Surgical Skills Masters Course: Osteotomies Around the Knee presented by AOSSM and ISAKOS-Pre-Recorded Content: Common Complications of Osteotomy and How to Avoid Them presented by David A Parker

Pre-Recorded Content: Common Complications of Osteotomy and How to Avoid Them presented by David A Parker

Video Transcription

Video Summary

The talk highlights common complications of osteotomy surgery and discusses how to avoid them. General surgical complications such as anesthesia complications, deep vein thrombosis (DVT), pulmonary embolism, infection, and regional pain syndromes are mentioned. Specific complications related to osteotomy include neurovascular injury, non-union, fracture, correction failure, issues with alignment loss, and implant failure. The speaker presents various studies that report different complication rates, emphasizing the importance of defining and categorizing complications accurately. Techniques for avoiding complications are discussed, including subpariosteal exposure, careful surgical technique, preserving the hinge, creating a complete osteotomy, avoiding excessive force, and using appropriate fixation. Furthermore, the talk addresses the implications of complications such as tibial slope and patella height changes, as well as the potential need for conversion to total knee replacement. The importance of patient selection, accurate planning, and delivery of the procedure is emphasized.

Keywords

osteotomy surgery

complications

neurovascular injury

implant failure

total knee replacement