2025 ISAKOS Biennial Congress In-Person Poster
Functional Outcomes Following Fulkerson Modified by Heatley Osteotomy Versus Maquet-bandi Hybrid Osteotomy for the Treatment of Patellofemoral Knee Pain: A Retrospective Cohort
Giovani A. Gravini-Amador, MD, Bogota, CUNDINAMARCA COLOMBIA
Jorge Ortiz, MD, Bogota, Bogota COLOMBIA
Sergio Enderica Gonzalez, MD, Bogotá Dc, Pichincha COLOMBIA
Rodrigo Jaramillo, MD, Bogotá COLOMBIA
Hospital Universitario Infantil de San Jose, Bogotá, COLOMBIA
FDA Status Not Applicable
Summary
Tibial tubercle osteotomy (TTO) is used when conservative therapy has failed, however there are several techniques that can be used to either medialize or shift anteriorly the tibial tubercle. Herein, we present a retrospective cohort to compare complication and functional outcome between the Fulkerson modified by Heatley osteotomy versus a Maquet-Bandi Hybrid osteotomy
Abstract
Purpose
Patellofemoral pain (PFP) is a challenging pathology that affects a wide variety of patients. The prevalence of PFP has increased over the years and its treatment is highly complex. Tibial tubercle osteotomy (TTO) is used when conservative therapy has failed, however there are several techniques that can be used to either medialize or shift anteriorly the tibial tubercle. Herein, we present a retrospective cohort to compare complication and functional outcome between the Fulkerson modified by Heatley osteotomy versus a Maquet-Bandi Hybrid osteotomy.
Methods
We performed a retrospective review of all patients who underwent TTO for PFP performed by two experience knee surgeons in a single institution. Patients included in our study had to have at least 18 years old and 12 months of follow up. Patients that did not meet the inclusion criteria were excluded. Demographic data, surgical data, complications, preoperative and postoperative Kujala scores were obtained. P-values of <0.05 were considered significant.
Results
Eighty-one (81) patients were included in the study. Forty-two (42) patients underwent Maquet-Bandi Hybrid Osteotomy, while thirty-nine (39) Fulkerson modified by Heatley Osteotomy. The mean follow-up for both osteotomy groups was 5.2 years. The mean preoperative Kujala score for the Fulkerson modified by Heatley group and the Maquet-Bandi Hybrid group were, 31.4 and 34 respectively. The mean postoperative Kujala scores for the Maquet-Bandi Hybrid osteotomy was 72 while for Fulkerson modified by Heatley osteotomy was 67, no statistically significant difference was seen. Complication rate for both procedure was 6%.
Conclusion
This study shows that both type of osteotomies provide good functional outcomes with a low complications rate in the mid-term follow up.