2022
Coronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy
Gardner EC, Molho DA, Fulkerson JP. Coronal Malalignment—When and How to Perform a Tibial Tubercle Osteotomy. Clinics In Sports Medicine 2022, 41: 15-26. PMID: 34782071, DOI: 10.1016/j.csm.2021.07.008.Peer-Reviewed Original ResearchConceptsTibial tubercle osteotomyTubercle osteotomyCoronal malalignmentDistal realignment proceduresMultiplanar osteotomyArticular injuriesPatellofemoral jointJoint overloadRealignment proceduresOrthopaedic surgeonsMuscular factorsJoint biomechanicsOsteotomyPatient-specific treatmentComplex pathoanatomySoft tissueMalalignmentComplicationsPainSurgeryInjury
2019
An Updated Overview of the Anatomy and Function of the Proximal Medial Patellar Restraints (Medial Patellofemoral Ligament and the Medial Quadriceps Tendon Femoral Ligament)
Chahla J, Smigielski R, LaPrade RF, Fulkerson JP. An Updated Overview of the Anatomy and Function of the Proximal Medial Patellar Restraints (Medial Patellofemoral Ligament and the Medial Quadriceps Tendon Femoral Ligament). Sports Medicine And Arthroscopy Review 2019, 27: 136-142. PMID: 31688531, DOI: 10.1097/jsa.0000000000000252.Peer-Reviewed Original ResearchConceptsMedial patellofemoral ligamentMedial patellar restraintsLateral patellar translationLateral patellar displacementPrimary static restraintSoft tissue attachmentsExtensor mechanismPatellofemoral ligamentPatellar translationKnee flexionPatellar displacementStatic restraintsTissue attachmentLigamentCurrent knowledgeDrilling tunnelsUpdated overviewFlexionPatellaFifteen-Year Minimum Follow-Up of Anteromedial Tibial Tubercle Transfer for Lateral and/or Distal Patellofemoral Arthrosis
Klinge SA, Fulkerson JP. Fifteen-Year Minimum Follow-Up of Anteromedial Tibial Tubercle Transfer for Lateral and/or Distal Patellofemoral Arthrosis. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2019, 35: 2146-2151. PMID: 31272635, DOI: 10.1016/j.arthro.2019.02.030.Peer-Reviewed Original ResearchConceptsAnteromedial tibial tubercle transferTibial tubercle transferTherapeutic case seriesTubercle transferPatellofemoral arthrosisCase seriesInclusion criteriaPatellar instabilityAdditional proceduresAverage pain scorePatients' subjective evaluationRemoval of hardwareMedial patellar subluxationLateral patellar instabilitySeverity of arthrosisMedial patellar facetRetropatellar painMinimum followPain scoresJoint preservationFacet arthrosisMean ageGrade IArthroplasty proceduresLevel IV
2017
Patellofemoral Contact Pressures After Patellar Distalization: A Biomechanical Study
Yang JS, Fulkerson JP, Obopilwe E, Voss A, Divenere J, Mazzocca AD, Edgar CM. Patellofemoral Contact Pressures After Patellar Distalization: A Biomechanical Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2017, 33: 2038-2044. PMID: 28844344, DOI: 10.1016/j.arthro.2017.06.043.Peer-Reviewed Original ResearchConceptsPatellofemoral contact pressureBlackburne-Peel ratioLateral releaseEarly flexionPatella bajaNative kneeTibial tubercle distalizationWeighted pulley systemFresh-frozen cadaveric kneesIliotibial bandMedial trochleaCadaveric kneesLateral trochleaFlexionKneeBiomechanical studyDistalizationPressure-sensitive filmOsteotomyTrochlea
2016
The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex
Tanaka MJ, Voss A, Fulkerson JP. The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex. Journal Of Bone And Joint Surgery 2016, 98: 1199-1205. PMID: 27440568, DOI: 10.2106/jbjs.15.01182.Peer-Reviewed Original Research
2009
Patellar instability.
