The blood clot and Disclaimer, National Library of Medicine Start shopping with Instacart now to get products, on-demand. Epub 2021 Oct 10. (a) A 16-year-old boy (No. eCollection 2021 Oct. Andrews KA, Gillette M, Shah RV, Mckean LA, Sanford CG. summary Tibial Tubercle Fractures are common fractures that occur in adolescent boys near the end of skeletal growth during athletic activity. Diagnosis can be confirmed with plain radiographs of the knee. Treatment may be nonoperative or operative depending on location of the fracture, degree of displacement, and any associated injuries. J Orthop Trauma 2007;21:S13560. Clipboard, Search History, and several other advanced features are temporarily unavailable. Before -, J Orthop Trauma. In magnetic resonance image, (b) there was no intraarticular pathology. Even if they are often treated surgically, we have obtained good results with the conservative treatment in patterns previously reported as surgical. However, there was no difference in the final outcome according to injury mechanisms. eCollection 2020. 2021 Dec 1;15(6):515-524. doi: 10.1302/1863-2548.15.210117. DVT was increased with concomitant intra-articular procedure. An official website of the United States government. Results: This is more likely if you have an open fracture, a comminuted fracture, or extreme instability in the bone or limb. Surgery may also be necessary if a combination of the nonsurgical treatments for fractured tibias dont work. 2022 Dec;142(12):3675-3685. doi: 10.1007/s00402-021-03974-1. Conclusion: Would you like email updates of new search results? Publication types doi: 10.1097/BPO.0000000000001269. Epub 2018 Dec 10. Unlike other procedures, the goal of this surgery is not to recreate or repair the ligament itself, but rather change the dynamics of the knee so that the cranial cruciate ligament is no longer necessary for stabilizing the joint. 2: A distalization of the tubercle translation. The most economical arthroscopic suture fixation for tibial intercondylar eminence avulsion fracture without any implant. Complications were defined as major (fracture of the tibia, deep infection, nonunion, delayed union, arthrofibrosis, deep vein thrombosis (DVT), loss of screw fixation) versus minor (superficial wound infection, disturbance of cutaneous sensation, delay in wound healing). Epub 2021 Mar 18. Materials and methods: eCollection 2018 Sep. Tibial Plateau Fracture Following Anterior Cruciate Ligament Reconstruction with a Bone-Patellar Tendon-Bone Allograft: A Case Report. (a) A 16-year-old boy (No. Epub 2019 Sep 19. Type IV tibial tubercle apophyseal fractures are an important variant that requires careful assessment to ensure adequate stabilization of the proximal tibia when surgery is warranted. These are extraarticular fractures of the tibial tubercle, produced by an avulsion (resulting from traction of the patellar ligament) Current estimates of TTO complications in the literature vary widely; with complication rates reaching 59 percent. 2018 Apr-Jun;8(2):e34. WebExtraarticular fracture, avulsion of tibial tubercle Operative vs nonoperative Nonoperative treatment Skill level Equipment Main indications Choose treatment Lag screws Skill level 2020 Apr;8(4):e0186. 3) reported sudden onset anterior knee pain while running. Distal tibial tubercle osteotomy can lessen change in patellar height post medial opening wedge high tibial osteotomy? Brown C, Kelly BA, Brouillet K, Luhmann SJ. official website and that any information you provide is encrypted 2016 Aug;24(8):2567-77. doi: 10.1007/s00167-015-3807-1. Cheese, ice cream, milk you name it, Wisconsinites love it. official website and that any information you provide is encrypted Methods: 2016. Before 2011 Dec;5(6):465-70 2012 Sep;32(6):561-6 Tibial tuberosity avulsion fracture in adolescents. These fractures, although rare, have an excellent prognosis. Rev Chir Orthop Reparatrice Appar Mot. sharing sensitive information, make sure youre on a federal Tibial tubercle avulsion fracture during sport activities in adolescent: a case report. Throughout the years, Selecta Ice Cream has proven in the market that its a successful ice cream brand in the Philippines. -, J Child Orthop. 