Re: tibia tubercle transfer

[Guest guest]

Hi-

I'm 27 and have had 13 knee surgeries including bilateral tibial tubercle

transfers and VMO advancements. I had the TTT done on my right knee in 1998

and left knee in 2000. It went really well on my right knee but my left knee

has required 2 subsequent surgeries. My left Q-angle was very high- around

23. I have been told by one of my previous ortho surgeons that I should have

the TTT redone; however, many orthopedic surgeons now agree that the TTTs are

outdated and replacements should be done instead if the patient is 40 or above.

I went to an orthopedics seminar on knees recently. When I walk, my femur

rotates inward causing excessive stress on the patella. Physical therapy has

helped by strengthening my hip to prevent this femoral shift. The studies show

that the results of a repeat TTT are variable. I've opted not to repeat the

procedure since ceramic knee replacements that last a long time are right

around the corner. Hope this helps. Margaret