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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Authors: Valcarenghi, Jérôme; Vittone, Giulio; Mouton, Caroline; Coelho Leal, Alexandre; Ibañez, Maximiliano; Hoffmann, Alexander; Pape, Dietrich; Ollivier, Matthieu; Seil, Romain
Format: Article
Status:Published version
Publication date:2023
Country:España
Institution:Universitat Pompeu Fabra
Repository:Repositorio Digital de la UPF
OAI Identifier:oai:repositori.upf.edu:10230/68335
Online Access:http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7
Access Level:Open access
Keyword:Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
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author Valcarenghi, Jérôme
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
author_browse Coelho Leal, Alexandre
Hoffmann, Alexander
Ibañez, Maximiliano
Mouton, Caroline
Ollivier, Matthieu
Pape, Dietrich
Seil, Romain
Valcarenghi, Jérôme
Vittone, Giulio
author_facet Valcarenghi, Jérôme
Vittone, Giulio
Mouton, Caroline
Coelho Leal, Alexandre
Ibañez, Maximiliano
Hoffmann, Alexander
Pape, Dietrich
Ollivier, Matthieu
Seil, Romain
author_role author
collection Repositorio Digital de la UPF
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.
eu_rights_str_mv openAccess
format article
id ES_3f2c841f6acb63ee025bbbdb0d60f92d
institution Universitat Pompeu Fabra
instname_str Universitat Pompeu Fabra
network_acronym_str ES
network_name_str España
oai_identifier_str oai:repositori.upf.edu:10230/68335
publishDate 2023
publishDateSort 2023
publisher Wiley
publisherStr Wiley
reponame_str Repositorio Digital de la UPF
spelling A systematic approach to managing complications after proximal tibial osteotomies of the knee Valcarenghi, Jérôme Vittone, Giulio Mouton, Caroline Coelho Leal, Alexandre Ibañez, Maximiliano Hoffmann, Alexander Pape, Dietrich Ollivier, Matthieu Seil, Romain Internal fixation Joint-preserving surgery Knee joint Knee osteoarthritis Osteotomy 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. Wiley http://hdl.handle.net/10230/68335 http://dx.doi.org/10.1186/s40634-023-00708-7
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
status_str publishedVersion
title 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_short 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
topic Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
topic_facet Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy
url http://hdl.handle.net/10230/68335
http://dx.doi.org/10.1186/s40634-023-00708-7