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Tibial tuberosity excision for symptomatic Osgood-Schlatter disease
1Barnsley District General Hospital, England.
Journal of Pediatric Orthopedics
|May 1, 1995
Summary
Surgical excision of the tibial tubercle effectively treats persistent Osgood-Schlatter disease, relieving pain in 95% of patients. This procedure offers a safe and effective solution for recalcitrant cases unresponsive to conservative management.
Area of Science:
- Orthopedic Surgery
- Pediatric Orthopedics
- Sports Medicine
Background:
- Osgood-Schlatter disease is a common cause of anterior knee pain in adolescents.
- Persistent symptoms despite conservative treatment necessitate surgical intervention.
- The tibial tubercle prominence can cause significant discomfort and functional limitation.
Purpose of the Study:
- To evaluate the efficacy and safety of a modified Ferciot procedure for tibial tubercle excision.
- To assess long-term outcomes in patients with symptomatic Osgood-Schlatter disease.
- To determine the complication rate, including genu recurvatum, following the procedure.
Main Methods:
- A modified Ferciot procedure was utilized for tibial tubercle excision.
- Retrospective review of 42 knees in 35 patients with symptomatic Osgood-Schlatter disease.
- Mean follow-up duration of 5 years to assess clinical outcomes and complications.
Main Results:
- 95% of patients reported significant pain relief.
- 85.5% experienced a reduction in tibial tubercle prominence.
- No cases of genu recurvatum were observed, indicating a low complication rate.
Conclusions:
- Tibial tubercle excision is a highly effective treatment for persistent Osgood-Schlatter disease.
- The modified Ferciot procedure provides excellent pain relief and symptom reduction.
- This surgical approach is recommended for refractory cases failing conservative management.