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OasisLMS
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2021 Annual Meeting Knee Access Pass
My Osteotomy is Unstable
My Osteotomy is Unstable
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Video Transcription
Video Summary
The video discusses the management of an unstable osteotomy, focusing on three key questions: Is it really unstable? Have I lost fixation and/or correction? Is there a chronic lateral hinge fracture? The speaker refers to studies that show a 20% incidence of lateral hinge fractures in proximal tibial osteotomies, but reassures that most of these fractures will heal with time. The video also presents an algorithm for addressing different scenarios, recommending revision with a medial plate, adding a lateral plate for stabilization if there is a lateral hinge fracture, and performing aggressive debridement and bone grafting. The speaker emphasizes the importance of debridement and mentions AutoGraft as a commonly used grafting material. Overall, following the provided guidelines leads to positive outcomes.
Asset Caption
Dr. Robert Hunter
Keywords
unstable osteotomy
fixation loss
correction loss
chronic lateral hinge fracture
proximal tibial osteotomy
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