Tibial tubercle osteotomy

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What is Tibial Tubercle Osteotomy?

Tibial Tubercle Osteotomy (TTO) is a surgical procedure performed to realign the patella (kneecap) and improve how it tracks within the femoral groove. It involves cutting and repositioning the tibial tubercle — the bony prominence on the front of the tibia (shinbone) where the patellar tendon attaches. TTO is most commonly used to treat patellar instability, recurrent dislocations, or anterior knee pain caused by maltracking or abnormal alignment.

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If you’re living with kneecap instability, chronic dislocations, or anterior knee pain that limits your activity, Tibial Tubercle Osteotomy could offer lasting relief. Book a consultation with our orthopaedic team to assess your knee alignment and build a personalised surgical plan.