IC 205-2024: Technical Tips and Tricks for Knee Osteotomy-IC205_Technical Tips and Tricks for Knee Osteotomy

Video Transcription

Video Summary

A medical conference session focused on knee osteotomy, hosted in Denver, featured a panel of orthopedic surgeons presenting their insights and techniques on various types of osteotomies. The session began with introductory remarks emphasizing the importance of starting discussions on time and appreciating the attendees' presence. Anil Ranawat from New York delivered a talk on medial opening wedge osteotomy, elucidating his affection for this joint-preserving surgery and detailing his preferred techniques, including the use of PSI (Patient-Specific Instrumentation).<br /><br />David Dijour from Lyon presented on the significance of tibial slope in ACL (anterior cruciate ligament) tears and advocated deflection osteotomy to protect the graft and reduce shear forces responsible for graft failure. He shared detailed procedural steps and highlighted criteria like slope measurement and meniscus status for deciding when to perform such osteotomies.<br /><br />Al Getgood from London, Ontario expounded on distal femoral osteotomy (DFO). He presented a comparison between lateral opening wedge and medial closing wedge approaches, favoring the latter for its stability and reduced hardware issues. He also stressed the importance of precise deformity analysis using digital tools for better surgical outcomes.<br /><br />Stefano Safranini from Bologna gave insights into closing wedge high tibial osteotomy. He discussed its advantages in various cases, such as advanced osteoarthritis or previous meniscectomy, and shared his technique for isolating the peroneal nerve to prevent injury during surgery.<br /><br />The session included interactive case discussions where panelists deliberated on complex cases involving young and active patients with various knee deformities and failed ACL reconstructions. They emphasized the individualized approach to choosing between osteotomy, uni-compartmental knee arthroplasty, and other interventions based on the patient's specific needs and conditions.<br /><br />The forum concluded with expressions of gratitude towards the panelists and an invitation for attendee feedback to refine future sessions. Attendees appreciated the detailed presentations, case studies, and the opportunity for hands-on learning from experienced surgeons.

Keywords

knee osteotomy

orthopedic surgeons

medial opening wedge osteotomy

tibial slope

ACL tears

deflection osteotomy

distal femoral osteotomy

lateral opening wedge

medial closing wedge

high tibial osteotomy

case discussions

surgical techniques