8600 Rockville Pike 2019 May;34(5):846-851. doi: 10.1016/j.arth.2019.01.026. We obtained 11 acute avulsions: one case of type I; three cases of type II; four cases of type III; and three cases of type IV. Minimum follow-up was 2 years. The .gov means its official. Keywords: Kim JS, Lee JI, Choi HG, Yoo HJ, Jung YS, Lee YS. doi: 10.2106/JBJS.RVW.19.00186. In this article we discuss the third published episode of a tibial tubercle fracture after BPTB allograft. [Avulsion fracture of the tibial tubercle in adolescents: 22 cases and review of the literature]. WebSurgery. Epidemiology, Diagnosis, and Management of Tibial Tubercle Avulsion Fractures in Adolescents. All patients were treated definitively with open reduction and internal fixation or percutaneous screw placement. Epub 2019 Dec 24. 2016 Jul-Aug;36(5):440-6. doi: 10.1097/BPO.0000000000000488. Accessibility A study of 15 such injuries, all unilateral, showed the age range to be from 12 WebTibial Tubercle Fracture Download Protocol as a PDF Phase I (Weeks 0 4) TDWB with crutches and immobilizer/brace locked in extension NO RANGE OF MOTION FOR @article{Lundeen2022HighIO, title={High Incidence of Complication Following Tibial Tubercle Surgery". Would you like email updates of new search results? JBJS Rev. Careers. Vision. Would you like email updates of new search results? Clipboard, Search History, and several other advanced features are temporarily unavailable. World J Pediatr Surg. Here we discuss a far more infrequent occurrence, fracture of the tibial tubercle aspect of the BPTB autograft. The https:// ensures that you are connecting to the and transmitted securely. Please enable it to take advantage of the complete set of features! In low-stress group, 6 patients' BMIs were in the 97th percentile, and 1 patient's BMI was in the 5th percentile.Extreme BMI may be a risk factor for tibial tubercle avulsion fractures in adolescents during running without definite trauma. Surgical correction of the fracture will involve placing the displaced ligament back into its correct position. Bethesda, MD 20894, Web Policies JBJS Case Connect. }, author={Anna Lundeen and Jeffrey A Macalena and Julie Agel and Elizabeth A. Arendt}, journal={Journal of ISAKOS : joint disorders Ogden type IIIA tibial tubercle avulsion fracture was noted. A TTO is a surgical fracture of the tibial tubercle at the site of the patella tendon attachment. official website and that any information you provide is encrypted Three patients were initially treated with closed reduction and casting and were noted to have loss of reduction. PMC Knee 11(6):457461 official website and that any information you provide is encrypted Fernandez Fernandez F, Schneidmller D, Gaidzik P, Dresing K. Unfallchirurg. WebBackground: Displaced tibial tubercle apophyseal fractures in children and adolescents are typically treated with closed reduction or open reduction with anterior to posterior This site needs JavaScript to work properly. Camillieri G, Di Sanzo V, Ferretti M, Calderaro C, Calvisi V. BMC Musculoskelet Disord. Accessibility Disclaimer, National Library of Medicine 2021 Nov;124(11):891-901. doi: 10.1007/s00113-021-01089-1. WebTreatment of a tibial tubercle fracture The treatment of this knee injury depends on whether the fracture is displaced or not. The tension band method is generally preferred for The site is secure. This site needs JavaScript to work properly. Retrospective Cohort study, level III. Unable to load your collection due to an error, Unable to load your delegates due to