Clinical Orthopaedics and Related Research®

, Volume 470, Issue 12, pp 3630–3636 | Cite as

Complications In Brief: Osteotomy for Lower Extremity Malalignment

  • Loukas Koyonos
  • Nick Slenker
  • Steven Cohen
In Brief


When performing an osteotomy for lower extremity malalignment, several complications can occur. These can include introducing iatrogenic malalignment, intraoperative fracture or vascular injury, postoperative recurrence of deformity, patella baja, and challenges when performing subsequent total knee replacement in the future. Likewise, a poor functional result can occur secondary to poor preoperative planning and patient selection. In this article, we review the complications that can occur as a result of errors made before, during, and after surgery. This article pertains to opening and closing wedge osteotomies of the distal femur and proximal tibia.


Compartment Syndrome High Tibial Osteotomy Proximal Fragment Wedge High Tibial Osteotomy Rigid Internal Fixation 
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Copyright information

© The Association of Bone and Joint Surgeons® 2012

Authors and Affiliations

  1. 1.Rothman InstituteThomas Jefferson UniversityPhiladelphia USA

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