Surgical Skills Masters Course: Osteotomies Around the Knee presented by AOSSM and ISAKOS-Session V: Patellofemoral Joint

Video Transcription

Video Summary

The video focuses on a case study of a 17-year-old girl with chronic patellofemoral pain and rotational issues. The physical examination reveals specific alignment and rotation problems, with imaging confirming a 45-degree external rotation on the left tibia. The recommended treatment plan involves an osteotomy to internally rotate the left tibia and correct the deformity, with fixation using screws. The goal of the surgery is to improve pain and functional stability in the patellofemoral joint. The consensus among the tables is that the patient should undergo surgery and have the tibia internally rotated, although the choice of osteotomy technique and fixation varies. The importance of assessing healing and tailoring a rehabilitation protocol for each patient is highlighted.<br /><br />The video also discusses the importance of accurately diagnosing and distinguishing rotational deformities, such as rotation, torsion, and version, in patients. Various rotational osteotomies are discussed, including femoral external rotation osteotomy and tibial internal rotation osteotomy. The speaker emphasizes the need for careful analysis of the deformity and individualized treatment based on the patient's specific needs. The patellofemoral aspect is also considered in these cases.<br /><br />The video demonstrates the technique for performing the osteotomies, showcasing the use of shunt screws and the significance of preserving the superficial branch of the common peroneal nerve during tibial osteotomies. The speaker concludes by emphasizing the importance of a comprehensive approach to rotational deformities, emphasizing accurate preoperative analysis and patient selection as crucial factors.

Keywords

chronic patellofemoral pain

rotational issues

alignment problems

rotation problems

45-degree external rotation

osteotomy

internal rotation

deformity correction

fixation with screws

pain improvement

functional stability

diagnosing rotational deformities

femoral external rotation osteotomy

tibial internal rotation osteotomy

shunt screws