2021 Annual Meeting Knee Access Pass-Performing an Opening Wedge Osteotomy, I See a Hinge Fracture: What Now?

Performing an Opening Wedge Osteotomy, I See a Hinge Fracture: What Now?

Video Transcription

Video Summary

In this video, the speaker discusses the topic of hinge fractures in opening wedge osteotomies. They highlight that hinge fractures can lead to instability at the osteotomy and loss of correction. The speaker refers to a systematic review that shows hinge fractures occurred more frequently than expected. They provide technical pearls for recognizing hinge fractures, such as having a high index of suspicion and careful evaluation of intraoperative fluoroscopy. The speaker also discusses different types of hinge fractures and provides techniques for prevention and treatment. They emphasize the importance of prevention and completing the anterior and posterior cortical cuts. Other considerations mentioned include the use of specific plates and pilot holes. The speaker also shares specific case examples to illustrate their points. The video ends with a Q&A session. No credits were mentioned in the video.

Asset Caption

Dr. Robert Duerr

Keywords

hinge fractures

opening wedge osteotomies

instability

systematic review

prevention