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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Detalles Bibliográficos
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:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat: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
Descripción
Sumario: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.