Redziniak DE, Diduch DR, Mihalko WM, Fulkerson JP, Novicoff WM, Sheibani-Rad S, Saleh KJ. Patellar instability. Journal Of Bone And Joint Surgery 2009, 91: 2264-75. PMID: 19724006.Peer-Reviewed Original Research
2008
Patellofemoral joint preservation
Fulkerson J. Patellofemoral joint preservation. Knee Surgery, Sports Traumatology, Arthroscopy 2008, 17: 1-1. PMID: 18982309, DOI: 10.1007/s00167-008-0658-z.Peer-Reviewed Original ResearchAnteromedialization of the Tibial Tubercle for Patellofemoral Arthritis in Patients > 50 Years
Carofino B, Fulkerson J. Anteromedialization of the Tibial Tubercle for Patellofemoral Arthritis in Patients > 50 Years. The Journal Of Knee Surgery 2008, 21: 101-105. PMID: 18500060, DOI: 10.1055/s-0030-1247803.Peer-Reviewed Original ResearchConceptsActive older patientsPatellofemoral arthritisTibial tubercleLysholm scoreOlder patientsPostoperative Lysholm scoreDefinitive treatment optionPain scoresPoor outcomeRetrospective studyMean ageTreatment optionsPatellofemoral alignmentOuterbridge classificationSurgeon experienceInclusion criteriaPatientsMailed questionnaireArthritisAnteromedializationPhone surveyFollowup surveyScoresTubercleYears
2006
Patellofemoral Forces After Medial Patellofemoral Ligament Reconstruction – A Biomechanical Analysis
Bicos J, Carofino B, Andersen M, Schepsis A, Fulkerson J, Mazzocca A. Patellofemoral Forces After Medial Patellofemoral Ligament Reconstruction – A Biomechanical Analysis. The Journal Of Knee Surgery 2006, 19: 317-326. PMID: 17080655, DOI: 10.1055/s-0030-1248124.Peer-Reviewed Original ResearchResidual Strength of the Quadriceps Versus Patellar Tendon After Harvesting a Central Free Tendon Graft
Adams DJ, Mazzocca AD, Fulkerson JP. Residual Strength of the Quadriceps Versus Patellar Tendon After Harvesting a Central Free Tendon Graft. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2006, 22: 76-79. PMID: 16399465, DOI: 10.1016/j.arthro.2005.10.015.Peer-Reviewed Original ResearchConceptsFree tendon graftPatellar tendon graftTendon graftQuadriceps tendonPatellar tendonExtensor mechanismFree graftFree patellar tendon graftFree hamstring autograftQuadriceps tendon autograftKnee extensor mechanismAnterior cruciate ligamentTendon graft fixationUnpaired t-testTendon constructsHamstring autograftNative patellar tendonTendon autograftPostoperative rehabilitationReduced morbidityStrength deficitsCruciate ligamentGraft fixationGraftBone block
2005
Symposium
Saleh KJ, Arendt EA, Eldridge J, Fulkerson JP, Minas T, Mulhall KJ. Symposium. Journal Of Bone And Joint Surgery 2005, 87: 659-671. PMID: 15741637, DOI: 10.2106/jbjs.d.03035.Chapters
2002
Diagnosis and Treatment of Patients with Patellofemoral Pain
Fulkerson JP. Diagnosis and Treatment of Patients with Patellofemoral Pain. The American Journal Of Sports Medicine 2002, 30: 447-456. PMID: 12016090, DOI: 10.1177/03635465020300032501.ChaptersConceptsMost patientsPatellofemoral painAnteromedial tibial tubercle transferDefinitive corrective surgeryExternal rotator strengtheningAnterior knee painSpecific physical findingsTreatment of patientsMini-open approachPrecise physical examinationTibial tubercle transferNature of injuryMedial patellar subluxationEntire kinetic chainMinimal surgical interventionPatellar bracingPatellar tapingPathologic plicaKnee painNonoperative treatmentPostoperative patientsCorrective surgeryPainful scarSurgical interventionPhysical examination
1997
Correlation of Patellar Articular Lesions with Results from Anteromedial Tibial Tubercle Transfer
Pidoriano A, Weinstein R, Buuck D, Fulkerson J. Correlation of Patellar Articular Lesions with Results from Anteromedial Tibial Tubercle Transfer. The American Journal Of Sports Medicine 1997, 25: 533-537. PMID: 9240988, DOI: 10.1177/036354659702500417.Peer-Reviewed Original ResearchMeSH KeywordsActivities of Daily LivingAdolescentAdultCartilage DiseasesCartilage, ArticularDebridementFemaleFollow-Up StudiesHumansJoint DislocationsJoint InstabilityKnee JointMaleMiddle AgedOsteotomyPain MeasurementPatellaPatient SatisfactionRange of Motion, ArticularRecurrenceReoperationRetrospective StudiesSportsTibiaTreatment OutcomeWorkers' CompensationConceptsPatellar lesionsTibial tubercle transferArticular cartilage lesionsTrochlear lesionsTubercle transferArticular lesionsCartilage lesionsAnteromedial tibial tubercle transferType III lesionsType IV lesionsExcellent subjective resultsExcellent resultsRetrospective studyOperative reportsPatientsSatisfactory outcomeOuterbridge gradingWorkers' compensation issuesLesionsSignificant correlationType IIIPoor resultsOutcomesAnteromedializationType IFracture of the Proximal Tibia With immediate Weightbearing after a Fulkerson Osteotomy
