they are bothersome to the patient. The incision required to perform the operation is approximately 3 inches in length and the entire surgery lasts about an hour.
Is a tibial tubercle osteotomy painful?
The pain in the front of the knee may feel chronic or come and go. The pain of a Tibial Tubercle Osteotomy candidate typically worsens with stairs, sitting for prolonged periods of time, and recreational activities.
What is fulkersons osteotomy?
A Fulkerson osteotomy is a type of tibial tuberosity transfer procedure usually performed for patella instability. There are standard and modified procedures in use.
What is a Hauser type procedure?
Hauser procedure – In this procedure, the tibia tubercle is moved medially, but not moved forward (anterior). Because of the shape of the tibia, the tubercle may shift its position more posteriorly and the patella may press down causing pain.
Is tibial tubercle osteotomy major surgery?
Tibial tubercle osteotomies are important surgical techniques in the operative management of patellar instability and patellofemoral pain.
How long does osteotomy take to heal?
It may take 3 to 6 months for osteotomy patients to walk normally and regain full range of motion. It may be 12 months or more before patients can participate in high impact activities, such as jogging.
Is a tibial tubercle osteotomy a major surgery?
Is osteotomy surgery painful?
Recovery from knee osteotomy surgery is painful. Pain medication will be given in the hospital and prescribed for after discharge. If at any time pain is not being controlled well with medications, patients should talk to their doctor. Pain is easier to manage when it is addressed in its early stages.
What is Maquet procedure?
Maquet procedure – In this procedure, the tibia tubercle is cut, keeping the patellar tendon attachment intact. The tubercle is elevated by wedging the loosened piece of bone using a bone block. This procedure cannot move the tendon and tubercle medially (towards the inner aspect of the knee)
Where is the tibial tubercle?
The tibial tubercle is a bony bump on the upper part of the shin where the patellar tendon attaches the quadriceps muscles (or quads) to the leg. A tibial tubercle fracture is a break or crack at this location, which usually occurs as a result of the patellar tendon pulling off a piece of the bone.
What is the objective of tibial tubercle osteotomy?
In particular, procedures involving tibial tubercle osteotomy have the objective of correcting an excessive Q-angle and TT-GT distance that cause maltracking of the patella in the trochlear groove, leading to unbalanced cartilage loads, incongruity, instability, and, consequently, pain.
Can the Elmslie-Trillat technique be used to treat patellofemoral dysfunctions?
Hence, adequate pain relief and stability with very low postoperative morbidity could be achieved. The purpose of this surgical note is to describe a modification to the Elmslie-Trillat technique to treat patellofemoral dysfunctions, achieving a higher osseous stability and decreased postoperative morbidity.
What is the purpose of the Elmslie-Trillat study?
Purpose: To evaluate clinical outcomes, rate of recurrence, and complications following distal realignment procedures (Elmslie-Trillat, Maquet, Fulkerson, Roux Goldthwait, and other distal realignment procedures) performed alone or in combination with proximal procedures for the management of patellar dislocation.