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[Anterior medial correction the tibial tuberosity]
1Orthopädische Klinik, Universitätskliniken des Saarlandes, Homburg/Saar. dieter.kohn@uniklinik-saarland.de
Der Orthopade
|February 12, 2004
Summary
The Fulkerson operation, or anteromedialization of the tibial tubercle, effectively reduces pain and improves function in early to moderate patellofemoral arthritis patients. This surgical approach offers predictable outcomes, but requires a 6-8 month recovery period due to temporary tibial destabilization.
Area of Science:
- Orthopedic Surgery
- Biomedical Engineering
- Sports Medicine
Background:
- Patellofemoral arthritis causes significant pain and functional limitations.
- Current treatments may not adequately address patellofemoral pressure and maltracking.
- The Fulkerson operation is a surgical technique aimed at improving patellofemoral mechanics.
Purpose of the Study:
- To evaluate the efficacy of anteromedialization of the tibial tubercle (Fulkerson operation) in managing patellofemoral arthritis.
- To assess pain reduction and functional improvement following the procedure.
- To determine the indications and potential complications of the Fulkerson operation.
Main Methods:
- Patient selection based on symptoms, clinical evaluation, X-rays, and MRI.
- Surgical intervention involving anteromedialization of the tibial tubercle.
- Postoperative rehabilitation and follow-up for 6-8 months.
Main Results:
- The Fulkerson operation predictably reduces pain in patients with initial and moderate patellofemoral arthritis.
- The procedure leads to improved function in the affected individuals.
- Temporary destabilization of the proximal tibia necessitates a prolonged recovery period.
Conclusions:
- Anteromedialization of the tibial tubercle is an effective surgical option for patellofemoral arthritis.
- The procedure successfully addresses patellar recentering and reduces patellofemoral pressure.
- Awareness of potential complications, such as proximal tibial fracture from premature stress, is crucial for optimal patient outcomes.