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Review
. 2026 Jan;45(1):1-12.
doi: 10.1016/j.csm.2025.02.001. Epub 2025 Mar 10.

Do's and Don'ts in Osteotomy Surgery

Alyssa D Althoff  1 , Andreas Gomoll  2
Affiliations
Review

Do's and Don'ts in Osteotomy Surgery

Alyssa D Althoff et al. Clin Sports Med. 2026 Jan.

Abstract

Osteotomies around the knee are technically demanding procedures that are indicated for joint preservation and stability. Surgical execution relies on a carefully planned incision, soft-tissue respecting approach, a controlled osteotomy, and definitive stabilization. Intraoperative and postoperative complications are important to recognize and address as they arise.

Keywords: Complications; Knee; Osteotomy; Pearls; Planning; Technique.

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Conflict of interest statement

Disclosures A.D. Althoff: The author has nothing to disclose. A. Gomoll: Aesculap Biologics, LLC: hospitality payments. Bioventus LLC: consulting fee, hospitality payments. CartiHeal, Inc: hospitality payments, research support. DePuy Synthes Sales, Inc: hospitality payments. Engage Uni, LLC: gift, stock or stock options. Fidia Pharma USA Inc: honoraria. Flexion Therapeutics, Inc: consulting fee, hospitality payments. Hyalex Orthopaedics, Inc: research support. Joint Restoration Foundation, Inc: consulting fees, hospitality payments, honoraria, travel and lodging, research support. Linvatec Corporation: hospitality payments, compensation for serving as faculty or as a speaker for a nonaccredited and noncertified continuing education program. Miach Orthopaedics, Inc: hospitality payments, research support. Moximed: consulting fees, stock or stock options. Organogenesis, Inc: consulting fee, hospitality payments, royalty or license, research support. Pacira Therapeutics: hospitality payments, compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program. Smith+Nephew, Inc: acquisitions, consulting fee, hospitality payments, research support. Stryker: stock or stock options. Vericel Corporation: consulting fee, honoraria, compensation for serving as faculty or as a speaker for a medical education program.

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