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- Talk
- 14/07/2021
- UK
Tibial and Femoral Rotational Osteotomy for Maltorsion
Description
In this presentation, Robert Teitge discusses the complexities of rotational osteotomy as a treatment for maltorsion of the tibia and femur. He explains the normal anatomical twist of the tibia and femur, highlighting the importance of understanding the angles between various joint axes including the knee, hip, and ankle in the transverse plane. The speaker notes that there's a lack of validated landmarks to accurately measure joint axes, leading to artificial measurements.
He elaborates on the mechanics of normal gait and how abnormal torsion can affect movement, causing lateral forces that increase the lateral component of quadriceps force, ultimately potentially leading to knee instability. With detailed anatomical illustrations, he points out the effects of excessive torsion in the knee position during weight-bearing activities.
Teitge discusses surgical considerations for correcting torsion through rotational osteotomy, emphasizing the need for complete soft tissue release to allow for proper rotation, and highlights fixation techniques, such as compression plate fixation, which have shown better outcomes.
Complications associated with different osteotomy levels are reviewed, alongside the challenges of achieving stability in the knee joint post-procedure. A focus is placed on the effect of rotational osteotomy on the patellofemoral joint and the importance of aligning the knee joint axis appropriately.
Throughout, he provides clinical examples, including both successful procedures and those with complications, to illustrate key points regarding surgical strategy and recovery. This talk underscores the significance of addressing limb torsion in patients experiencing knee discomfort and movement limitations.