NOTES - Surgical Procedures :
Thompson-Ferciot Tubercle Thinning Procedure - - Posted by Sarah_K (Sarah_K), 31 January 2004
Can anyone explain this or point me in the direcction of where I could learn about this. I am told that this Thompson-Ferciot Tubercle Thinning Procedure used for ossicle excision, is the name of the procedure to remove the knot left from Osgood Schlatter disease.
I would like to get some info on this and am turning up blank on the web.
Sarah K
Posted by ATsoccergirl (ATsoccergirl), 31 January 2004
Results of surgical treatment of unresolved Osgood-Schlatter lesion.
Orava S, Malinen L, Karpakka J, Kvist M, Leppilahti J, Rantanen J, Kujala UM.
Tohtoritalo 41400 Hospital and Sports Trauma Research Unit, Turku, Finland. sakari.orava@tohtoritalo.fi
BACKGROUND AND AIMS: We present our experience with surgical treatment of unresolved, painful, late Osgood-Schlatter disease. MATERIAL AND METHODS: In 70 operations performed in 67 patients (in three bilaterally) an ossicle under the distal patellar tendon was removed in 62 cases. In eight cases, excision of the prominent tibial tubercle and/or drilling of the epiphysis was performed. Additional procedures, such as rasping of the uneven anterior tibial surface, excision of inflammed bursa or the devitalized portion of the tendon, were done 21 times. Most patients were athletes or physically active young people. The mean age was 19.6 years. 54 operations were done on males and 16 on females. They had been followed preoperatively for 18 months and after surgery 2.2 years. RESULTS: The final results were excellent or good in 56, moderate in 9, poor in 3 and unknown in 2 cases. CONCLUSIONS: Osgood-Schlatter's disease may leave an ossicle under the distal patellar tendon, a prominent tibial tubercle or an uneven surface of anterior superior tibia. These may lead to pain and disability due to recurrent injuries or athletic exercises. Surgical treatment gives good results in chronic unresolved cases.
Tibial tuberosity excision for symptomatic Osgood-Schlatter disease.
Flowers MJ, Bhadreshwar DR.
Barnsley District General Hospital, England.
A modified Ferciot procedure was used to excise the tibial tubercle in patients with persistently symptomatic Osgood-Schlatter disease. Forty-two knees in 35 patients were reviewed at a mean follow-up of 5 years to assess outcome. The results revealed relief of pain in 95% of patients and reduction of prominence in 85.5% with minimal complication, in particular no evidence of genu recurvatum. The pathogenesis of the condition is outlined, and some of the theories and treatment modalities discussed. Tibial tubercle excision is recommended as the treatment of choice in those few cases that fail with conservative treatment.
Binazzi-R. Felli-L. Vaccari-V. Borelli-P.
Istituto Ortopedico Rizzoli, Bologna, Italy.
Clin-Orthop. 1993 Apr. (289). P 202-4.
The Osgood-Schlatter lesion is considered a traction apophysitis.
Treatment is generally conservative, and only rarely does a surgical
treatment become necessary for the persistence of pain and swelling over
the tibial tubercle. The most widely used procedure consists of the
excision of all intratendinous ossicles with or without removal of the
prominent tibial tubercle. In 15 cases treated in this manner compared
with 11 cases treated with various procedures before 1975, the results
were clearly better with the former. There was only one fair and no poor
results. Removal of all loose intratendinous ossicles associated with
prominent tibial tubercles is the procedure of choice, both from the
functional and the cosmetic point of view. Author-abstract.
Updated Sat Nov 21 2009
