You are here

Fulkerson osteotomy

The Fulkerson osteotomy (or Fulkerson 'procedure') is an operation to re-align the tibial tuberosity (lower bony attachment of the patellar tendon on the shinbone).

In cases of patellar (kneecap) instability with recurrent subluxation (kneecap jumping over the edge of its groove), surgeons may attempt to improve the stability by realigning the patella by changing the forces through the whole patellar system - what is known as extensor mechanism. That is the quads muscle, quads tendon, patella, patellar tendon, tibial tubercle, and the side restraints of the patella (retinaculum).

If the operation involves structures at or above the kneecap, it is called a proximal realignment. If the operation involves structures below the kneecap, it is called a distal realignment.

The Fulkerson Procedure, or Fulkerson osteotomy, is a distal realignment procedure, where the tibial tubercle (the bony bump an inch below the kneecap) is cut and moved medially and anteriorly (ie towards the inner aspect and forwards). This has the effect of improving the extensor mechanism alignment, and also decreases the pressure under the patella.

There is currently no content classified with this term.

Advertisement

Subscribe to RSS - Fulkerson osteotomy
joinus
  • Latest
  • Blogs
  • Popular
  • Tags
In this paper, I have gathered together several papers and discussions about patellar instability f...
Wednesday, July 9, 2014 - 1:37pm
Total knee replacement represents a considerable insult to the system when you consider - the patie...
Saturday, June 21, 2014 - 11:25am
Some time ago at a medical educational meeting about high tibial osteotomy, I was chatting to a rep...
Saturday, May 24, 2014 - 11:39am
It is a source of perpetual frustration to me that doctors fail to clarify in patient's minds the d...
Saturday, May 17, 2014 - 1:06pm
Total knee replacement represents a considerable insult to the system when you consider - the patient...
Saturday, June 21, 2014 - 11:25am
I had a total hip replacement  two weeks ago today, hip and incision are great, but my femoral nerve has not...
Tuesday, June 3, 2014 - 3:54pm
Some time ago at a medical educational meeting about high tibial osteotomy, I was chatting to a...
Saturday, May 24, 2014 - 11:39am
I suffered a major knee injury (and a broken femur, tibia, fibula, ankle and a ruptured spleen and kidney)...
Wednesday, April 16, 2014 - 7:37am
The back of the knee is called the 'popliteal' region of the knee. The depression in the middle of...
Sunday, June 29, 2008 - 9:43am
A number of knee problems are initiated or aggravated by 'overuse' - which might be either putting...
Wednesday, March 20, 2013 - 8:18pm
Exercise bikes, static bikes, stationary cycles, bicycle ergometers - these are all names for the b...
Thursday, March 20, 2008 - 3:04pm
The significant feature of arthrofibrosis is that the scarring within the knee joint prevents it fr...
Monday, March 3, 2008 - 8:43pm

Advertisement

-A A +A

Word of the Day

Refers to the moving limb forming an unbroken chain with another surface, eg a foot on a bicycle pedal.

User login