2021 AOSSM-AANA Combined Annual Meeting Recordings-My Osteotomy is Unstable

Video Transcription

Video Summary

The video discusses the topic of unstable osteotomy in orthopedic procedures. The speaker addresses three important questions to consider: whether the osteotomy is truly unstable, if there is loss of fixation and/or correction, and the presence of a chronic lateral hinge fracture. The speaker refers to studies showing that lateral hinge fractures are common in about 20% of cases, but they generally heal on their own within three months with no difference in outcomes compared to cases without fractures. The speaker provides an algorithm for managing different scenarios, such as revising plates, debriding non-union, and using autograft for grafting. The overall message is to expect lateral hinge fractures, not to panic, and follow the suggested guidelines for good outcomes.

Asset Caption

Robert Hunter, MD

Keywords

unstable osteotomy

loss of fixation

correction

chronic lateral hinge fracture

orthopedic procedures