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Preventing and Managing Complications in Tibial Tubercle Osteotomy
Caroline Vonck1, Kirk Campbell1, Abigail Campbell1
1Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital.
Clinics in Sports Medicine
|November 9, 2025
Summary
Tibial tubercle osteotomy (TTO) is a common surgery for knee instability. This review details common complications, focusing on hardware removal, and offers strategies for prevention and management.
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.
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