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Tibial Tubercle Osteotomy (TTO)

When there is recurrent patellar instability, abnormal patellofemoral tracking, increased tibial tuberosity–trochlear groove (TT–TG) distance, patella alta, or local pressure overload, and conservative treatment has limited effect, a specialist can assess whether to consider tibial tuberosity osteot

24-72h

Response window

Approx. $15,600

Treatment fee

Included support

  • +Hospital matching
  • +Record review
  • +Care coordination
  • +Travel support
  • +Interpretation support

Not included

  • -Treatment fee
  • -Travel costs
  • -Optional extras

Hospital consultation window

Peking Union Medical College Hospital - Beijing - Grade 3A

Ruijin Hospital - Shanghai - Grade 3A

West China Hospital - Chengdu - Grade 3A

Our service process

Let us coordinate the treatment journey with you.

1

How Tibial Tubercle Osteotomy (TTO) is performed

After confirming patellofemoral joint malalignment or instability and suitability for osteotomy correction, a planned osteotomy is usually performed around the tibial tuberosity under anesthesia, allowing it to be controllably moved to a predetermined direction and distance (e.g., medialization/anteriorization/distalization). Under fluoroscopic guidance during the operation, it is repositioned and fixed with screws or plates, followed by irrigation and suturing. Postoperative monitoring includes pain, swelling, and neurovascular status. Quadriceps training and joint movement are gradually carried out, with the goal of correcting extensor alignment, reducing patellofemoral compression, and promoting bone healing. The above is general health information and not medical advice; specific information is subject to specialist assessment and hospital protocols.

What is Tibial Tubercle Osteotomy (TTO)?

After confirming patellofemoral joint malalignment or instability and suitability for osteotomy correction, a planned osteotomy is usually performed around the tibial tuberosity under anesthesia, allowing it to be controllably moved to a predetermined direction and distance (e.g., medialization/anteriorization/distalization). Under fluoroscopic guidance during the operation, it is repositioned and fixed with screws or plates, followed by irrigation and suturing. Postoperative monitoring includes pain, swelling, and neurovascular status. Quadriceps training and joint movement are gradually carried out, with the goal of correcting extensor alignment, reducing patellofemoral compression, and promoting bone healing. The above is general health information and not medical advice; specific information is subject to specialist assessment and hospital protocols.

How is Tibial Tubercle Osteotomy (TTO) performed?

Step 1

How Tibial Tubercle Osteotomy (TTO) is performed

After confirming patellofemoral joint malalignment or instability and suitability for osteotomy correction, a planned osteotomy is usually performed around the tibial tuberosity under anesthesia, allowing it to be controllably moved to a predetermined direction and distance (e.g., medialization/anteriorization/distalization). Under fluoroscopic guidance during the operation, it is repositioned and fixed with screws or plates, followed by irrigation and suturing. Postoperative monitoring includes pain, swelling, and neurovascular status. Quadriceps training and joint movement are gradually carried out, with the goal of correcting extensor alignment, reducing patellofemoral compression, and promoting bone healing. The above is general health information and not medical advice; specific information is subject to specialist assessment and hospital protocols.

How Tibial Tubercle Osteotomy (TTO) is performed

Recovery process

Step 1

Recovery and stay

Combined with preoperative assessment and postoperative follow-up, the overall stay is mostly 3–5 weeks; the specific arrangement is subject to the hospital schedule.

Recovery and stay

Request a free evaluation

Tell us about your Chondromalacia Patellae case and we will help match you with the right hospital, specialist, and travel pathway.

Frequently asked questions

How do I get started?
Submit a free evaluation request with your diagnosis and records. The team reviews your case and suggests suitable next steps.
Do I need a visa to travel to China for treatment?
Many patients do. We can help explain what documents are normally needed for treatment travel planning.
Will there be a language barrier?
Medical interpretation can be arranged for consultations and treatment visits.
How much does treatment cost?
Costs depend on the procedure, hospital, and treatment pathway. A practical estimate is provided before travel.
What happens after I return home?
We can help coordinate remote follow-up and keep communication open with your care team.