What is TTT?
A tibial tubercle transfer (also known as a Fulkerson Osteotomy) is a surgical procedure that is used to correct for patellar instability or patellar malalignment. Another indication for a tibial tubercle transfer is patellar osteoarthritis. Depending on what anatomy needs to be addressed and corrected, there are a couple choices for repositioning. This will be determined through the use of physical examination and MRI calculations.
The procedure consists of an incision, which is made a few centimeters below the kneecap (patella) along the top portion of the shin bone (tibia). The patella is embedded in a tendon that inserts on a bony prominence at the shin bone, known as the tibial tuberosity. The patella is repositioned by surgically cutting and moving the attachment on the shin bone. The new position is held through the use of 2 metal screws. The incision is then closed with absorbable sutures and Dermabond, a surgical glue.
How long will I stay in the hospital?
Most patients can go home the same day as their surgery. Occasionally, you will stay overnight. This will allow for better management of your pain. Once you are able to demonstrate successful management of pain, you will be discharged home.
What are the possible risks and complications of surgery?
As with any surgery, there is a risk of DVT (blood clot), nerve damage, and postoperative infection. Specific risks and complications include but aren’t limited to failure to heal, fracture, and hardware complications.
When can I drive?
You may not drive while taking pain medication. In addition, if it is your right knee that had surgery, you will not be able to drive for approximately 6 weeks after surgery or until the brace is removed.
When can I resume jogging?
You will not resume jogging until cleared by your physician. This typically is around 6 months after surgery. You will be allowed to begin biking without resistance once you have adequate range of motion and will begin this with your physical therapist. Once adequate quad strength is demonstrated you will transition to the Elliptical, then running is the next step after that.
When can I return to my sport?
There are many factors in returning to sport after surgery. Most patients are able to return around 7-10 months after surgery. Please see Your Surgery and Physical Therapy for more information on this condition.