Their topics include anteromedial tibial tubercle
transfer, meniscal repair using an all-inside technique, graft harvest techniques for knee ligament reconstruction, single-bundle transtibial posterior cruciate ligament reconstruction, posterolateral corner reconstruction with fibular-based tunnel, and surgical techniques for osterochondritis dissecans in the skeletally immature.
Quadriceps femoris angle, which is also known as Q angle or patellofemoral angle, has been defined as the angle between a line drawn to the center of patella from anterior superior iliac spine (ASIS) and another one drawn from the center of patella to tibial tubercle
center (Hahn and Anders,1997).
His legs were nonedematous and normal in color and temperature, but there was symmetric, mild tenderness to palpation between the tibial tubercle
and the ankle on the anterior surface without point tenderness.
Patients who had additional procedures, like anteromedialization of the tibial tubercle
and other knee operations, or did not comply with the rehabilitation protocol were also excluded from the study.
Variability of the location of the tibial tubercle
affects the rotational alignment of the tibial component in kinematically aligned total knee arthroplasty.
the head of fibula and the tibial tubercle
and Gerdy's tubercle are marked.
Tokyo, Japan) (Figure 3(a)) placed on the upper end of the patella on the femoral side and on the tibial tubercle
on the tibial side and a heel sensor (Click BP, Tokyo Sensor Co.
The center of goniometer was at patella with lower hand at tibial tubercle
(which was found with palpation), and the other hand was toward anterior superior iliac spine (ASIS).
Treatment varies depending on severity, ranging from medial patellofemoral ligament (MPFL) reconstruction, tibial tubercle
osteotomy or trochleoplasty (where the femur's distal aspect is cut and reshaped to create a more normal groove) to distal femoral osteotomy.
Telltale signs are tenderness with or without swelling at the tibial tubercle
that worsens with running, jumping, or impact activities.
Because of the degenerative changes, some orthopedic surgeons would advocate a tibial tubercle
elevation, which has the capability of addressing the degenerative changes because it not only realigns the patella to take pressure off the lateral side, it also redistributes the forces proximal and distal to try to relieve some of the pressure on the worn area.
The examiner's hands are placed around the proximal tibia with the thumbs placed on the tibial tubercle