A systematic approach to managing complications after proximal tibial osteotomies of the knee

Proximal tibial osteotomy (PTO) is an effective procedure for active and young adult patients with symptomatic unicompartmental osteoarthritis and malalignment. They were considered technically demanding and prone to various complications related to the surgical technique, biomechanical or biologica...

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Autores: Valcarenghi, Jérôme, Vittone, Giulio, Mouton, Caroline, Coelho Leal, Alexandre, Ibañez, Maximiliano, Hoffmann, Alexander, Pape, Dietrich, Ollivier, Matthieu, Seil, Romain
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2023
País:España
Institución:Universitat Pompeu Fabra
Repositorio:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/68335
Acceso en línea:http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7
Access Level:acceso abierto
Palabra clave:Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
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spelling A systematic approach to managing complications after proximal tibial osteotomies of the kneeValcarenghi, JérômeVittone, GiulioMouton, CarolineCoelho Leal, AlexandreIbañez, MaximilianoHoffmann, AlexanderPape, DietrichOllivier, MatthieuSeil, RomainInternal fixationJoint-preserving surgeryKnee jointKnee osteoarthritisOsteotomyProximal tibial osteotomy (PTO) is an effective procedure for active and young adult patients with symptomatic unicompartmental osteoarthritis and malalignment. They were considered technically demanding and prone to various complications related to the surgical technique, biomechanical or biological origin. Among the most important are hinge fractures and delayed or non-healing, neurovascular complications, loss of correction, implant-related problems, patellofemoral complaints, biological complications and changes in limb length. Being aware of these problems can help minimizing their prevalence and improve the results of the procedure.The aim of this narrative review is to discuss the potential complications that may occur during and after proximal tibial osteotomies, their origin and ways to prevent them.Wiley202420242023info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/68335http://dx.doi.org/10.1186/s40634-023-00708-7reponame:Repositorio Digital de la UPFinstname:Universitat Pompeu FabraInglésJ Exp Orthop. 2023 Dec 6;10(1):131© The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:repositori.upf.edu:10230/683352026-06-12T07:21:37Z
dc.title.none.fl_str_mv A systematic approach to managing complications after proximal tibial osteotomies of the knee
title A systematic approach to managing complications after proximal tibial osteotomies of the knee
spellingShingle A systematic approach to managing complications after proximal tibial osteotomies of the knee
Valcarenghi, Jérôme
Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
title_short A systematic approach to managing complications after proximal tibial osteotomies of the knee
title_full A systematic approach to managing complications after proximal tibial osteotomies of the knee
title_fullStr A systematic approach to managing complications after proximal tibial osteotomies of the knee
title_full_unstemmed A systematic approach to managing complications after proximal tibial osteotomies of the knee
title_sort A systematic approach to managing complications after proximal tibial osteotomies of the knee
dc.creator.none.fl_str_mv Valcarenghi, Jérôme
Vittone, Giulio
Mouton, Caroline
Coelho Leal, Alexandre
Ibañez, Maximiliano
Hoffmann, Alexander
Pape, Dietrich
Ollivier, Matthieu
Seil, Romain
author Valcarenghi, Jérôme
author_facet Valcarenghi, Jérôme
Vittone, Giulio
Mouton, Caroline
Coelho Leal, Alexandre
Ibañez, Maximiliano
Hoffmann, Alexander
Pape, Dietrich
Ollivier, Matthieu
Seil, Romain
author_role author
author2 Vittone, Giulio
Mouton, Caroline
Coelho Leal, Alexandre
Ibañez, Maximiliano
Hoffmann, Alexander
Pape, Dietrich
Ollivier, Matthieu
Seil, Romain
author2_role author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
topic Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
description Proximal tibial osteotomy (PTO) is an effective procedure for active and young adult patients with symptomatic unicompartmental osteoarthritis and malalignment. They were considered technically demanding and prone to various complications related to the surgical technique, biomechanical or biological origin. Among the most important are hinge fractures and delayed or non-healing, neurovascular complications, loss of correction, implant-related problems, patellofemoral complaints, biological complications and changes in limb length. Being aware of these problems can help minimizing their prevalence and improve the results of the procedure.The aim of this narrative review is to discuss the potential complications that may occur during and after proximal tibial osteotomies, their origin and ways to prevent them.
publishDate 2023
dc.date.none.fl_str_mv 2023
2024
2024
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7
url http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv J Exp Orthop. 2023 Dec 6;10(1):131
dc.rights.none.fl_str_mv http://creativecommons.org/licenses/by/4.0/
info:eu-repo/semantics/openAccess
rights_invalid_str_mv http://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Wiley
publisher.none.fl_str_mv Wiley
dc.source.none.fl_str_mv reponame:Repositorio Digital de la UPF
instname:Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
reponame_str Repositorio Digital de la UPF
collection Repositorio Digital de la UPF
repository.name.fl_str_mv
repository.mail.fl_str_mv
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score 15.811543

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