2021 Annual Meeting Knee Access Pass-Questions and Answers: Osteotomy of the Knee: The ISAKOS Perspective

Questions and Answers: Osteotomy of the Knee: The ISAKOS Perspective

Video Transcription

Video Summary

Experts discussed valgus knee osteotomy, emphasizing deformity-specific corrections—typically distal femoral for valgus and proximal tibial for varus—guided by precise deformity planning using advanced imaging and patient-specific tools. They highlighted concerns over joint line obliquity, lateral compartment issues, and soft tissue balance. New techniques enable tailored corrections, including combined and double-level osteotomies. The panel also touched on lateral extra-articular reconstruction, the role of tibial slope in ACL revisions, and considerations for pediatric growth plates. The consensus underscored individualized treatment planning, integration of imaging, and cautious correction to optimize outcomes and maintain joint function.

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Robert Duerr, MD; Seth Sherman, MD; Jeffrey Macalena, MD; Elizabeth Arendt, MD; Alan Getgood, MD, FRCS (Tr&Orth)

Keywords

valgus knee osteotomy

distal femoral correction

proximal tibial correction

joint line obliquity

patient-specific deformity planning