Copyright
©The Author(s) 2020.
World J Orthop. Jun 18, 2020; 11(6): 294-303
Published online Jun 18, 2020. doi: 10.5312/wjo.v11.i6.294
Published online Jun 18, 2020. doi: 10.5312/wjo.v11.i6.294
Table 1 Summary of studies characteristics
Ref. | n | TTOs | Mean age (yr) | Males/ Females | Mean follow-up (mo) | Outcome measures |
Barrack et al[17], 1998 | 15 | 15 | NR | NR | 30 (24-48) | ROM, KSS, Subjective satisfaction and function questionnaires |
Bruni et al[19], 2013 | 39 | 39 | 72 ± 6 | 11/28 | 144 ± 24 | ROM, VAS, KSS, Complications |
Chalidis et al[2], 2009 | 74 | 87 | 60 (29-89) | 35/39 | 49 (6-108) | ROM, Complications |
Choi et al[10], 2012 (1) | 36 | 51 | 67 (38-87) | 20/16 | 57 (7-126) | ROM, KSS, Complications |
Choi et al[11], 2012 (2) | 13 | 26 | 60 (38-85) | 9/4 | 56 (15-126) | ROM, KSS, Complications |
Chun et al[18], 2019 | 31 | 31 | 73.8 ± 7.5 | 5/26 | 62.4 (36-210) | ROM, KSS, HSS, Complications |
Hocking et al[1], 2007 | 52 | 52 | NR | NR | NR | ROM, KSS, Complications |
Le Moulec et al[12], 2014 | 63 | 63 | 72 ± 11.3 | 29/36 | 27.8 ± 10.7 | ROM, IKS, Patellar height, Complications |
Mendes et al[4], 2004 | 64 | 67 | 65.6 (35-93) | 25/39 | 30 (5-60) | ROM, KSS, Complications |
Punwar et al[6], 2016 | 38 | 42 | 66 (33-92) | 24/14 | 6-24 | OKS, ROM, Walking status, Complications |
Segur et al[13], 2014 | 26 | 26 | 73 (64-88) | 12/14 | 40.8 (28.8- 3.2) | KSS, WOMAC, ROM, Complications |
Sun et al[3], 2014 | 21 | 21 | 70.1 ± 7.7 | 6/15 | 48.1 ± 17.2 | ROM, KSS, HSS, Complications |
Van den Broek et al[14], 2006 | 37 | 37 | 54.2 (37-78) | NR | 28.4 (12-46) | ROM, KSS, VAS for satisfaction, Complications |
Vandeputte et al[16], 2017 | 13 | 13 | 53.6 (34-71) | 5/8 | 24 | ROM, KSS, Complications |
Zonnenberg et al[15], 2014 | 23 | 23 | 69.6 (43-84) | 7/16 | 16.1 (1-43) | KSS, ROM, SF-36, Complications |
Table 2 Surgery parameters
Ref. | TTO length (cm) | Fixation | Approach | Oscillating saw or osteotome |
Barrack et al[17], 1998 | 10 | Wires | Medial parapatellar | Saw |
Bruni et al[19], 2013 | 8-10 | Wires | Medial parapatellar | Both |
Chalidis et al[2], 2009 | 10.6 (7.9-15.3) | Wires (n = 16) | Medial parapatellar | Both |
Screws (n = 9) | ||||
Wires and screws (n = 59) | ||||
Choi et al[10], 2012 (1) | 8 | Wires (n = 49) | Medial parapatellar | Both |
Screws (n = 2) | ||||
Choi et al[11], 2012 (2) | 8 | Wires (n = 25) | Medial parapatellar | Both |
Screws (n = 1) | ||||
Chun et al[18], 2019 | 10 | Screws | Medial parapatellar | Both |
Hocking et al[1], 2007 | 5-8 | Wires | Medial parapatellar | Both |
Le Moulec et al[12], 2014 | 7.7 ± 1.6 | Wires | Medial parapatellar | Both |
Mendes et al[4], 2004 | 8-10 | Wires (n = 66) | Midvastus (n = 40) | Saw |
Wires and screw (n = 1) | Medial parapatellar (n = 19) | |||
Subvastus (n = 40) | ||||
Not noted (n = 4) | ||||
Punwar et al[6], 2016 | 7 | Screws | Medial parapatellar | Both |
Segur et al[13], 2014 | 10 | Wires (n = 25) | Medial parapatellar | Saw |
Nonabsorbable sutures (n = 1) | ||||
Sun et al[3], 2014 | 6-8 | Screws | Medial parapatellar | Saw |
van den Broek et al[14], 2006 | 6-8 | Screws (n = 36) | Medial parapatellar | Both |
Wires (n = 1) | ||||
Vandeputte et al[16], 2017 | 6-8 | Wires or screws | Medial parapatellar | Saw |
Zonnenberg et al[15], 2014 | 4-8 | Absorbable sutures | Medial parapatellar | Osteotome |
Table 3 Tibial tubercle osteotomy-related complications
Ref. | n | Non-unions | TT fractures | Proximal avulsion fractures | Metaphyseal tibial fractures | Proximal migration | Anterior knee pain |