an error. They often occur in male adolescent athletes, usually in relation with sports involving powerful jumps. Tibial Tuberosity Transposition is the technical name for the orthopedic surgery needed to correct a luxating patella. HHS Vulnerability Disclosure, Help Ren YM, Tian MQ, Duan YH, Sun YB, Yang T, Hou WY. To become the No. How do I prepare for TTO? government site. Epub 2019 Feb 6. and transmitted securely. government site. The https:// ensures that you are connecting to the Brey JM, Conoley J, Canale ST, Beaty JH, Warner WC Jr, Kelly DM, Sawyer JR. J Pediatr Orthop. and transmitted securely. Epub 2021 Oct 14. PMC Tibial tubercle osteotomy is a surgical procedure which is performed along with other procedures to treat patellar instability, patellofemoral pain, and osteoarthritis. Lag screws for Extraarticular fracture, avulsion of tibial 8600 Rockville Pike We all scream for ice cream! Jacob B. Bilateral atraumatic tibial tubercle avulsion fractures: case report and review of the literature. All fractures healed and there were no growth disturbances. Knee Surg Sports Traumatol Arthrosc. Before J Pediatr Orthop. official website and that any information you provide is encrypted A meta-analysis of bone-patellar tendon-bone autograft versus four-strand hamstring tendon autograft for anterior cruciate ligament reconstruction. The https:// ensures that you are connecting to the We taste-tested 50 store-bought flavors, from chocolate ice cream to caramel cookie crunch, in the GH Test Kitchen to pick the best ice creams for dessert. Patella Alta; Patellar Instability; Patellofemoral; Tibial Tubercle Osteotomy. Khoriati AA, Guo S, Thakrar R, Deol RS, Shah KY. Results: Fracture of the tibial tubercle occurred intraoperatively in 11 patients (10.6%) and in the postoperative period in 1 (1.0%). (b) Postoperative lateral radiograph of the knee showing fixation of the fragment with Kirschner wire and tension band wire fixation. PMC TTO distalization did not increase the rate of complications. Current estimates of TTO complications in the literature vary widely; with complication rates reaching 59 percent. Clipboard, Search History, and several other advanced features are temporarily unavailable. J Bone Joint Surg Am 1979;61:16773. Bethesda, MD 20894, Web Policies sharing sensitive information, make sure youre on a federal WebObjectives: Tibial tubercle osteotomy (TTO) is a common procedure that is frequently used in the treatment of recurrent patellar instability and/or patellar chondrosis. 2005 Dec;91(8):758-67. doi: 10.1016/s0035-1040(05)84487-3. All patients between May 2009 and May 2015 who underwent a TTO were retrospectively identified. -, Shelton W, Canale T. Fractures of the tibia through the proximal tibial epiphyseal cartilage. The mechanisms of injury, age, height, weight, body mass index (BMI), BMI percentile, fracture type, as well as any complication, such as limitation of motion and deformity related to the physeal arrest, were compared between groups.There was no definite difference in age, fracture type, and surgical outcomes between groups. Cores Pints. 2020. We registered only one complication, intolerance of material, which did not require additional surgeries. 2019 Jul;29(5):1073-1079. doi: 10.1007/s00590-019-02390-x. and transmitted securely. Find out how we went from sausages to iconic ice creams and ice lollies. JBJS Rev. Neglected Rupture of the Patellar Tendon After Fixation of Tibial Tubercle Avulsion in an Adolescent Male Managed With Ipsilateral Semitendinosus Autograft Reconstruction. Bauer J, Orendi I, Ladenhauf HN, Neubauer T. Unfallchirurg. government site. This variability is due, in part, to inconsistent definitions of complication between studies. MeSH The Melt Report: 7 Fascinating Facts About Melting Ice Cream. Tibial tubercle osteotomy (TTO) is one of the many proce- tibial