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<p>The aim of this review article is to provide an overview of perioperative management strategies for peri-knee osteotomy procedures and to summarize the current evidence regarding their effectiveness. A&#xa0;literature search was conducted in the Medline database for studies on knee osteotomies. Preoperatively, comorbidities should be identified and optimized as necessary. Intraoperatively, a&#xa0;tourniquet should be applied but not closed. Administration of tranexamic acid reduces perioperative blood loss. Regional anesthesia techniques using motor-sparing blocks (adductor canal block/femoral triangle block) reduce postoperative pain and can be supplemented with local anesthetic infiltration. The use of drains remains controversial. Depending on the type of osteotomy, an early functional weight-bearing regimen is recommended (e.g., high tibial osteotomy with angle-stable plate fixation: partial weight bearing for 2&#xa0;weeks).</p>

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Perioperatives Management bei kniegelenknahen Osteotomien

  • 期刊论文

  • 发表日期：

    2026年2月3日

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  • Marc-Daniel Ahrend,
  • Jörg Harrer,
  • Philipp Mayer,
  • Felix Ferner,
  • Steffen Schröter,
  • Philipp Schuster,
  • Felix Finger

摘要

The aim of this review article is to provide an overview of perioperative management strategies for peri-knee osteotomy procedures and to summarize the current evidence regarding their effectiveness. A literature search was conducted in the Medline database for studies on knee osteotomies. Preoperatively, comorbidities should be identified and optimized as necessary. Intraoperatively, a tourniquet should be applied but not closed. Administration of tranexamic acid reduces perioperative blood loss. Regional anesthesia techniques using motor-sparing blocks (adductor canal block/femoral triangle block) reduce postoperative pain and can be supplemented with local anesthetic infiltration. The use of drains remains controversial. Depending on the type of osteotomy, an early functional weight-bearing regimen is recommended (e.g., high tibial osteotomy with angle-stable plate fixation: partial weight bearing for 2 weeks).