Distal realignment procedures are those surgical procedures performed below the kneecap in an attempt to better align it in the groove of the underlying femur bone.

Page updated january 2024 by Dr Sheila Strover (Clinical Editor)

distal realignment osteotomy
Procedures vary, depending on whether the patella is moved sideways or forwards or a combination of these.

 

Patellar instability

Distal realignment may be performed for recurrent patellar instability, such as recurrent subluxation or dislocation.

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Relevance of the TT-TG distance

To assess how far the tibial tubercle and the trochlear groove are out of alignment, the surgeon will use scan pictures to calculate the TT-TG distance, and use this as a guide for correction.

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The various distal realignment procedures

The various procedures have evolved over the years and include -

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Peer-reviewed papers

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Dr Sheila Strover (Editor)
BSc (Hons), MB BCh, MBA

See biography...