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AANA Course: High Tibial Osteotomy

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Comprehensive Orthopaedic Resident & Fellows Education (CORE) 2025-2026: Osteotomy

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Comprehensive Orthopaedic Resident & Fellows Education (CORE) 2025-2026: Osteotomy https://www.aana.org/education/core/

(0:02) So everybody, welcome tonight to the Anna (0:06) Kaur Comprehensive Orthopaedic Resident and Fellows Education Lecture Series. (0:11) My name is Dr. Wiemie Dwoge. I'm the regional medical director for sports medicine out of (0:15) MedStar Health in Washington, D.C., and honoured to host this programme tonight.

(0:21) So I'd like to introduce our international faculty tonight. We're going to be talking (0:24) about high tibial osteotomy, something near and dear to my heart, something that (0:28) has really grown in my practise over the last several years, thanks to both of these men here (0:34) on this slide. Dr. Adrian Wilson, Professor Adrian Wilson is based out of the UK.

He has published (0:41) over 30 peer-reviewed articles on this topic and is recognised as one of the world leaders (0:47) in osteotomy and knee alignment. Professor Christian Clay, one of the most brilliant (0:52) surgeons I've ever worked with, also very prolific in the osteotomy space, worked with (0:59) legendary Dr. Leuvenhofer out of Germany, and now has taken many of these principles to the next (1:05) level. Really, truly a master surgeon.

And so we're really excited to have them share in this (1:13) international experience tonight. And I think it was no mistake that we brought these folks in (1:18) from around the world because this topic has seen a huge resurgence in the last decade in Europe (1:25) and Asia, and it's just started to take a foothold in the United States. Interestingly, (1:31) we were one of the founding fathers through Mark Coventry of osteotomy, but then it sort of got (1:36) lost in the shuffle with knee replacement, and now we're seeing it come back again.

(1:41) So we're very excited about our agenda tonight. We're going to be talking about indications in (1:47) history with Professor Wilson. Then Professor Christian Clay will talk to you about analysis (1:51) and planning.

Then I will be talking about tips and tricks for success. And then finally, we'll (1:57) wrap it up with a series of case discussions to kind of illustrate what really happens and (2:01) how this really works. So with that... Hello, my name is Adrian Wilson, and it's a great honour to (2:08) be talking today about the history of osteotomy and I suppose my journey with this.

It's a great (2:14) privilege, and thank you so much to WMI for inviting me and Christian to be part of this (2:19) webinar. Those are my disclosures in terms of royalties. So osteotomy really is key, and (2:26) hopefully that will be the message from the talk.

We can take care of arthritis by unloading damaged (2:33) areas of the knee. We can treat instability. In fact, the slope is going to dominate the (2:38) field of osteotomy surgery moving forwards.

We can help improve movement. We can use it (2:43) as an adjunct to other procedures that we do, and it should be the first thing you think about (2:50) whether you're doing meniscus, whether you're doing cartilage, whether you're treating someone (2:57) for ligament laxity, alignment comes first. And actually, in Europe, Australia, outside of the (3:04) States, it's become extremely popular.

There's often standing room only in the ICLs, and this (3:10) really has become a very hot topic over the last, well, really last 15 years. So I've been (3:18) interested in innovation. I've worked hard with the Arthrex team, helping to pioneer one inside, (3:24) did the first one inside PCL.

That was actually me. I worked with Reinhold, who actually visited (3:47) us, the owner of Arthrex, and I conceptualised this idea of using an internal brace with the (3:53) ligaments. Great ideas.

And so that's what brought me to work with Kristian, who is very (4:00) like-minded and not just good at osteotomy and surgery. He's actually a very athletic gentleman. (4:08) Here he is trying out this makeshift table that we had to construct at one of the hospitals we were (4:13) working.

And Wiemi has been a good friend of mine through the Arthrex years. He's also someone (4:27) interested in innovation and has really taken osteotomy to the next level in the States, (4:32) become this incredibly high volume osteotomy surgeon. And we ran this course together in (4:38) Washington, and I hope to do more and more with Wiemi moving forwards.

So we work with lots of (4:44) companies. We're now working with Nuclid. Wiemi and I, Wiemi 's into lots of stuff.

He's very good (4:51) at judo. And we're still part of this internal brace study group who's about to meet in Glasgow. (4:56) And we continue to work together on that.

So my journey here, I'm quite young in 2006. (5:03) My mentor at the time, Neil Thomas, past ESCA president, was a colleague. And he said, (5:10) we have to go and see Ronald.

Ronald is do

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