Treating the Younger Degenerative Knee From Osteotomy to Arthroplasty (AANA22)-Assessing and Managing Complications of Osteotomy

Video Transcription

Video Summary

In this video, a speaker discusses complications that can occur during osteotomy procedures. They highlight the importance of picking the right type of osteotomy, such as a medial opening wedge osteotomy, and using locking plate systems for fixation. The speaker also shares their approach to handling the soft tissues during the procedure, including cutting the superficial MCL and using a retractor for protection. They discuss the importance of grafting and share their preference for using structural grafts and DBX. The speaker mentions potential complications such as patella baja, increased posterior slope, hinge instability, fractures into the tibial plateau, non-union, and the impact of HTO on subsequent arthroplasty. The speaker emphasizes the importance of awareness and proper technique to avoid complications and promotes the use of osteotomy as a great procedure for patients with early OA.

Asset Caption

Andreas H. Gomoll, M.D.

Keywords

osteotomy complications

medial opening wedge osteotomy

locking plate systems

soft tissue handling

grafting techniques

potential complications