ABSTRACT
As a method to address patellofemoral pain, chondrosis, and malalignment, Fulkerson
introduced anteromedialization of the tibial tuberosity. Short-and intermediate-term
follow-up demonstrate efficacy. Patellofemoral cartilage lesion extent and region
analysis allows for refined indications to optimize results. This article reviews
the historical background, technique, results, and biomechanical rationale. The overview
will assist in optimally integrating the procedure in the treatment armamentarium
for patellofemoral disease.
