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- Talk
- 22/09/2021
- UK
Step by Step How to Do a Safe HTO Live Sawbone Demonstration
Description
In this presentation, Mike McNicholas discusses high tibial osteotomy (HTO), addressing its significance, indications, and surgical techniques. He expresses gratitude to the audience and acknowledges the importance of engaging experienced professionals in the field. McNicholas highlights the resurgence of HTO, examining its outcomes and historical evolution alongside total knee replacement.
He covers key topics, including planning and realignment accuracy for successful surgery, inter-operative complications, and the importance of understanding underlying arthritic conditions. He emphasizes the need for patient-centered approaches, including conservative management before considering surgical options.
The presentation critically evaluates how HTO can delay knee replacements and presents relevant consensus statements for young active patients experiencing unicompartmental osteoarthritis. McNicholas shares insights from literature comparing long-term follow-ups and success rates post-surgery, and he notes the importance of accurate alignment correction to maximize outcomes.
Additionally, the discussion identifies potential complications such as hinge fractures and neurovascular damage during surgery, providing strategies to mitigate these risks. McNicholas reflects on his experiences and shares tips on proper techniques to protect neurovascular structures.
Overall, the presentation underscores the need for meticulous planning in the execution of HTO while acknowledging technological advancements that may enhance surgical precision. Finally, he provides a practical five-point guide for performing safe HTOs and encourages further engagement for audits on HTO practices. McNicholas concludes by expressing appreciation for the audience's attention and invites questions.