Barrack et al[17], 1998 | 15 | - | - | - | - | - | 3 |
Bruni et al[19], 2013 | 39 | - | - | - | - | - | 11 |
Chalidis et al[2], 2009 | 74 | - | - | 3 | 2 | 2 | 5 |
Choi et al[10], 2012 (1) | 36 | - | - | 2 | 1 | 5 | - |
Choi et al[11], 2012 (2) | 13 | - | - | - | - | 3 | - |
Chun et al[18], 2019 | 31 | - | - | - | - | - | - |
Hocking et al[1], 2007 | 52 | - | 1 | 1 | - | 10 | - |
Le Moulec et al[12], 2014 | 63 | 4 | - | - | - | 4 | - |
Mendes et al[4], 2004 | 64 | 2 | - | - | 1 | 13 | 11 |
Punwar et al[6], 2016 | 38 | - | - | - | 1 | 2 | - |
Segur et al[13], 2014 | 26 | 2 | 1 | - | - | - | - |
Sun et al[3], 2014 | 21 | - | - | 2 | - | - | 5 |
van den Broek et al[14], 2006 | 37 | - | - | 1 | - | 2 | 3 |
Vandeputte et al[16], 2017 | 13 | - | - | - | - | - | - |
Zonnenberg et al[15], 2014 | 23 | 3 | 1 | - | - | - | - |
Table 4 Mean range of motion, flexion, extension lag and flexion contracture values
Ref. | n | Total ROM (°) | Flexion (°) | Extension lag | Flexion contracture | ||
Preop | Postop | Preop | Postop | ||||
Barrack et al[17], 1998 | 15 | 73 | 81 | 1.5° | |||
Bruni et al[19], 2013 | 39 | 57 | 113 | 5 cases < 15° | |||
Chalidis et al[2], 2009 | 74 | 60 | 95 | 80 | 95 | 2.5° | 2.5° |
Choi et al[10], 2012 (1) | 36 | 40 | 92 | ||||
Choi et al[11], 2012 (2) | 13 | 60 | 94 | 68 | 95 | 1° | |
Chun et al[18], 2019 | 31 | 101 | 109 | 109 | 4° | ||
Hocking et al[1], 2007 | 52 | 91 | 3 cases | ||||
Le Moulec et al[12], 2014 | 63 | 87.8 | 103.7 | 15 cases | 10 cases | ||
Mendes et al[4], 2004 | 64 | 101 | 107 | 3 cases < 15° | |||
Punwar et al[6], 2016 | 38 | 85 | 95 | 15 cases | |||
Segur et al[13], 2014 | 26 | 90 | 95 | 1 case < 5° | |||
Sun et al[3], 2014 | 21 | 94.1 | 101.7 | 3.8° | |||
van den Broek et al[14], 2006 | 37 | 81 | 93 | 1 case | |||
Vandeputte et al[16], 2017 | 13 | ||||||
Zonnenberg et al[15], 2014 | 23 | 87.9 | 95.3 |
Table 5 Non-tibial tubercle osteotomy related complications
Ref. | Complications |
Barrack et al[17], 1998 | None reported |
Bruni et al[19], 2013 | MUA for stiffness (n = 3) |
Reinfections (n = 2) | |
DVT (n = 1) | |
Chalidis et al[2], 2009 | MUA for stiffness (n = 10) |
Skin necrosis (n = 1) | |
Reinfections (n = 6) | |
Choi et al[10], 2012 (1) | MUA for stiffness (n = 2) |
Spacer subluxation (n = 1) | |
Reinfections (n = 10) | |
Choi et al[11], 2012 (2) | MUA for stiffness (n = 2) |
Spacer subluxation (n = 1) | |
Reinfections (n = 4) | |
Chun et al[18], 2019 | Skin necrosis (n = 2) |
Hocking et al[1], 2007 | MUA for stiffness (n = 4) |
Le Moulec et al[12], 2014 | None reported |
Mendes et al[4], 2004 | MUA for stiffness (n = 9) |
Pain not associated to TTO (n = 2) | |
Reinfection (n = 1) | |
Delayed wound healing (n = 5) | |
Transient peroneal nerve palsy (n = 3) | |
Punwar et al[6], 2016 | Reinfections (n = 2) |
Segur et al[13], 2014 | Reinfections (n = 3) |
Sun et al[3], 2014 | Reinfection (n=1) |
van den Broek et al[14], 2006 | None reported |
Vandeputte et al[16], 2017 | None reported |
Zonnenberg et al[15], 2014 | MUA for stiffness (n = 1) |
Fractures of tibial plateau (n = 5) | |
Patellar pain resolved with patellar resurfacing (n = 1) | |
Wound leakage resolved conservatively (n = 5) |
- Citation: Chalidis B, Kitridis D, Givissis P. Tibial tubercle osteotomy in revision total knee arthroplasty: A systematic review. World J Orthop 2020; 11(6): 294-303
- URL: https://www.wjgnet.com/2218-5836/full/v11/i6/294.htm
- DOI: https://dx.doi.org/10.5312/wjo.v11.i6.294