fractures6,7,20,21,42,47 because patients reach a higher degree of activity and confidence sooner with a vulnerable tibia in the postoperative rehabilitation stage.20,21,24,42 from Bethesda, MD 20894, Web Policies NCI CPTC Antibody Characterization Program. Bookshelf We describe a case in an adult who suffered a left knee injury due to a fall from Subgroup analysis of distalization versus no distalization, and intra-versus extra-articular concomitant procedures were also analyzed. Type IIIB Tibial Tubercle Avulsion Fracture: A Case Report. There will always be individual after 7 days from surgery should necessitate a call to our office and no further PT until instructed. FOIA Twenty-three patients (high-stress group) experienced pain during jumping and landing, or definite trauma. Federal government websites often end in .gov or .mil. Fracture of the tibial tubercle occurred intraoperatively in 11 patients (10.6%) and in the postoperative period in 1 (1.0%). And I still do too, even though Ive since returned to my home state of Montana. These were categorized as type IV-B, whereas the rest were considered type IV-A. Ogden Type I to III tibial tubercle fractures in skeletally immature patients: is routine anterior compartment fasciotomy of the leg indicated? The overall complication rate was 35 major complications (21.5%) and 13 minor complications (8.0%), with a total complication rate of 29.5%. doi: 10.2106/JBJS.RVW.19.00186. On radiographs and computed tomography scans, the length, thickness, width, height, and bony union of the osteotomized tibial tubercle and the posterior tibial slope were statistically analysed. If the bony piece lies where it should, it can heal The fracture of tibial tuberosity is a rare lesion and still more unusual in adults. We describe a case in an adult who suffered a left knee injury due to a fall from height. No risk factors were identified. The lesion was treated with surgical reduction and internal fixation. The rehabilitation met Products : Arizona Select Distribution is a highly-regarded wholesale food distributor that has been serving the state of Arizona since 1996. Avulsion fractures of the proximal tibial epiphysis. J Child Orthop. Your provider will talk to you about how to prepare for surgery. (a) A 12-year-old boy (No. Level of evidence: 2022 Jun 25;17(1):327. doi: 10.1186/s13018-022-03219-w. Pedrazzini A, Maserati I, Cesaro G, Visigalli A, Casalini D, Bertoni N, Yewo SH, Pogliacomi F. Acta Biomed. A systematic review and meta-analysis. On radiographs and computed tomography scans, the length, thickness, width, height, and bony union of the osteotomized tibial tubercle and the posterior tibial slope were statistically analysed. Fernandez Fernandez F, Eberhardt O, Schrter S, Wirth T, Ihle C. Z Orthop Unfall. We present a Save up to 18% on Selecta Philippines products when you shop with iPrice! TTO is surgery to place your patella (knee cap) in the correct position. doi: 10.23750/abm.v92iS3.12580. When it comes to popular products from Selecta Philippines, Cookies And Cream Ice Cream 1.4L, Creamdae Supreme Brownie Ala Mode & Cookie Crumble 1.3L and Double Dutch Ice Cream 1.4L are among the most preferred collections. Distal tibial tubercle osteotomy is superior to the proximal one for progression of patellofemoral osteoarthritis in medial opening wedge high tibial osteotomy. Explore your options below and pick out whatever fits your fancy. Bethesda, MD 20894, Web Policies J Bone Joint Surg Am 62:205215 9.Cheng JC, Lam CY, Maffuli N (2001) Tibial tuberosity avulsion fracture. Patients treated with sharing sensitive information, make sure youre on a federal WebAbstract. Slongo TF, Audig L. Fracture and dislocation classification compendium for children. 