Tibial TubercleOsteotomy (TTO)
Structural realignment of the kneecap's pull for long-term stability.
Tibial Tubercle Osteotomy (TTO)
Tibial Tubercle Osteotomy (TTO) is a powerful realignment surgery designed to correct the tracking of the kneecap (patella) by repositioning the tibial tubercle—the bony attachment point of the patellar tendon. For patients whose kneecap is pulled too far outward due to their bone structure, this procedure allows us to shift the tubercle inward (medially) or forward (anteriorly). This takes the pressure off worn cartilage and ensures the patella glides perfectly within its groove, preventing future dislocations and slowing the progression of arthritis.
Surgical Process
Alignment Mapping
Using CT or MRI to measure the TT-TG distance and plan the exact degree of bony shift required.
Bony Realignment
Carefully detaching the tibial tubercle and shifting it to its new, anatomically correct position.
Internal Fixation
Securing the bone in its new position with two titanium compression screws for permanent stability.
Patient Care
Recovery Roadmap
Recovery involves a period of protected weight-bearing for 6 weeks to allow the bone to heal. A hinged knee brace is used to control range of motion. Full return to sports typically takes 6-9 months once the bone is fully consolidated.
Who Needs This Procedure?
Patients with recurrent patellar subluxation or dislocation
Individuals with anatomical malalignment (high TT-TG distance)
Patients with patellofemoral arthritis localized to one side of the joint
Individuals whose kneecap 'tracks' poorly despite intensive physical therapy
Clinical Results & Gallery
Procedural Intelligence
Elite Patient Care
Dr. Ravi Teja provides personalized evaluations using the latest diagnostic technology for Tibial Tubercle Osteotomy (TTO).
Book EvaluationElite Standard
Certified Excellence
Safety First
Minimal Complications