Recorded Surgical Demonstrations - AOSSM/POSNA Pediatric Surgical Skills Course-8. TTO

Video Transcription

Video Summary

In this video, Dr. Todd Lawrence from CHOP and Dr. Chetal Parikh from Cincinnati demonstrate their version of the tibiotubular osteotomy for patella-femoral instability. They begin by dissecting the area and releasing the anterior compartment fascia. They highlight the importance of cautery to control bleeding from the vessels in the area. They then identify the borders of the patellar tendon and make incisions to define these borders further. They use a guide system to set the rotation for their osteotomy and make cuts on the tibia using osteotomes. They discuss the length and depth of the osteotomy, focusing on the anterior cortex and avoiding stress risers. They demonstrate the use of screws for fixation and the use of demineralized bone matrix for added stability and healing. They also show how to remove sharp edges of the osteotomy and explain the technique for distalization, depending on the desired amount of movement. Overall, they provide tips and tricks for successful tibiotubular osteotomy.<br /><br />Credit: This video features Dr. Todd Lawrence from CHOP and Dr. Chetal Parikh from Cincinnati.

Keywords

tibiotubular osteotomy

patella-femoral instability

dissection

cautery

patellar tendon

osteotomy

fixation