IC 302-2023: My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice.-IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (1/4)

IC 302 - My Worst Day in the Operating Room - Navigating Challenges and Complications Associated with Arthroscopic Knee Surgery, and How it has Changed my Practice. (1/4)

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Video Transcription

Video Summary

In this video, a surgeon discusses a case study of a 30-year-old male recreational basketball player who had previously undergone ACL, hamstring autograft, and postrolateral meniscectomy surgery. The patient had been experiencing instability and pain, and the surgeon determined that he needed a correction surgery due to acquired malalignment and post-meniscectomy arthritis in the lateral compartment. The surgeon presents pre-operative images and MRIs, discussing the patient's condition and potential treatment options. The surgeon explains that he planned for a medial closing wedge osteotomy and staged ACL revision using the same tunnels. However, during the surgery, a hinge fracture occurred and the plate did not provide sufficient stability. The surgeon discusses the complications and decisions made, including the use of pins and a laterally-placed plate to address the fracture. The surgeon also highlights changes made in subsequent surgeries to prevent similar complications. The patient ultimately healed and underwent successful surgery on his other knee. The surgeon concludes by sharing findings from a systematic review on the survivorship and complications of lateral opening wedge osteotomies.

Asset Caption

Travis Maak, MD

Keywords

surgeon

case study

ACL surgery

complications

osteotomy