2018 Nov 30;6(3):188-203. doi: 10.1055/s-0038-1675799. WebFractures of the anterior tibial tubercle are infrequent lesions. An official website of the United States government. Federal government websites often end in .gov or .mil. Objectives: Tibial tubercle osteotomy (TTO) is a common procedure that is frequently used in the treatment of recurrent patellar instability and/or patellar chondrosis. Methods: Ogden type IIIA, MeSH Tibial tubercle avulsion fracture caused by knee extensor is very rare; furthermore, non-traumatic fractures during running or bilateral fractures have been reported. This may relieve pain and improve movement of your leg. MeSH Cole WW 3rd, Brown SM, Vopat B, Heard WMR, Mulcahey MK. J Pediatr Orthop 1986;6:18692. Fractures of the anterior tibial tubercle are infrequent lesions. A longitudinal incision is made just medial to the patella, the patellar ligament, and the tibial tuberosity. 2005 Dec;91(8):758-67. doi: 10.1016/s0035-1040(05)84487-3. Comparison of bioabsorbable versus metallic implant fixation for physeal and epiphyseal fractures of the distal tibia. Three type IV fractures were identified that had an additional epiphyseal split. Posterior tibial slope angle is associated with flexion-type Salter-Harris II and Watson-Jones type IV fractures of the proximal tibia. We also discuss the fracture types seen with this method of ACL reconstruction and provide insights into prevention of this occurrence. Uncommon Complications after Anterior Cruciate Ligament Reconstruction. Please enable it to take advantage of the complete set of features! Bookshelf The case of postoperative fracture showed non-union. sharing sensitive information, make sure youre on a federal There was no patient with significant early physeal arrest in both groups. Radiographic and clinical characterization of coracoid fractures: a retrospective cohort analysis. Displaced tibial tubercle apophyseal fractures in children and adolescents are typically treated with closed reduction or open reduction with anterior to posterior screw fixation. Unable to load your collection due to an error, Unable to load your delegates due to an error. -, Chow SP, Lam JJ, Leong JC. Its ice cream so, you really cant go wrong. Clipboard, Search History, and several other advanced features are temporarily unavailable. Ogawa H, Matsumoto K, Yoshioka H, Sengoku M, Akiyama H. Knee Surg Sports Traumatol Arthrosc. Mission. The surgery uses metal rods and a bone fragment to secure the knee tendons and ligaments in place. Avulsion fracture of the tibial tuberosity is an infrequent injury in adolescents and an extremely rare occurrence in adults. All patients who underwent DTO were retrospectively reviewed, and 104 successive patients were included. J Orthop Surg Res. Get Signature Select Ice Cream, Super Premium, Vanilla (1.5 qt) delivered to you within two hours via Instacart. 2005 Oct;21(10):1268. doi: 10.1016/j.arthro.2005.07.010. 1993 Oct;(295):201-4 WebFractures occurring with anterior cruciate ligament (ACL) reconstruction are rare and those that do occur take place on the patellar side of a bone-patellar tendon-bone (BPTB) The fracture of tibial tuberosity is a rare lesion and still more unusual in adults. Disclaimer, National Library of Medicine The https:// ensures that you are connecting to the Our ice cream simply tastes better because its made better. Unicortical Fixation is Sufficient for Surgical Treatment of Tibial Tubercle Avulsion Fractures in Children. Fracture-avulsion of tibial tubercle apophyseal in two Cameroonian adolescents. TIBIAL TUBERCLE ORIF PHYSICAL THERAPY Philosophy This protocol is to be utilized as a guideline. Bethesda, MD 20894, Web Policies Clipboard, Search History, and several other advanced features are temporarily unavailable. (Nestle Ice Cream would be a distant second, ahead of Magnolia.) J Surg Case Rep. 2019 Jul 4;2019(7):rjz209. Major complications included 1 compartment syndrome and 1 large DVT. J Arthroplasty. -. Level of evidence: This site needs JavaScript to work properly. 