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Area of Science:

  • Orthopedic surgery
  • Knee biomechanics
  • Sports medicine

Background:

  • Tibial tubercle osteotomy (TTO) is frequently used for patellar instability and patellofemoral pain.
  • Complication rates vary, with symptomatic hardware being the most frequent issue.

Purpose of the Study:

  • To review current data on complications following TTO.
  • To propose evidence-based prevention and management strategies for TTO complications.

Main Methods:

  • Literature review of studies reporting complications after TTO.
  • Analysis of complication incidence, types, and outcomes.
  • Synthesis of data to formulate prevention and management guidelines.

Main Results:

  • Symptomatic hardware requiring removal is the most common complication.
  • Other reported complications include infection, nonunion, and nerve injury.
  • Incidence rates for specific complications vary across studies.

Conclusions:

  • Understanding TTO complication profiles is crucial for patient care.
  • Proactive strategies can minimize risks associated with TTO.
  • Effective management protocols are essential for optimizing outcomes after TTO.