Table 2.

Pearls and Pitfalls of Tibial Tubercle Osteotomy With Distalization

Pearls	Pitfalls
Aim distally for optimal screw fixation	Distal screws can cut out laterally if you are not careful
Have both 4.5-mm and 3.5-mm fully threaded screws available as well as washers, as shingles may be small	Avoid debridement as fat pad scarring can occur
	Avoid neurovascular bundle posteriorly