2024 AOSSM Annual Meeting Recordings NON-CME-Concurrent Session A Osteotomy

Video Transcription

Video Summary

This summary captures the essence of the given transcript:<br /><br />The session on distal femoral osteotomy (DFO) and high tibial osteotomy (HTO) focused on patient outcomes in high-level athletes. The presenting doctors disclosed their affiliations and thanked collaborators from NYU and the Stedman Clinic. They discussed the variable success rates of these osteotomies, specifically in high-level athletes (Tegner score ≥5), an area less studied compared to procedures like ACL reconstruction. The primary objective was to evaluate patient satisfaction and return to sport metrics post-surgery. <br /><br />The study analyzed 80 patients, with 60 undergoing HTO and 20 DFO, following strict inclusion criteria. Findings indicated significant improvements in Tegner scores and about 60% symptom resolution. Approximately 75% of patients would repeat the procedure, and 50% returned to sports, with 63% reaching peak pre-injury levels. Subgroup analysis of more elite athletes (Tegner >7) showed similar improvements and satisfaction rates, with around 50% returning to play. <br /><br />Concomitant procedures, which included ACL reconstruction and meniscus transplant, did not significantly affect outcomes. Complications were minimal, mainly involving infections or stiffness, with an 11% overall complication rate. The speakers emphasized the importance of patient counseling, suggesting osteotomies as lifestyle procedures for quality of life improvements despite variable sports return rates. Future studies aim to examine factors leading to surgical failure.<br /><br />Further presentations explored leg length changes following different DFO techniques and tibial slope variations in osteotomies, highlighting the precision of newer planning tools and techniques to optimize outcomes. The panel discussed nuanced case scenarios involving high tibial slopes, showing a preference for tailored approaches depending on patient-specific factors and underlining the complexity and evolving nature of osteotomy procedures.

Asset Caption

3:25 pm - 4:25 pm

Meta Tag

Concept High Tibial Osteotomy

Concept Distal Femoral Osteotomy

Concept Tibial Slope

Concept Supratubercle Anterior Closing Wedge Osteotomy

Concept Return to Sport

Speaker Rachel M. Frank, MD

Speaker Armando F. Vidal, MD

Speaker Michael Alaia, MD

Speaker Adam B. Yanke, MD, PhD

Speaker Richard Amendola, MD

Speaker Nicholas I. Kennedy, MD

Speaker Alfred A. Mansour, III, MD

Speaker Anil S. Ranawat, MD

Speaker Travis G. Maak, MD

Speaker Alan M. Getgood, MD, FRCS

Speaker Walter R. Lowe, MD

Speaker Volker Musahl, MD

Speaker Bertrand Sonnery-Cottet, MD, PhD

Keywords

Rachel M. Frank, MD

Armando F. Vidal, MD

Michael Alaia, MD

Adam B. Yanke, MD, PhD

Richard Amendola, MD

Nicholas I. Kennedy, MD

Alfred A. Mansour, III, MD

Anil S. Ranawat, MD

Travis G. Maak, MD

Alan M. Getgood, MD, FRCS

Walter R. Lowe, MD

Volker Musahl, MD

Bertrand Sonnery-Cottet, MD, PhD

distal femoral osteotomy

high tibial osteotomy

patient outcomes

high-level athletes

Tegner score

return to sport

concomitant procedures

complication rate

patient counseling

osteotomy techniques

High Tibial Osteotomy

Distal Femoral Osteotomy

Tibial Slope

Supratubercle Anterior Closing Wedge Osteotomy

Return to Sport