Fulkersonosteotomie

Fulkersonosteotomie is a surgical procedure used in orthopedics, primarily to treat patellofemoral pain syndrome and related conditions. The procedure involves a controlled cut and repositioning of the tibial tuberosity, the bony prominence on the front of the shinbone where the patellar tendon attaches. This repositioning aims to alter the biomechanics of the kneecap.

The primary goal of a Fulkersonosteotomie is to improve the tracking of the patella within the femoral groove. By shifting the tibial tuberosity, the pull of the quadriceps muscle on the kneecap is altered, which can reduce pressure and friction in the joint. This can alleviate pain, improve function, and prevent further damage to the cartilage.

Indications for this surgery typically include chronic anterior knee pain that has not responded to conservative treatments such as physical therapy, medication, and activity modification. Conditions like patellar maltracking, recurrent patellar dislocations, and Osgood-Schlatter disease may also be addressed with this technique.

The procedure is performed under anesthesia. The surgeon makes an incision to access the tibial tuberosity, which is then cut and moved to a new position, often slightly distal and medial, and then secured with screws or other fixation devices. Post-operative care involves a period of immobilization followed by progressive rehabilitation to regain strength and range of motion. Outcomes can vary depending on the individual patient and the severity of their condition.