{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T02:00:13Z","timestamp":1780452013844,"version":"3.54.1"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:p>Introduction: Tibial tubercle osteotomy (TTO) is an appropriate surgical procedure for patellar instability and chronic patellofemoral pain; however, complications such as proximal tibial fracture occur in 1\u20131.8% of cases.\n\nCase Report: A 19-year-old non-professional dancer underwent TTO with medialization for patellofemoral pain. Postoperatively, rehabilitation followed a structured protocol. At 3 months, radiographs revealed an onset of stress fracture below the TTO site, progressing and involving two-thirds of the tibial diameter on the last follow-up. Surgical fixation with a lateral tibial locking plate was performed to prevent propagation. Ten months after plating, the fracture had fully consolidated, while a Knee Injury and Osteoarthritis Outcome score was 90.5, and the hardware was removed without complications.\n\nConclusion: Proximal tibial stress fractures post-TTO are rare but require early recognition and intervention. This case highlights the caution required in rehabilitation and the necessity of surgical intervention as a viable treatment to ensure proper fracture healing and successful recovery.\n\nKeywords: Tibial tubercle osteotomy, patellofemoral pain syndrome, proximal tibial stress fracture, surgical complications of the knee.<\/jats:p>","DOI":"10.13107\/jocr.2025.v15.i12.6502","type":"journal-article","created":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T03:19:35Z","timestamp":1765509575000},"page":"187-191","source":"Crossref","is-referenced-by-count":1,"title":["Stress Fracture after Tibial Tuberosity Osteotomy \u2013 Analyzing the Contributing Factors"],"prefix":"10.13107","volume":"15","author":[{"name":"Department of Orthopedic Surgery, Bnai Zion Hospital, Haifa, Israel.","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anton","family":"Maliarov","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aviram","family":"Albagly","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedic Surgery, Bnai Zion Hospital, Haifa, Israel.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Oren","family":"Ben-Lulu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"name":"Department of Orthopedic Surgery, Bnai Zion Hospital, Haifa, Israel.","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2025]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2025,12,12]],"date-time":"2025-12-12T03:19:36Z","timestamp":1765509576000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2025\/12\/stress-fracture-after-tibial-tuberosity-osteotomy-analyzing-the-contributing-factors\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":0,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2025]]},"published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2025.v15.i12.6502","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025]]}}}