Description
This is a transcript from a medical conference session dedicated to discussing complex knee pathologies and their management. The session, led by Alasdair Santini, covers various topics including total knee replacement in valgus knees, grading systems for knee deformities, surgical philosophies, and the management of bone loss in complex primary knee replacements.
Each speaker provides insight into their particular areas of expertise. For instance, Alasdair discusses the detailed classification of valgus knees, the various surgical strategies employed to correct these deformities, including the types of releases that may be necessary, such as lateral collateral ligament release, and considerations for different types of knee implants based on patient presentation.
Abtin Alvand then transitions to address complications following septic arthritis, focusing on total knee replacements after infection, illustrating the higher risk of periprosthetic joint infections in these patients. He emphasizes the importance of preoperative assessment, including serum biomarkers and imaging studies, and discusses both single-stage and two-stage surgical approaches to managing infections, stressing the need for thorough planning and meticulous surgical techniques to optimize outcomes.
Lastly, Chloe Scott presents complex primary knee cases, emphasizing the crucial role of assessing and managing tibial bone loss using zonal fixation theory and various implant options, such as cones and sleeves, ensuring stable fixation and optimal alignment.
Throughout the session, there is a continuous dialogue between the speakers and the audience, addressing questions and elaborating on strategies for successful outcomes in knee surgeries.