Ortho Education Series - Lectures for Orthopaedic Surgeons: Alignment in TKA

Description

In this insightful lecture, orthopedic surgeon Adam Rosen delivers a comprehensive overview of total knee replacement, adapted for an audience affected by the ongoing pandemic. The discourse opens with an acknowledgment of the impact of COVID-19 on medical education and transitions into a focused session aimed at enriching the learning experience of residents and fellows in orthopedics.



Dr. Rosen explores the pivotal aspect of alignment in total knee surgeries, emphasizing that correct radiographic alignment does not always equate to patient satisfaction post-surgery. He shares critical observations about patient outcomes, where a notable percentage express dissatisfaction despite what appears to be successful surgical results.



Throughout the lecture, he employs a narrative style to encourage critical thinking among his audience, comparing the complexities of knee replacements to "choose your own adventure" books, where every surgical decision cascades into further outcomes. He stresses the importance of assessing the 'personality' of the knee based on pre-operative conditions, which helps tailor the surgical approach effectively.



Dr. Rosen highlights the significance of meticulous planning, such as evaluating the tibiofemoral offset and how minor adjustments during surgery can lead to major implications on the final knee function. The talk also covers operative techniques, including navigating the challenges posed by different knee alignments (varus and valgus), and the application of technology in improving surgical accuracy.



With practical advice derived from years of experience, he offers various tips and tricks for intraoperative decision-making, emphasizing flexibility in approaching each unique case, along with innovative strategies like capturing photographic evidence of knee mobility post-surgery to bolster patient confidence.



The lecture concludes with Dr. Rosen reiterating the value of ongoing education in uncertain times and invites open communication regarding any queries, promoting a sense of community and support among healthcare professionals. His dedication to enhancing patient care through thoughtful surgical practice is evident as he shares both his insights and personal experiences.

Specialties