Stetson W, Friedman M, Fulkerson J, Cheng M, Buuck D. Fracture of the Proximal Tibia With immediate Weightbearing after a Fulkerson Osteotomy. The American Journal Of Sports Medicine 1997, 25: 570-574. PMID: 9240993, DOI: 10.1177/036354659702500422.Peer-Reviewed Original ResearchConceptsPhysical therapy regimenTherapy regimenPartial weightbearingFulkerson osteotomyFull weightbearingProximal tibiaImmediate weightbearingRadiographic evidenceFracture incidenceTibial tubercleComplete healingOblique osteotomyAcceptable alignmentWeightbearingOsteotomyRegimenPatientsTibiaFracturesSeparate institutionsAnteromedializationIncidenceAngulationWeeks
1992
Distal Realignment of the Patellofemoral Joint Indications, Effects, Results, and Recommendations
Post W, Fulkerson J. Distal Realignment of the Patellofemoral Joint Indications, Effects, Results, and Recommendations. Orthopedic Clinics Of North America 1992, 23: 631-643. PMID: 1408046, DOI: 10.1016/s0030-5898(20)31777-6.Peer-Reviewed Original ResearchConceptsAnteromedial tibial tubercle transferDistal realignment proceduresMeticulous surgical techniqueTibial tubercle transferDistal realignmentOperative treatmentPhysical examinationThorough historyPatellofemoral malalignmentTubercle transferSurgical techniqueEffective treatmentRealignment proceduresPrecise diagnosisMaximal benefitLower ratesTreatmentSpecific patternsComplicationsMalalignmentDiagnosisPreoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release
Shea K, Fulkerson J. Preoperative computed tomography scanning and arthroscopy in predicting outcome after lateral retinacular release. Arthroscopy The Journal Of Arthroscopic And Related Surgery 1992, 8: 327-334. PMID: 1418204, DOI: 10.1016/0749-8063(92)90063-h.Peer-Reviewed Original ResearchConceptsLateral retinacular releaseRetinacular releaseCT scanGroup BPatellar tiltGroup ALateral releaseGroup CAnterior knee painComputed tomography scanLateral patellar tiltOpen lateral releaseIntraoperative arthroscopic findingsKnee painNonoperative treatmentConservative treatmentKnee patientsPainful kneeLateral subluxationTomography scanArticular degenerationArthroscopic findingsPatientsAdvanced changesTomography scanning
1991
Operative management of patellofemoral pain.
Fulkerson J. Operative management of patellofemoral pain. Scandinavian Journal Of Surgery 1991, 80: 224-9. PMID: 1897892.ChaptersConceptsPatellofemoral painTibial tubercleLateral releaseOblique osteotomyNon-operative measuresBasic surgical proceduresPatellar articular surfaceMedial imbricationMost patientsSurgical treatmentOperative managementAnterior displacementArticular degenerationDistal proceduresSurgical proceduresAdequate treatmentBone graftMetaphyseal bonePainSpecific disordersMechanical disordersArticular surfacePatientsOsteotomyDisorders
1990
Disorders of patellofemoral alignment.
Fulkerson J, Shea K. Disorders of patellofemoral alignment. Journal Of Bone And Joint Surgery 1990, 72: 1424-9. PMID: 2229126, DOI: 10.2106/00004623-199072090-00027.Peer-Reviewed Reviews, Practice Guidelines, Standards, and Consensus StatementsAnteromedial tibial tubercle transfer without bone graft
Fulkerson J, Becker G, Meaney J, Miranda M, Folcik M. Anteromedial tibial tubercle transfer without bone graft. The American Journal Of Sports Medicine 1990, 18: 490-497. PMID: 2252090, DOI: 10.1177/036354659001800508.Peer-Reviewed Original ResearchConceptsAnteromedial tibial tubercle transferTibial tubercle transferTubercle transferArticular degenerationPostoperative continuous passive motionIncidence of stiffnessPersistent patellofemoral painPatellofemoral contact stressContinuous passive motionExcellent resultsFacet pressureCompartment syndromeIntractable painPatellofemoral painSerious complicationsConsecutive casesPatellar malalignmentSkin sloughSurgical proceduresPatientsBone graftPassive motionPainDegenerationLevel of activityCollagen biosynthesis in rabbit intraarticular patellar tendon transplants
Fulkerson J, Berke A, Parthasarathy N. Collagen biosynthesis in rabbit intraarticular patellar tendon transplants. The American Journal Of Sports Medicine 1990, 18: 249-253. PMID: 2372073, DOI: 10.1177/036354659001800305.Peer-Reviewed Original ResearchConceptsTendon graftTendon transplantsCollagen synthesisAutogenous patellar tendon graftNew Zealand white adult rabbitsRabbit kneesPatellar tendon graftTime of transplantationTendon transferHistologic changesGraftAdult rabbitsTransplantationKneeConnective tissueControl levelsCollagen contentTransplantNature of collagenCollagen typesFree fragmentsVascularizationCollagen biosynthesisCollagenSynovium