Medial Patellofemoral Ligament Reconstruction in Adolescent Patellofemoral Instability With High Tibial Tubercle-Trochlear Groove Intervals: A Comparison of With or Without Tibial Tubercle Osteotomy

The addition of TTO to MPFL reconstruction in adolescents with elevated TT-TG distances did not result in significant differences in complications, PROs, or recurrent instability compared with MPFL alone. TTO may not be required in all cases and should be reserved for select patients based on individual anatomic and clinical factors.