IC 304-2023: Technical Tips and Tricks for Knee Osteotomy-IC 304 - Technical Tips and Tricks for Knee Osteotomy (3/4)

IC 304 - Technical Tips and Tricks for Knee Osteotomy (3/4)

Video Transcription

Video Summary

In this video, the speaker discusses the importance of bony morphology in ACL deficient knees. They explain that the slope of the posterior tibia is a primary factor in ACL tears, as a higher slope increases strain on the ACL. The speaker emphasizes the correlation between the static anterior tibial translation and the slope, stating that reducing the slope can correct the translation. They discuss a surgical technique called the tibial deflection osteotomy, which involves making cuts in the tibia to reduce the slope. The speaker demonstrates the technique and discusses its benefits in preventing ACL re-rupture and improving patient outcomes. They also mention the importance of measuring the slope and translation accurately through weight-bearing X-rays and advise caution when performing the surgery for the first time. The speaker concludes that the osteotomy is a valuable tool in the treatment of ACL tears and can help stop the natural history of the injury.

Asset Caption

David Henri Dejour, MD

Keywords

bony morphology

ACL deficient knees

posterior tibia slope

tibial deflection osteotomy

ACL re-rupture