Barrett S. Brown, MD

7401 Main St, Houston, TX 77030

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Tibial Tubercle Osteotomy (TTO) Surgery in Houston, TX

If your kneecap frequently gives way or dislocates despite therapy or bracing, the problem may be due to the alignment of your joint. Tibial tubercle osteotomy (TTO) is an advanced surgical option offered by Dr. Brown that can help restore proper knee joint movement, supporting a safe return to everyday activity and sports. Scheduling a consultation with Dr. Brown can determine whether realignment surgery is the right solution for you.

Call Now : (346) 247-2531

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    What Is Tibial Tubercle Osteotomy?

     

    Tibial tubercle osteotomy is a surgical procedure that corrects how the kneecap (patella) tracks during movement. 

    During the surgery, Dr. Brown will carefully cut the bump on the shin bone where the patellar tendon attaches and gently shift it to a better position. By shifting this attachment point to a more optimal location, the kneecap moves more smoothly along its natural groove, reducing patellar instability. 

    For patients with repeated instability, osteotomy knee surgery offers a long-term solution, often permanently fixing alignment issues. As with any surgery, there are risks, which Dr. Brown will discuss in detail with you at your consultation.

    Tibial Tubercle Osteotomy Surgery

    Who Should Get Tibial Tubercle Osteotomy?

    This surgery is often recommended for patients who suffer from recurrent patellar dislocations or chronic instability, where their knee frequently gives way. While some issues can be managed with bracing or physical therapy, structural misalignment may require surgical correction. In many cases, surgery is necessary to prevent further cartilage damage. 

    Certain conditions make TTO particularly beneficial. These include patellar maltracking, a high-riding kneecap (patella alta), an abnormal TT-TG distance or early patellofemoral arthritis caused by uneven pressure on the joint. 

    Tibial Tubercle Osteotomy Surgery and Recovery

    Dr. Brown will follow a carefully structured approach when conducting TTO surgery. First, he’ll use an arthroscope to access your knee. Then, the bone is cut and repositioned into a more stable alignment. Finally, it is secured using surgical screws to allow the bone to heal in its new position. 

    Recovery is gradual:

    • The first six weeks: Use weight-bearing crutches and a brace while the bone heals in place.

    • Between three and six months: Begin physical therapy and guided strengthening to return to low-impact activities.
    • Six months and beyond: Increase to high-impact sports or demanding activity as recovery permits. 

    Physical therapy is crucial for a successful outcome, restoring strength, mobility and neuromuscular control. 

    Questions About Tibial Tubercle Osteotomy (TTO) Surgery?

    Call Now : (346) 247-2531
    Request An Appointment

    Meet Your Houston Orthopedic Knee Specialist

    Dr. Barrett S. Brown is a specialist in knee preservation and part of Fondren Orthopedic Group. He has over 18 years of experience treating patients, utilizing his expert knowledge to perform advanced realignment techniques that minimize soft-tissue trauma and prioritize long-term joint health.

    He ensures every patient understands why their knee is in pain and how the surgery fixes the root cause. When you choose Dr. Brown for TTO surgery in Houston, you receive expert evaluation, precise surgical care and a personalized recovery plan. 

    What Our Patients Are Saying

    From appointment scheduling, receptionist, nurse, xray to Dr. Barrett Brown, all friendly and professional. Thank God that Dr. Brown wants to try physical therapy instead of jumping to surgery. I am well pleased!!
    Shelia Briggs

    Shelia Briggs

    Dr Brown was very professional and explained everything. He helped me with decisions of my care. Highly recommend him.
    Cathy Arroyo

    Cathy Arroyo

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    Dr. Barrett Brown is a very fine physician. He is also a friend. While he is a surgeon he said this about my horribly painful shoulder. First we will try an injection performed by our specialist using ultra sound. (It was painless.) If that does not relieve your pain we will do a cat scan to evaluate the rotator cuff.
    Lynn Russell

    Lynn Russell

    Highly recommend Dr Brown!!! He took time to answer all questions without rushing. I called his office in severe pain and received the in- office MRI and Dr appt the next day then Dr Brown explained my condition and I was booked for surgery with their on-site hospital days later. The surgery went great and I was treated great by all staff. They have valet service as well. Thanks Dr Brown and all staff!!!
    Kimberley Gomez

    Kimberley Gomez

    I had the best experience with Doctor Brown and staff They are so Thorough and nice. He did amazing job on my shoulder I would recommend him And his staff any day thank you so much Doctor Brown.
    Karen Larocca

    Karen Larocca

    I had a rotator cuff repair with Dr. Brown. Everyone at this hospital from the registration staff, pre-op nurse, surgery staff, recovery room nurse, the anesthesiologist, and of course, the surgeon, Dr. Brown were all professional and caring.
    Mary Isern

    Mary Isern

    I have, unfortunately, been a frequent visitor to the Fondren Orthopedic clinic as I cannot seem to stay on my feet 😅. My most recent experience with Dr. Brown has been nothing short of excellent. From the initial exam to surgery and then the follow up and discussion of how I am healing have been extremely thorough and communication has been a 10. I would definitely recommend.
    Jenna Hunter

    Jenna Hunter

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    Schedule Your TTO Consultation in Houston

    Take the next step to stable movement. If ongoing patellar instability is affecting your quality of life, a comprehensive assessment can determine whether TTO is the right solution for you. 

    Call our office at 346-247-2531 to schedule your consultation today, or use our online booking form. We’re here to help you move forward with clarity and confidence.