Surgical Skills Masters Course: Osteotomies Around the Knee presented by AOSSM and ISAKOS-Session III and IV: Tibial Slope and Ligament & Surgical Demonstrations

Video Transcription

Video Summary

The video content includes two main summaries:<br /><br />1. The first summary focuses on a patient with a tibial slope deformity caused by a kite surfing accident. Several surgeons recommend a total knee arthroplasty (TKA), but the presenter suggests an asymmetric opening wedge osteotomy to correct the deformity. The presentation describes the recommended procedure, including increasing the posterior tibial slope with a larger correction on the lateral side, performing a tubercle osteotomy without changing the position of the patella, and fixing the osteotomy with plates or considering a Taylor spatial frame. The importance of customizing the treatment plan based on the patient's clinical presentation is also emphasized. Credits for this summary go to the presenter.<br /><br />2. The second summary focuses on various techniques and considerations for performing tibial tubercle osteotomy. Surgeons demonstrate different methods for making cuts, including the use of a saw or osteotome, and discuss the importance of exposing the extensor mechanism and planning the cuts based on factors like patellar height and slope correction. Fixation methods such as staples or plates are also discussed. Considerations for choosing between supra or infratibular tubercle osteotomy, as well as slope-reducing or slope-increasing techniques, are explored. This summary does not specify individual credits, but credits for the overall video content go to the surgeons demonstrating the techniques and discussing the considerations.

Keywords

tibial slope deformity

kite surfing accident

total knee arthroplasty

asymmetric opening wedge osteotomy

posterior tibial slope

lateral side

tubercle osteotomy

patella position

plates

Taylor spatial frame

customizing treatment plan

techniques

cuts

extensor mechanism

fixation methods