Rotational Deformity—When and How to Address Femoral Anteversion and Tibial Torsion

Benjamin Noonan; Trenton Cooper; Michael Chau; Melissa S Albersheim; Elizabeth A. Arendt; Marc Tompkins

doi:10.1016/j.csm.2021.07.011

Rotational Deformity—When and How to Address Femoral Anteversion and Tibial Torsion

Benjamin Noonan, Trenton Cooper, Michael Chau, Melissa S Albersheim, Elizabeth A. Arendt, Marc Tompkins

Orthopaedic Surgery

Research output: Contribution to journal › Review article › peer-review

17 Scopus citations

Abstract

Rotational deformity is a less common cause of patellar instability than trochlear dysplasia and patella alta. In some cases, rotational deformity is the primary bony factor producing the instability and should be corrected surgically. More research is needed on what are normal values for femoral version and tibial torsion, as well as when the axial plane alignment needs to be corrected. Many tools can be used to evaluate the axial plane and surgeons should be familiar with each of them. Understanding the advantages and disadvantages of each site for osteotomy will help the surgeon choose the most appropriate osteotomy.

Original language	English (US)
Pages (from-to)	27-46
Number of pages	20
Journal	Clinics in Sports Medicine
Volume	41
Issue number	1
DOIs	https://doi.org/10.1016/j.csm.2021.07.011
State	Published - Jan 2022

Bibliographical note

Funding Information:
Dr E.A. Arendt is a paid consultant and educational speaker for Smith & Nephew. The other authors have nothing to disclose.

Keywords

Derotation osteotomy
Femoral version
Patellofemoral instability
Tibial torsion
Femur/surgery
Joint Instability/surgery
Patella
Humans
Patellar Dislocation
Patellofemoral Joint/diagnostic imaging
Tibia/surgery

PubMed: MeSH publication types

Review
Journal Article

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10.1016/j.csm.2021.07.011

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title = "Rotational Deformity—When and How to Address Femoral Anteversion and Tibial Torsion",

abstract = "Rotational deformity is a less common cause of patellar instability than trochlear dysplasia and patella alta. In some cases, rotational deformity is the primary bony factor producing the instability and should be corrected surgically. More research is needed on what are normal values for femoral version and tibial torsion, as well as when the axial plane alignment needs to be corrected. Many tools can be used to evaluate the axial plane and surgeons should be familiar with each of them. Understanding the advantages and disadvantages of each site for osteotomy will help the surgeon choose the most appropriate osteotomy.",

keywords = "Derotation osteotomy, Femoral version, Patellofemoral instability, Tibial torsion, Femur/surgery, Joint Instability/surgery, Patella, Humans, Patellar Dislocation, Patellofemoral Joint/diagnostic imaging, Tibia/surgery",

author = "Benjamin Noonan and Trenton Cooper and Michael Chau and Albersheim, {Melissa S} and Arendt, {Elizabeth A.} and Marc Tompkins",

note = "Funding Information: Dr E.A. Arendt is a paid consultant and educational speaker for Smith & Nephew. The other authors have nothing to disclose.",

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AU - Noonan, Benjamin

AU - Cooper, Trenton

AU - Chau, Michael

AU - Albersheim, Melissa S

AU - Arendt, Elizabeth A.

AU - Tompkins, Marc

N1 - Funding Information: Dr E.A. Arendt is a paid consultant and educational speaker for Smith & Nephew. The other authors have nothing to disclose.

PY - 2022/1

Y1 - 2022/1

N2 - Rotational deformity is a less common cause of patellar instability than trochlear dysplasia and patella alta. In some cases, rotational deformity is the primary bony factor producing the instability and should be corrected surgically. More research is needed on what are normal values for femoral version and tibial torsion, as well as when the axial plane alignment needs to be corrected. Many tools can be used to evaluate the axial plane and surgeons should be familiar with each of them. Understanding the advantages and disadvantages of each site for osteotomy will help the surgeon choose the most appropriate osteotomy.

AB - Rotational deformity is a less common cause of patellar instability than trochlear dysplasia and patella alta. In some cases, rotational deformity is the primary bony factor producing the instability and should be corrected surgically. More research is needed on what are normal values for femoral version and tibial torsion, as well as when the axial plane alignment needs to be corrected. Many tools can be used to evaluate the axial plane and surgeons should be familiar with each of them. Understanding the advantages and disadvantages of each site for osteotomy will help the surgeon choose the most appropriate osteotomy.

KW - Derotation osteotomy

KW - Femoral version

KW - Patellofemoral instability

KW - Tibial torsion

KW - Femur/surgery

KW - Joint Instability/surgery

KW - Patella

KW - Humans

KW - Patellar Dislocation

KW - Patellofemoral Joint/diagnostic imaging

KW - Tibia/surgery

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U2 - 10.1016/j.csm.2021.07.011

DO - 10.1016/j.csm.2021.07.011

M3 - Review article

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AN - SCOPUS:85118982350

SN - 0278-5919

VL - 41

SP - 27

EP - 46

JO - Clinics in Sports Medicine

JF - Clinics in Sports Medicine

IS - 1

ER -

Rotational Deformity—When and How to Address Femoral Anteversion and Tibial Torsion

Abstract

Bibliographical note

Keywords

PubMed: MeSH publication types

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