{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T08:19:15Z","timestamp":1777882755898,"version":"3.51.4"},"reference-count":5,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Video Journal of Sports Medicine"],"published-print":{"date-parts":[[2025,9]]},"abstract":"\n Background:<\/jats:title>\n Tibial tubercle osteotomy is an effective technique that has been well-described to treat patellofemoral overload and\/or instability.<\/jats:p>\n <\/jats:sec>\n \n Indications:<\/jats:title>\n A tibial tubercle osteotomy may be indicated in patients with patellofemoral instability and\/or pathologic stress reactions at the patellofemoral joint, along with excessive lateral position of the tuberosity or patellar height abnormality.<\/jats:p>\n <\/jats:sec>\n \n Technique Description:<\/jats:title>\n This video shows 2 types of osteotomies: anteromedialization alone and distalization with anteromedialization.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n Two techniques were performed for tibial tubercle osteotomies on cadaveric models. Biomechanical studies have shown that anteromedialization, distalization, or a combination of the 2 can decrease patellofemoral joint forces when compared with lateralized and native tubercle positions.<\/jats:p>\n <\/jats:sec>\n \n Discussion\/Conclusion:<\/jats:title>\n We present an anteromedializing and a distalizing tibial tubercle osteotomy. This is a reproducible procedure that is an essential tool in the patellofemoral surgeon's toolbox. The customizable nature of the cut allows optimization of patellofemoral alignment and contact forces. Medialization, anteromedialization, distalization, or a combination of these procedures can be completed with careful attention to preoperative planning and intraoperative technique.<\/jats:p>\n <\/jats:sec>\n \n Patient Consent Disclosure Statement:<\/jats:title>\n The author(s) attests that consent has been obtained from any patient(s) appearing in this publication. If the individual may be identifiable, the author(s) has included a statement of release or other written form of approval from the patient(s) with this submission for publication.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/26350254251384331","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T10:00:13Z","timestamp":1761300013000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Tibial Tubercle Osteotomy: Technique for Anteromedialization and Distalization"],"prefix":"10.1177","volume":"5","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3357-7183","authenticated-orcid":false,"given":"Jacqueline M.","family":"Brady","sequence":"first","affiliation":[{"name":"Department of Orthopaedics & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4706-1076","authenticated-orcid":false,"given":"Isaac O.","family":"Lapite","sequence":"additional","affiliation":[{"name":"Department of Orthopaedics & Rehabilitation, Oregon Health & Science University, Portland, Oregon, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"issue":"177","key":"e_1_3_2_2_2","first-page":"176","article-title":"Anteromedialization of the tibial tuberosity for patellofemoral malalignment","author":"Fulkerson JP.","year":"1983","unstructured":"Fulkerson JP. Anteromedialization of the tibial tuberosity for patellofemoral malalignment. Clin Orthop Relat Res. 1983;(177):176-181.","journal-title":"Clin Orthop Relat Res"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00167-016-4409-2"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/0363546518809982"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2021.08.008"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2013.06.020"}],"container-title":["Video Journal of Sports Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254251384331","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26350254251384331","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26350254251384331","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:22:26Z","timestamp":1777598546000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26350254251384331"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9]]},"references-count":5,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2025,9]]}},"alternative-id":["10.1177\/26350254251384331"],"URL":"https:\/\/doi.org\/10.1177\/26350254251384331","relation":{},"ISSN":["2635-0254","2635-0254"],"issn-type":[{"value":"2635-0254","type":"print"},{"value":"2635-0254","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9]]},"article-number":"26350254251384331"}}