2021 Annual Meeting Knee Access Pass-My Osteotomy is Unstable

Video Transcription

Video Summary

The speaker discusses managing unstable osteotomies, focusing on three key questions: Is it truly unstable? Has fixation or correction been lost? Is there a chronic lateral hinge fracture? Lateral hinge fractures occur in about 20-25% of medial opening wedge osteotomies but typically heal within three months without impacting outcomes. Immediate panic is unnecessary; delayed weight-bearing and x-ray monitoring suffice initially. If there's loss of fixation/correction with a lateral hinge fracture, revision with medial and lateral plating, aggressive debridement, and autograft grafting is needed. The speaker emphasizes thorough debridement and grafting in all cases for good outcomes.

Asset Caption

Dr. Robert Hunter

Keywords

unstable osteotomies

lateral hinge fracture

medial opening wedge osteotomy

fixation loss

revision surgery