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Platform ecosystems represent a distinctive organizational form in the digital economy, characterized by interdependent actors coordinated through digital infrastructure. This systematic integrative review synthesizes peer-reviewed studies to examine three core themes in management scholarship: governance structures, strategic leadership, and innovation dynamics. Drawing on targeted literature from leading journals, the analysis reveals how platform owners balance openness and control to sustain generativity while mitigating power asymmetries. Strategic leadership emerges as a dynamic capability for ecosystem orchestration, enabling platform firms to align complementor incentives and drive value co-creation. Innovation processes are shown to depend on complementor participation, selective promotion of complements, and evolving coordination mechanisms that address tensions between autonomy and collective performance. The review traces the evolution of research from an early emphasis on governance mechanisms to a later focus on leadership, power dynamics, and the ecosystem lifecycle. An original synthesis model—the Platform Ecosystem Governance-Leadership-Innovation Synthesis Model—is introduced to integrate fragmented insights into five interconnected layers. By classifying the literature thematically and highlighting persistent tensions, this review provides a unified architecture for future platform research and offers actionable insights for ecosystem managers.