2021 Annual Meeting Knee Access Pass-My Osteotomy is Unstable

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