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

Jérôme Valcarenghi; Giulio Vittone; Caroline Mouton; Alexandre Coelho Leal; Maximiliano Ibañez; Alexander Hoffmann; Dietrich Pape; Matthieu Ollivier; Romain Seil

doi:10.1186/s40634-023-00708-7

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

Jérôme Valcarenghi, Giulio Vittone, Caroline Mouton, Alexandre Coelho Leal, Maximiliano Ibañez, Alexander Hoffmann, Dietrich Pape, Matthieu Ollivier, Romain Seil^*

^*Corresponding author for this work

Human Motion, Orthopaedics, Sports Medicine and Digital Methods

Research output: Contribution to journal › Review article › peer-review

2 Citations (Scopus)

Abstract

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.

Original language	English
Article number	131
Number of pages	13
Journal	Journal of Experimental Orthopaedics
Volume	10
Issue number	1
DOIs	https://doi.org/10.1186/s40634-023-00708-7
Publication status	Published - 6 Dec 2023

Keywords

Internal fixation
Joint-preserving surgery
Knee joint
Knee osteoarthritis
Osteotomy

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10.1186/s40634-023-00708-7Licence: CC BY

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title = "A systematic approach to managing complications after proximal tibial osteotomies of the knee",

abstract = "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.",

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AU - Valcarenghi, Jérôme

AU - Vittone, Giulio

AU - Mouton, Caroline

AU - Coelho Leal, Alexandre

AU - Ibañez, Maximiliano

AU - Hoffmann, Alexander

AU - Pape, Dietrich

AU - Ollivier, Matthieu

AU - Seil, Romain

PY - 2023/12/6

Y1 - 2023/12/6

N2 - 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.

AB - 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.

KW - Internal fixation

KW - Joint-preserving surgery

KW - Knee joint

KW - Knee osteoarthritis

KW - Osteotomy

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

Abstract

Keywords

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