Valcarenghi, JérômeVittone, GiulioMouton, CarolineCoelho Leal, AlexandreIbañez, MaximilianoHoffmann, AlexanderPape, DietrichOllivier, MatthieuSeil, Romain2024-10-242024-10-242023Valcarenghi J, Vittone G, Mouton C, Coelho Leal A, Ibañez M, Hoffmann A, et al. A systematic approach to managing complications after proximal tibial osteotomies of the knee. J Exp Orthop. 2023 Dec 6;10(1):131. DOI: 10.1186/s40634-023-00708-72197-1153http://hdl.handle.net/10230/68335Proximal 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.application/pdfeng© 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/.info:eu-repo/semantics/articlehttp://dx.doi.org/10.1186/s40634-023-00708-7Internal fixationJoint-preserving surgeryKnee jointKnee osteoarthritisOsteotomyinfo:eu-repo/semantics/openAccess