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) (4/5)

IC 203 - High Tibial Osteotomy: How to Get it Right and Avoid Complications (Case based lecture) (4/5)

Video Transcription

Video Summary

In this video, the speaker discusses the importance of getting high tibial osteotomy (HTO) right and avoiding complications. They explain that osteotomy has been an international solution but emphasizes the need to broaden the scope and make it a powerful American solution as well. The speaker focuses on the alignment of the joint as the main pillar before considering other factors like biology, cartilage, and meniscus. They also highlight the success of HTO in returning higher level duty for highly active populations. The speaker shares data from a database study, which shows that when alignment is fixed along with joint preservation and cartilage restoration, there is a reduced risk of reoperation and similar overall costs in the long term. They discuss different considerations for HTO, including patient factors, types of osteotomies, and potential complications. The speaker also mentions the use of patient-specific instrumentation (PSI) and notes that learning how to create and template the osteotomy is a useful exercise. Overall, they express excitement for the future of osteotomy and stress the importance of continuous learning and staying updated with the latest techniques and innovations in the field.

Asset Caption

Seth Sherman, MD

Keywords

high tibial osteotomy

complications

alignment

joint preservation

reoperation risk

patient-specific instrumentation