IC 203-2023: High Tibial Osteotomy: How to Get it Right and Avoid Complications (Case based lecture)-IC 203 - High Tibial Osteotomy: How to Get it Right and Avoid Complications (Case based lecture) (3/5)

IC 203 - High Tibial Osteotomy: How to Get it Right and Avoid Complications (Case based lecture) (3/5)

Video Transcription

Video Summary

In this video, the speaker discusses tibial osteotomy and when a dual-level osteotomy may be necessary. They highlight the importance of planning and understanding the limitations of single-level osteotomy. Factors to consider include the correction needed, hinge access, deformity location, and slope correction. Joint line obliquity is also discussed as a challenge in achieving a straight leg and parallel joint line. The speaker presents two cases to illustrate their points, one with a valgus deformity and another with ACL deficiency and medial compartment failure. They demonstrate the use of preoperative planning and patient-specific instruments (PSI) to achieve the desired corrections. The incidence of complications in the speaker's practice is mentioned with examples such as wound complications, compartment syndrome, interarticular fractures, and non-unions. The importance of minimizing complications through careful planning, being aware of previous incisions, understanding hinge access, and attention to detail is highlighted.

Asset Caption

Armando Vidal, MD

Keywords

tibial osteotomy

dual-level osteotomy

single-level osteotomy limitations

joint line obliquity

preoperative planning