Correction of Severe FFD with Navigation

Description

In this instructional video led by Dr. Anoop Jhurani, the complexities of correcting severe bi-planar deformities, specifically a fixed flexion deformity combined with varus, are effectively showcased. He emphasizes the challenges involved, particularly the importance of accurately addressing both coronal and sagittal plane issues in older patients, including a 65-year-old male example. Dr. Jhuran discusses the integration of computer navigation for precise deformity correction and outlines the surgical techniques used to ensure a successful outcome without tourniquet, which can help reduce postoperative complications. Traumatic illustrations detail the procedure for overcoming a 35-degree flexion deformity and 15-degree varus deformity by utilizing advanced navigation technology to capture objective data.



The video furthers into anatomical considerations, surgical cuts, and adjustments for alignment, emphasizing the significance of maintaining balance between the flexion gap and extension gap by properly sizing the femoral component. The meticulous process of upsizing the femur and adjusting the tibial slope is noted as crucial for achieving desired outcomes while employing navigational tools for enhanced precision during surgery.



Finally, a post-operative assessment demonstrates the patient's recovery stages, showcasing the correction of the deformities and the resulting impact on mobility, highlighting the necessity of comprehensive pre-operative planning and precise execution for successful surgical intervention in challenging cases. The instructor concludes with reflections on the essential practices that can promote effective operative strategies for complex orthopedic conditions.

Specialties