High incidence of complication following tibial tubercle surgery.

Objectives: Tibial tubercle osteotomy (TTO) is a common procedure that is frequently used in the treatment of recurrent patellar instability and/or patellar chondrosis. Current estimates of TTO complications in the literature vary widely, with complication rates reaching 59 percent. This variability is due, in part, to inconsistent definitions of complication between studies.

Takedown of Ankle Fusions and Conversion to Total Ankle Replacements.

Background: With ankle replacements gaining credibility, there is a small subset of patients who might benefit from a conversion of an ankle fusion to a replacement. The objective of this study is to present clinical and radiographic results of patients who had their ankle fusion converted to total ankle arthroplasty (TAA).

Methods: Patients presented to the senior author with ongoing ankle pain following fusion or increasing pain after a period of relative comfort after an ankle fusion.