Description
In this presentation, Dr. Martyn Snow, an orthopedic surgeon from the Royal Orthopaedic Hospital and the Robert Jones and Agnes Hunt Hospital, discusses the 2021 consensus statement from the Knee Osteotomy Group (KOG) on osteotomies around the knee. The group focused on addressing various clinical aspects and formulated twenty key statements after extensive consultation among high-volume osteotomy users.
Dr. Snow introduces critical statements, such as:
1. Osteotomies are recommended for symptomatic unicompartmental osteoarthritis and other specific knee conditions.
2. Physiological age should be prioritized over chronological age when selecting candidates for osteotomy.
3. Kellgren Lawrence Grade 4 arthritis isn't a strict contraindication for surgery, although factors like BMI and smoking history should be considered individually.
4. Pre-operative imaging to understand mechanical alignment is essential.
5. Patella height must be factored into the osteotomy planning.
6. MRI scans help ensure the knee's suitability for osteotomy.
7. The integration of osteotomy with cartilage repair shows improved outcomes in cases of varus alignment.
8. The use of Tranexamic acid can reduce post-operative complications.
He briefly highlights the necessity of individualized approaches based on disease severity, emphasizes the need for double-level osteotomies in complex deformities, and discusses guidelines for patients with ACL deficiencies considering osteotomy. Dr. Snow concludes by acknowledging the contributions of 27 surgeons in developing the consensus statements, indicating the full document will soon be published, detailing reasoning and supporting literature.