Tibial tuberosity transfer (TTT) is a surgical procedure involving cutting the bony bump below the kneecap (the tibial tuberosity) and either moving it or re-angling it.

tibial tubercle transfer

How TT-TG Distance is measured, and what it means to the patient with patellar instability.

Distal realignment procedures

Realigning the kneecap by surgical procedures below the kneecap.

Surgical procedures to correct patellar alignment

Non-surgical treatment is generally the first choice of management, but surgery may be necessary.

Surgery for patellar malalignment

Part 8 of a course on Patellofemoral Pain by Dr Ronald Grelsamer of Mount Sinai Hospital in New York.