AOSSM 2023 Annual Meeting Recordings no CME-When to Add Derotation Osteotomy and the Various Techniques

When to Add Derotation Osteotomy and the Various Techniques

Video Transcription

Video Summary

In the video, the speaker discusses the challenges and considerations in treating patellofemoral instability. They emphasize the importance of evaluating patients for malalignment and rotational abnormalities, including valgus and a scissoring-type gait. The speaker highlights the limitations of using the MPFL alone and stresses the need to correct bony malalignment and add soft tissue stabilization. They discuss the significance of the jumping J sign and flexion apprehension in identifying patients who require further intervention. The speaker mentions the use of various imaging techniques, such as MRI and CT, to assess rotational profiles and suggests that machine learning and artificial intelligence may play a role in the future. They also touch on surgical approaches, including femoral and tibial osteotomies, and the use of patient-specific 3D printed models for precise planning. The speaker concludes by emphasizing the importance of not ignoring extremes of femoral antiversion and discussing their personal experience with comprehensive approaches to address patellofemoral instability.

Asset Caption

Seth Sherman, MD

Keywords

patellofemoral instability

malalignment

rotational abnormalities

soft tissue stabilization

jumping J sign