Osteotomy Complications: Prevention and Cure
Volume 6 | Issue 2 | July-December 2021 | Page 46-53 | Ravi T Rudraraju , Jobe Shatrov , Brett A Fritsch
DOI:10.13107/aja.2021.v06i02.034
Author: Ravi T Rudraraju [1], Jobe Shatrov [1], Brett A Fritsch [1]
[1] Department of Orthopaedics, Sydney Orthopaedic Research Institute, Chatswood NSW, Australia.
Address of Correspondence:
Dr. Brett Fritsch,
Orthopaedic Surgeon, Sydney Orthopaedic Research Institute, Chatswood NSW, Australia.
E-mail: brett@brettfritsch.com.au
Abstract
Osteotomies around the knee are done to treat unicompartmental knee osteoarthritis, address instability and to correct the deformity. Careful selection of patient and preoperatively planning the target alignment are the key to achieve optimal results. There are multiple types of osteotomies with varying complication rates for each procedure. Opening wedge high tibial osteotomy (HTO) is the commonly performed osteotomy with an incidence of complications ranging from 1.9% to 55%. Closed wedge HTO has complication rate of around 10 to 34% and higher complication rates (19 to 70%) are reported with distal femoral osteotomy. Complications are broadly classified into general and osteotomy specific complications, and osteotomy specific complications can be further subdivided into failure of effect, complications of the osteotomy itself, and complications of the implant.
This paper presents an overview of the complications of common osteotomies around the knee, predominantly high tibial and distal femoral osteotomy, and the approaches and techniques the surgeon can use to minimise their frequency and severity.
Keywords: High Tibial Osteotomy, Medial Closed Wedge HTO, Lateral Closed Wedge HTO, Distal Femoral Osteotomy, Complications after Osteotomy
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| How to Cite this article: Rudraraju RT, Shatrov J, Fritsch BA| Osteotomy Complications: Prevention and Cure | Asian Journal of Arthroscopy | July-December 2021; 6(2): 46-53. |
