{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T16:13:16Z","timestamp":1789315996329,"version":"build-2803163510"},"reference-count":27,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T00:00:00Z","timestamp":1714521600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,4,24]],"date-time":"2024-04-24T00:00:00Z","timestamp":1713916800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["arthroscopysportsmedicineandrehabilitation.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Arthroscopy, Sports Medicine, and Rehabil."],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To characterize the early postoperative complications following outpatient tibial tubercle osteotomy (TTO) to determine its safety in this setting.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Patients undergoing TTO by a single surgeon between July 2017 and August 2022 for patellar instability or patellofemoral chondromalacia and achieving a minimum of 3 months of clinical and radiographic follow\u2010up were evaluated for inclusion. Although an inclusion criterion was a minimum follow\u2010up of 3 months, if evidence of a healed osteotomy was observed sooner, final follow\u2010up was accepted at 2 months. Patient demographics, perioperative risk factors, and incidence of complications were collected retrospectively. Categorical data were analyzed using \u03c7\n                      <jats:sup>2<\/jats:sup>\n                      and Fisher exact tests. Continuous data were analyzed using 2\u2010tailed\n                      <jats:italic>t<\/jats:italic>\n                      tests and Mann\u2010Whitney\n                      <jats:italic>U<\/jats:italic>\n                      data for parametric and nonparametric data, respectively.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 195 knees in 167 patients met inclusion criteria, with a mean age of 24.7 \u00b1 9.2 years and mean follow\u2010up time of 10.9 months (range, 2\u201069 months). Fifty\u2010one early postoperative complications occurred in 47 (24.1%) knees in 42 (25.1%) patients. Ten major and 41 minor complications occurred. Major complications were associated with older age (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .015), smoking (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .038), and smaller preoperative patellar tendon\u2013lateral trochlear ridge distance (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .012). Forty\u2010four reoperations occurred in 42 (21.5%) knees in 37 (22.2%) patients. The most common reasons for reoperation included removal of symptomatic hardware (31 knees; 15.9%) and arthrofibrosis requiring lysis of adhesions and manipulation under anesthesia (8 knees; 4.1%). The mean time to reoperation was 13.0 months (range, 1\u201042 months). Smaller body mass index was associated with increased risk of reoperation (\n                      <jats:italic>P<\/jats:italic>\n                      \u00a0= .002).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Outpatient TTO is safe when performed with the described technique, but the later development of minor complications is not infrequent following surgery. Patients should be counseled regarding a relatively high incidence of hardware irritation, arthrofibrosis, and eventual reoperation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV, case series.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.asmr.2024.100948","type":"journal-article","created":{"date-parts":[[2024,5,1]],"date-time":"2024-05-01T08:56:21Z","timestamp":1714553781000},"update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Tibial Tubercle Osteotomies Performed in an Outpatient Setting Have a Low Rate of Early Complications"],"prefix":"10.1002","volume":"6","author":[{"given":"Thomas E.","family":"Moran","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adam J.","family":"Tagliero","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard E.","family":"Campbell","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"G. Bradley","family":"Reahl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth K.","family":"Driskill","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander J.","family":"Wahl","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David R.","family":"Diduch","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery University of Virginia Health System Charlottesville Virginia U.S.A."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,1]]},"reference":[{"key":"e_1_2_3_2_2","doi-asserted-by":"publisher","DOI":"10.5435\/JAAOS-D-22-00254"},{"key":"e_1_2_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2014.03.001"},{"key":"e_1_2_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.csm.2014.03.008"},{"key":"e_1_2_3_5_2","doi-asserted-by":"publisher","DOI":"10.1177\/2325967118803614"},{"key":"e_1_2_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.10.019"},{"key":"e_1_2_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2015.03.028"},{"key":"e_1_2_3_8_2","doi-asserted-by":"publisher","DOI":"10.1177\/036354659702500417"},{"key":"e_1_2_3_9_2","first-page":"E396","article-title":"A\u00a0systematic review of 21 tibial tubercle osteotomy studies and more than 1000 knees: Indications, clinical outcomes, complications, and reoperations","volume":"46","author":"Saltzman 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