Abstract：
OBJECTIVE: The tibial tubercle osteotomy (TTO) is a versatile surgical technique used to treat a range of patellofemoral disorders, including patellar instability, painful malalignment, focal chondral defects, and patellar maltracking that have failed conservative therapies. TTO is a personalized procedure that can be tailored to the pathoanatomy of the patient based on physical examination and imaging. The complication rate associated with TTO strongly depends on the indication for surgery, the severity of the patient\'s condition, and the surgical approach. Despite the literature on TTO, to our knowledge, no single source has addressed the indications, techniques, outcomes, and complications of this procedure. The purpose of this article is to serve as such a valuable resource.
RESULTS: Highlights from recent studies we would like to emphasize are two-fold. First, maintaining a distal cortical hinge yields lower complication rates than osteotomies involving complete tubercle detachment with classic or standard techniques. Second, based on current evidence, TTO consistently provides symptomatic relief, and most patients can return to work or sport at their pre-operative level within 3 and 6 months, respectively. TTO is a personalizable surgical technique that may be utilized for multiple patellofemoral disorders and is associated with good outcomes.
RESULTS: Highlights from recent studies we would like to emphasize are two-fold. First, maintaining a distal cortical hinge yields lower complication rates than osteotomies involving complete tubercle detachment with classic or standard techniques. Second, based on current evidence, TTO consistently provides symptomatic relief, and most patients can return to work or sport at their pre-operative level within 3 and 6 months, respectively. TTO is a personalizable surgical technique that may be utilized for multiple patellofemoral disorders and is associated with good outcomes.
摘要：
目的：胫骨结节截骨术（TTO）是一种通用的手术技术，用于治疗一系列髌股疾病，包括髌骨不稳定,痛苦的错位，局灶性软骨缺损，以及保守治疗失败的髌骨畸形。TTO是一种个性化的程序，可以根据体格检查和成像对患者的病理解剖进行定制。与TTO相关的并发症发生率很大程度上取决于手术指征，患者病情的严重程度，和手术方法。尽管有关于TTO的文献，根据我们的知识，没有单一的来源解决了适应症，技术,结果，和这个过程的并发症。本文的目的是作为这样一个宝贵的资源。
结果：我们想强调的最新研究的亮点是两方面的。首先,与使用经典或标准技术进行完全结节脱离的截骨术相比,维持远端皮质铰链的并发症发生率更低.第二,根据目前的证据,TTO持续提供症状缓解，大多数患者可以在3个月和6个月内恢复工作或运动，分别。TTO是一种可个性化的手术技术，可用于多种髌股疾病，并具有良好的预后。
结果：我们想强调的最新研究的亮点是两方面的。首先,与使用经典或标准技术进行完全结节脱离的截骨术相比,维持远端皮质铰链的并发症发生率更低.第二,根据目前的证据,TTO持续提供症状缓解，大多数患者可以在3个月和6个月内恢复工作或运动，分别。TTO是一种可个性化的手术技术，可用于多种髌股疾病，并具有良好的预后。
