Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
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
Tibial tubercle osteotomy in revision total knee arthroplasty: A systematic review
Byron Chalidis, Dimitrios Kitridis, Panagiotis Givissis, 1st Orthopaedic Department, Aristotle University of Thessaloniki, George Papanikolaou Hospital, Thessaloniki 55210, Greece
Author contributions: Chalidis B designed the research; Kitridis D analyzed the data; Chalidis B and Kitridis D wrote the paper; Givissis P supervised the paper; all authors read and approved the final manuscript.
Conflict-of-interest statement: All the authors declare that they have no competing interests.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Byron Chalidis, MD, PhD, Surgeon, 1st Orthopaedic Department, Aristotle University of Thessaloniki, “George Papanikolaou” Hospital, Thessaloniki 55210, Greece. byronchalidis@gmail.com
Received: February 28, 2020
Peer-review started: February 28, 2020
First decision: April 25, 2020
Revised: May 8, 2020
Accepted: May 19, 2020
Article in press: May 19, 2020
Published online: June 18, 2020
Peer-review started: February 28, 2020
First decision: April 25, 2020
Revised: May 8, 2020
Accepted: May 19, 2020
Article in press: May 19, 2020
Published online: June 18, 2020
Core Tip
Core tip: Tibial tubercle osteotomy (TTO) is a useful technique to deal with a stiff knee in revision total knee arthroplasty. However, several reports have described potential osteotomy-related complications such as non-union, tibial tubercle migration and fragmentation as well as metalware related pain. The purpose of the current systematic review was to evaluate the literature and estimate the efficacy of TTO in revision total knee arthroplasty in terms of osteotomy union, knee range of motion, and complication rate. TTO was found to result in high union rate, significant improvement in knee motion and low osteotomy-related complication risk that rarely leads to secondary tibial tubercle procedures.