IC 09-2025 Knee Osteotomy (CME)-IC 09-2025 Knee Osteotomy (CME)

Video Transcription

Video Summary

The video transcript recounts a detailed orthopedic roundtable focusing on four clinical cases involving complex knee deformities and surgeries. Faculty experts from various institutions and countries facilitate group discussions emphasizing practical decision-making over lectures. Key topics include assessing knee alignment using long-leg x-rays, measuring angles (MPTA, MLGFA, GLCA), and interpreting clinical exams to differentiate wear versus constitutional deformities. The first case involves a 40-year-old with prior osteochondral allograft and varus deformity; discussions highlight planning high tibial osteotomy (HTO) correction angles and debating medial opening versus lateral closing wedge techniques without bone grafting for small corrections. The second case presents a 21-year-old with lateral knee issues and meniscus transplant history, considering distal femur osteotomy choice and staging meniscus revision. The third, a 45-year-old with severe varus and PCL deficiency, prompts debates on isolated versus double-level osteotomy and when total knee arthroplasty is appropriate, factoring in patient health and alignment complexity. The final case discusses revision ACL with high posterior tibial slope, exploring indications and techniques for slope-reducing osteotomy (supra- vs infratuberosity), measurement methods, and use of patient-specific instrumentation. Throughout, the importance of individualized planning, precise imaging, clinical context, and open discussion about evolving surgical strategies is emphasized to optimize outcomes in complex knee realignment and reconstruction cases.

Keywords

orthopedic roundtable

knee deformities

high tibial osteotomy

distal femur osteotomy

meniscus transplant

posterior cruciate ligament deficiency

total knee arthroplasty

slope-reducing osteotomy

patient-specific instrumentation