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International Orthopaedics
Published in: International Orthopaedics 12/2012

01-12-2012 | Original Paper

Anterolateral approach using tibial tubercle osteotomy for total knee arthroplasty: can we predict failure?

Authors: Marc Wishart, Markus P. Arnold, Rolf W. Huegli, Felix Amsler, Niklaus F. Friederich, Michael T. Hirschmann

Published in: International Orthopaedics | Issue 12/2012

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Abstract

Purpose

The purpose of this study was to identify predictive factors for the occurrence of complications in a consecutive series of patients who underwent step-cut tibial tubercle osteotomy (TTO) and subsequent screw refixation in primary total knee arthroplasty (TKA).

Methods

Using standardised conventional radiographs, critical parameters including TTO length and depth, proximal abutment width (OT), and orientation and placement of fixation screws were measured in 422 patients (mean age of 71 years and a follow-up time range of one to five years) with two screw fixations.

Results

Medial spatial orientation in the distal screw (11 %, p=0.046), the TTO length (<55.4 mm, p=0.013), the OT width (<14 mm, p=0.002) and the distance of the distal refixation screw from the TKA (<51.7 mm, p=0.003) were significant factors for the occurrence of complications.

Conclusions

Age, gender, comorbidities, height, weight and/or the body mass index had no significant influence on the occurrence of complications. The TTO-related complication rate was 3 %. Consideration of these key surgical factors leads to improved outcomes.
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Metadata
Title
Anterolateral approach using tibial tubercle osteotomy for total knee arthroplasty: can we predict failure?
Authors
Marc Wishart
Markus P. Arnold
Rolf W. Huegli
Felix Amsler
Niklaus F. Friederich
Michael T. Hirschmann
Publication date
01-12-2012
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 12/2012
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-012-1693-4

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