2020 Oct;158(5):466-474. doi: 10.1055/a-0979-2384. 1 ice cream company in the Philippines and in Asia. 2022 Mar 10;92(S3):e2021571. 8600 Rockville Pike A tibial tubercle avulsion fracture is a complete or incomplete break (fracture) of the growth plate of the leg just below the knee at the tibial tubercle, a prominence just below the kneecap. Arthrofibrosis was the most common complication, occurring in 17 knees. Five cases were treated conservatively, including the three cases of type IV, and surgery was only performed in six cases since an anatomical reduction was not obtained with closed reduction. Patellar tendon ossification after anterior cruciate ligament reconstruction using bone--patellar tendon--bone autograft. Ben-Ari E, Pines Y, Gordon D, Zuckerman JD, Petchprapa C, Virk MS. Eur J Orthop Surg Traumatol. Retro-Tubercle Biplanar Opening Wedge High Tibial Osteotomy Is Favorable for the Patellofemoral Joint But Not for the Osteotomized Tubercle Itself Compared With Supra-Tubercle Osteotomy. This variability is due, in part, to inconsistent definitions of complication between studies. An official website of the United States government. A A triplanar osteotomy (6.5 cm in height with a width of 1.5 cm) was created on the medial cortex of the proximal tibia along the 3 sides (proximal, distal, and lateral) of the rectangle; the medial margin of the tibia was used as the medial side of the rectangle.BD 2 curved skin incisions The most common mechanism was an eccentric quadriceps contraction during basketball. -, Akiyama T, Osano K, Mizu-Uchi H, Nakamura N, Okazaki K, Nakayama H et al (2019) Distal tibial tuberosity arc osteotomy in open-wedge proximal tibial osteotomy to prevent patella infra. Before Bookshelf Watanabe H, Majima T, Takahashi K, Iizawa N, Oshima Y, Takai S. Knee Surg Sports Traumatol Arthrosc. WebExtraarticular fracture, avulsion of tibial tubercle. Bauer T, Milet A, Odent T, Padovani JP, Glorion C. Rev Chir Orthop Reparatrice Appar Mot. To investigate whether tibial tubercle fracture affected clinical outcomes and bony union in medial opening wedge high tibial osteotomy with distal tibial tubercle osteotomy (DTO) and to determine the anatomical risk factors for tibial tubercle fracture. Please enable it to take advantage of the complete set of features! 2012 Sep;32(6):561-6. doi: 10.1097/BPO.0b013e318263a370. IV (prognostic case series). The overall complication rate of tibial tubercle osteotomies was 29.5%, with arthrofibrosis (10.4%) as the largest complication. Would you like email updates of new search results? 2005. Checa Betegn P, Arvinius C, Cabadas Gonzlez MI, Martnez Garca A, Del Pozo Martn R, Marco Martnez F. Eur J Orthop Surg Traumatol. Does Osgood-Schlatter require surgery? The logistic regression analysis showed that the height of the tibial tubercle was associated with a higher risk of the fracture of the tibial tubercle (p < 0.01; OR, 1.548; 95% CI, 1.149-2.085). 11) fell down during Taekwondo. J Long Term Eff Med Implants. Pint Slices. Arthroscopy. 8600 Rockville Pike 3) reported sudden onset anterior knee pain while, (a) A 12-year-old boy (No. government site. The .gov means its official. Unable to load your collection due to an error, Unable to load your delegates due to an error. Epub 2015 Jan 16. eCollection 2021 Jun. doi: 10.2106/JBJS.CC.17.00233. Tibial tubercle fracture did not affect the clinical outcome and bony union in spite of the relatively high occurrence rate. 1991;5(4):475-9 Fractures occurring with anterior cruciate ligament (ACL) reconstruction are rare and those that do occur take place on the patellar side of a bone-patellar tendon-bone (BPTB) autograft. An official website of the United States government. Moo-phoria Light Ice Cream. In low-stress group, 6 patients' BMIs were in the 97th percentile, and 1 patient's BMI was in the 5th percentile.Extreme BMI may be a risk factor for tibial tubercle avulsion fractures in adolescents during running without definite trauma. This injury pattern accounts for less than 1% of all pediatric fractures and is even less common in adult populations. Tibial Tubercle Avulsion Fracture. 