Martyn Snow1, Paul Jermain2, Vipul Mandalia3, James Murray4, Raghbir Khakha5, Mike McNicholas6, Matt Dawson7. 1. The Royal Orthopaedic Hospital, Birmingham, UK; The Robert Jones and Agnes Hunt Hospital, UK; The Robert Jones and Agnes Hunt, Oswestry, UK. Electronic address: martyn.snow@nhs.net. 2. The Robert Jones and Agnes Hunt, Oswestry, UK. Electronic address: p.jermin@nhs.net. 3. Royal Devon and Exeter Hospital, Exeter, UK. Electronic address: vipulmandalia@nhs.net. 4. Avon Orthopaedic Centre, Southmead Hospital, Bristol, UK. Electronic address: james.murray@doctors.org.uk. 5. Guys and St Thomas NHS Foundation Trust, London, UK. Electronic address: raghbir.khakha@nhs.net. 6. Aintree University Hospital, Liverpool, UK. Electronic address: MMcnich732@aol.com. 7. North Cumbria University Hospital NHS Trust, UK. Electronic address: mattydknee@icloud.com.
Abstract
BACKGROUND: There are significant deficiencies in the evidence base of modern-day osteotomy which result in significant variation in practice between surgeons. The purpose of this statement was to develop a consensus statement on the practice of osteotomy so that a more standardized approach to the indications, surgical technique, and postoperative care could be outlined. The article is also intended to educate and inform the practice of individuals who are early in their experience and/or clinical practice. METHOD: A group of 29 specialist knee surgeons who regularly perform osteotomy was convened to form the Knee Osteotomy consensus Group (KOG). Consensus was determined utilizing the consensus group technique described by List. A total of 37 questions were asked covering all aspects of clinical practice. RESULTS: 20 statements were generated and debated until a criterion level of 70% was met. CONCLUSIONS: Consensus was achieved regarding 20 statements concerning Indications for surgery, decision making, surgical planning, technique, post-operative assessment and recovery.
BACKGROUND: There are significant deficiencies in the evidence base of modern-day osteotomy which result in significant variation in practice between surgeons. The purpose of this statement was to develop a consensus statement on the practice of osteotomy so that a more standardized approach to the indications, surgical technique, and postoperative care could be outlined. The article is also intended to educate and inform the practice of individuals who are early in their experience and/or clinical practice. METHOD: A group of 29 specialist knee surgeons who regularly perform osteotomy was convened to form the Knee Osteotomy consensus Group (KOG). Consensus was determined utilizing the consensus group technique described by List. A total of 37 questions were asked covering all aspects of clinical practice. RESULTS: 20 statements were generated and debated until a criterion level of 70% was met. CONCLUSIONS: Consensus was achieved regarding 20 statements concerning Indications for surgery, decision making, surgical planning, technique, post-operative assessment and recovery.