Medial Epicondylar Osteotomy for Severe Varus Deformity by Dr. Anoop Jhurani

Description

This video features Anoop Jhurrani discussing varus deformity, the most common form of knee arthritis, particularly severe cases found in his country. He illustrates the various presentations of varus deformities, including fixed flexion and recurvatum deformities, emphasizing their treatment methods ranging from simple removal of medial osteophytes for mild cases to more complex procedures such as reduction osteotomy for more severe deformities (up to 25 degrees). Jhurrani describes a challenging case with over 25 degrees of varus deformity and associated clinical observations, including subluxation and lateral collateral ligament tension during weight-bearing activities.



The process of utilizing navigation to measure and correct the deformity is detailed, especially focusing on the necessity of performing a medial epicondyle osteotomy when the deformity is uncorrectable beyond a certain degree. He outlines the surgical steps involved, including the initial osteophyte release, downsizing the tibial tray, and ultimately the execution of the medial epicondyle osteotomy, which allows for proper correction of the deformity under precise navigation control.



Finally, the video concludes with an explanation of the immediate post-operative weight-bearing protocols for patients and the importance of this technique in restoring knee alignment in severe varus deformities.

Specialties