Open‐Wedge High Tibial Osteotomy With Complete Tibial Tubercle Osteotomy to Preserve Patellar Height
- 1Department of Orthopaedic Surgery The Jikei University School of Medicine Tokyo Japan.
Abstract
Distalization of the tibial tubercle is a concern during open-wedge high tibial osteotomy, particularly when a large correction is required, considering the potential for patella baja and patellofemoral problems. This Technical Note describes the use of open-wedge high tibial osteotomy combined with complete tibial tubercle osteotomy to maintain the position of the tibial tubercle during correction. Performing tibial tubercle osteotomy first allows placement of a thin retractor beneath the fragment during the transverse osteotomy, helping to protect the fragment and reduce the risk of an incomplete osteotomy. Temporary fixation of the tibial tubercle to the proximal tibial fragment before wedge opening is a key step in maintaining the original position of the tubercle and preventing distalization during correction. This technique is a practical option for selected patients requiring substantial varus correction when preservation of patellar height is desired.
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BibTeX
@article{miyasaka2026openwedge,
title = {{Open‐Wedge High Tibial Osteotomy With Complete Tibial Tubercle Osteotomy to Preserve Patellar Height}},
author = {Teruyuki Miyasaka and Tomohiro Kayama and Daisuke Kubota and Shoutaro Arakawa and Mitsuru Saito},
journal = {Arthroscopy techniques},
year = {2026},
month = nov,
doi = {10.1002/atn2.70383},
url = {https://europepmc.org/article/PMC/PMC13726729},
note = {CC BY-NC-ND},
}
RIS
TY - JOUR
TI - Open‐Wedge High Tibial Osteotomy With Complete Tibial Tubercle Osteotomy to Preserve Patellar Height
AU - Teruyuki Miyasaka
AU - Tomohiro Kayama
AU - Daisuke Kubota
AU - Shoutaro Arakawa
AU - Mitsuru Saito
PY - 2026
DA - 2026/11/02
JO - Arthroscopy techniques
DO - 10.1002/atn2.70383
UR - https://europepmc.org/article/PMC/PMC13726729
AB - Distalization of the tibial tubercle is a concern during open-wedge high tibial osteotomy, particularly when a large correction is required, considering the potential for patella baja and patellofemoral problems. This Technical Note describes the use of open-wedge high tibial osteotomy combined with complete tibial tubercle osteotomy to maintain the position of the tibial tubercle during correction. Performing tibial tubercle osteotomy first allows placement of a thin retractor beneath the fragment during the transverse osteotomy, helping to protect the fragment and reduce the risk of an incomplete osteotomy. Temporary fixation of the tibial tubercle to the proximal tibial fragment before wedge opening is a key step in maintaining the original position of the tubercle and preventing distalization during correction. This technique is a practical option for selected patients requiring substantial varus correction when preservation of patellar height is desired.
SN - 2212-6287
ER -