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Ankle Hip Knee Shoulder Spine

Tibial Tubercle Osteotomy (TTO)

The tibial tubercle is the bump on the front of the shinbone where the patellar tendon attaches. In a TTO, this area is surgically repositioned to improve kneecap alignment and reduce pain.

This procedure is commonly used for recurrent kneecap dislocations, patellar instability, or cartilage damage behind the kneecap. By restoring alignment, it improves stability and function in the knee.

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What Our Patients Have To Say

At Onyx Spine & Orthopedic Institute, every patient’s experience matters. From expert care to compassionate support, hear how our team has helped individuals and families feel seen, heard, and truly cared for.

From the very first appointment, Dr. Minges was very honest and forthcoming and wasted no time. Considering I have previously had a lumbar fusion, which was very serious after deciding on treatment, and ultimately having another operation. He cleaned up everything from the first operation, fixed the new issue, and rebuilt the cage around my spine. Within 24 hours of being home from the hospital, I was off all medications, had zero side effects, and zero complications. I would 100% absolutely recommend Dr. Minges!

Satisfied Lumbar Fusion Patient

Had bulging disc in lower back. Pain rating was very high when it started. With Dr. Minges' help, I am back to doing what I was able to do prior to my injury with minimal to no pain. Really appreciate all that he has done to help me continue doing the things I love.

Satisfied Bulging Disc Patient

Dr. Minges was very straightforward and understanding.

Satisfied Patient with Dr. Minges

I'm walking again! Dr. Minges and his staff were great — very professional and took great care of me.

Satisfied Patient with Dr. Minges

Dr. Minges and his staff were very caring and listened to any information and concerns I had. Staff have always been super friendly and made sure all paperwork was in order. Dr. Minges listened to all of my concerns and gave a very solid treatment plan for my issues.

Satisfied Patient with Dr. Minges

Excellent care from both Dr. Minges and his team all the time - they listen, they’re thorough, always with wonderful bedside manner, even with my complicated case. They performed the big surgery I needed and did it well. Will always recommend.

Satisfied Surgical Patient with Dr. Minges

Contact Us

Onyx is accepting new referrals. Please fill out the form below or call us with your referral information. Patient inquiries can be directed to us by phone.

Phone: (314) 266-2066

Fax: (314) 266-2069

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