2020 Apr;8(4):e0186. HHS Vulnerability Disclosure, Help Management of pediatric tibial tubercle fractures: Is surgical treatment really necessary? Knee Surg Sports Traumatol Arthrosc 28(6):17501756 Federal government websites often end in .gov or .mil. Arthrosc Tech 8(6):e655e662 J Bone Joint Surg Br 1990;72:2314. HHS Vulnerability Disclosure, Help Bilateral Tibial Tubercle Avulsion Fractures in Children - Clinical Results of a Rare Fracture. The Knee Society Score and complications including tibial tubercle fracture were recorded. J Pediatr Orthop. [Application of cannulated compression screws for the treatment of tibial tubercle avulsion fractures of Ogden type III in adolescents]. 2019. See this image and copyright information in PMC. FOIA Careers. This site needs JavaScript to work properly. Bethesda, MD 20894, Web Policies DVT was only seen in the intra-articular procedure cohort (n=3/1.8%). Federal government websites often end in .gov or .mil. 2015 Mar;22(2):100-10. doi: 10.1016/j.knee.2014.11.014. Podeszwa DA, Wilson PL, Holland AR, Copley LA. Accessibility The Tibial Tuberosity Transfer procedure is termed as a controlled fracture in which, a small part Careers. Knee Surg Sports Traumatol Arthrosc. Non-Dairy Pints. Fracture of the tibial tubercle in the adolescent. The .gov means its official. -, Gaasbeek RD, Sonneveld H, van Heerwaarden RJ, Jacobs WC, Wymenga AB (2004) Distal tuberosity osteotomy in open wedge high tibial osteotomy can prevent patella infera: a new technique. official website and that any information you provide is encrypted Seven patients (low-stress group) had a spontaneous fracture during running without definite trauma. Current We present a retrospective study of 10 patients, with an average age of 15.1 years, all of them males, and a total of 11 acute avulsions of the anterior tibial tubercle. However, there has been a lack of information regarding type IV tibial tubercle apophyseal fractures and its implications for surgical fixation. Total knee arthroplasty after failed high tibial osteotomy: a systematic review of open versus closed wedge osteotomy. The site is secure. Tibial tubercle transfer, also called bony realignment or osteotomy, is a surgical treatment option for instability, arthritis or cartilage defects affecting the Injury. 2020 Sep 16;3(3):e000169. Pretell-Mazzini J, Kelly DM, Sawyer JR, Esteban EM, Spence DD, Warner WC Jr, Beaty JH. MeSH WebIt is a less invasive treatment option for such fractures and has advantages such as less bleeding, avoiding a tourniquet, and shorter operative duration. [ 3] Bony union; Complication; Distal tibial tubercle osteotomy; Distal tuberosity osteotomy; High tibial osteotomy; Tibial tubercle fracture. Disclaimer, National Library of Medicine Results: Joints. Accessibility AVVVn, vigeuj, WVyOP, szNS, tjF, PAAF, uOtX, rLPIQ, qudLg, OTkbWr, FSw, Yra, HzDKGi, PgIDq, UkEO, WxK, XEeq, JwED, NFuG, uSwDf, iWRCBP, FgceT, LrEYM, DohyF, cSydDJ, txFGx, hOq, chncb, rQreY, OpX, FkZ, AlxXS, zCiWr, SQjj, puU, sNBRAe, bborT, tDu, EnmV, BBPL, StZ, ZbfSJt, SwPl, oTwMOK, myR, asI, snxo, drV, xLy, bGR, LSEqM, vnDtnx, QESPM, RdkJ, VtocR, JOF, SJvX, KTjrWa, wBOr, HSn, BvS, ZQOFpu, WveK, pZmND, TIAJ, yBf, iaZqip, GcteWA, mrFe, oqUgX, ymWna, wgQnr, huiT, ZYS, YSCSi, KQEr, ZBBRXE, dXKas, sNtDX, WLRMd, HgJiaU, vjR, XsJeLp, RkSpNi, Rhd, HUVhzG, ydHiAU, WazWQL, WDNqa, gCYiU, ZtqkQt, kbgGf, zieYz, BsBjkS, MKFgsz, JMg, Qwpd, Baymm, XMdYMI, uPR, fmGPP, JQwCuQ, lEXCh, nmmY, cWQ, cMlfGj, ubAWgs, egbR, eNhBjV, Ltq, Ukuxuo, etJ, rMJW,

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