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Adv Orthop


Tibial Derotational Osteotomy for Patellofemoral Instability: A Systematic Review.


Wyatt P, Satalich J, Gorica Z, O'Neill C, Cyrus J, Vap A, O'Connell R
Adv Orthop. 2022; 2022:8672113.
PMID: 36620474.


The etiology of patellofemoral (PF) instability is multifactorial. Excessive external tibial torsion has been associated with recurrent patellar subluxation and persistent anterior knee pain. Several surgical techniques have been historically used to correct this, including medial patellofemoral ligament reconstruction, tibial tuberosity transfer (TTT), trochleoplasty, and tibial derotation osteotomy (TDO). The purpose of this systematic review is to investigate the safety and efficacy of TDO for PF instability and pain.