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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Detalhes bibliográficos
Autores: Valcarenghi, Jérôme; Vittone, Giulio; Mouton, Caroline; Coelho Leal, Alexandre; Ibañez, Maximiliano; Hoffmann, Alexander; Pape, Dietrich; Ollivier, Matthieu; Seil, Romain
Tipo de documento: Artigo
Estado:Published version
Data de publicação:2023
País:España
Recursos:Universitat Pompeu Fabra
Repositório:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/68335
Acesso em linha:http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7
Nível de acesso:Acesso aberto
Palavra-chave:Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
Descrição
Resumo: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.