Joint Preservation Techniques for the Knee in 2023: The Utility of Biologics, Osteotomies and Cartilage Restoration Procedures (2023 Annual Meeting)-High Tibial Osteotomy in the Active Population

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Video Summary

Dr. Leah from NYU discusses the viability of osteotomies, specifically high tibial osteotomy (HTO) and distal femoral osteotomy (DFO), in active, high-level athletes aiming to return to sports. He presents cases including young athletes with severe joint issues and malalignments who successfully resumed competitive sports post-surgery. Benefits include fracture healing and less quadriceps shutdown, while challenges involve alignment changes and hardware complications. Data shows 74-77% return-to-sport rates after osteotomy. Advances in patient-specific osteotomies improve precision and recovery. Overall, with proper patient selection, counseling, and surgical technique, osteotomies can effectively prolong athletic careers and enable return to high-level sports.

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Michael Alaia, M.D.

Keywords

high tibial osteotomy

distal femoral osteotomy

return to sport

athlete joint malalignment

patient-specific osteotomy