For what problems is distal realignment indicated?
Distal realignment may be performed for recurrent patellar instability, such as recurrent subluxation or dislocation.
Peer-reviewed papersQuote from peer-reviewed paper:
"....distomedial...tibial tubercle transfer....led to clinically relevant functional improvement and pain reduction in patients with patellar maltracking and patella alta without instability...."
Citation: Bayoumi T, van Duijvenbode DC, Benner JL, Boerma-Argelo KDS, Stavenuiter MHJ, van der List JP. Clinical Improvement Is Achieved Following Tibial Tubercle Distomedialization for Patellar Maltracking and Patella Alta Without Instability. Arthrosc Sports Med Rehabil. 2021 Jun 15;3(3):e845-e853. doi: 10.1016/j.asmr.2021.01.027. PMID: 34195653; PMCID: PMC8220615.
Quote from peer-reviewed paper:
"....regardless of the type of medialization procedure employed, over- and undercorrection must be avoided...."
Citation: Lavery M, Bell J, Rickelman T, Boezaart A, Albright JP. Patellofemoral realignment: dynamic intraoperative assessment. Iowa Orthop J. 2005;25:160-3. PMID: 16089091; PMCID: PMC1888761.
Quote from peer-reviewed paper:
"....However, the....[removal of hardware]....rate was high (72%)"
Citation: Bayoumi T, van Duijvenbode DC, Benner JL, Boerma-Argelo KDS, Stavenuiter MHJ, van der List JP. Clinical Improvement Is Achieved Following Tibial Tubercle Distomedialization for Patellar Maltracking and Patella Alta Without Instability. Arthrosc Sports Med Rehabil. 2021 Jun 15;3(3):e845-e853. doi: 10.1016/j.asmr.2021.01.027. PMID: 34195653; PMCID: PMC8220615.