Jakob R P, Jacobi M
Ortopädische Abteilung, Kantonsspital Fribourg, Switzerland.
Orthopade. 2004 Feb;33(2):143-52. doi: 10.1007/s00132-003-0600-5.
Closing wedge high tibial osteotomy is an efficient method for the treatment of medial osteoarthritis of the knee. Prerequisites of successful surgery are proper indication and planning as well as the understanding of biomechanics and pathophysiology. The technique of osteotomy to choose (opening or closing wedge) depends on the type of malalignment and on additional pathologies. The surgical technique demands high precision to realize the planned correction and to avoid complications. Implants with angular stability provide advantages compared to traditional implants. Correct indication and surgical technique results in a desirable follow-up, which often lasts for at least 10 years. The effect on the prognosis of the young patient with cartilage damage is still unclear.
闭合楔形高位胫骨截骨术是治疗膝关节内侧骨关节炎的有效方法。成功手术的前提是正确的适应证和规划以及对生物力学和病理生理学的理解。选择的截骨技术（开放或闭合楔形）取决于畸形的类型和其他病理情况。手术技术需要高精度以实现计划的矫正并避免并发症。与传统植入物相比，具有角稳定性的植入物具有优势。正确的适应证和手术技术会带来理想的随访结果，随访通常至少持续10年。对于有软骨损伤的年轻患者，其对预后的影响仍不明确。
