Department of Orthopaedics, University of Colorado, Boulder, CO, USA.
Int Orthop. 2010 Feb;34(2):161-6. doi: 10.1007/s00264-009-0944-5. Epub 2010 Jan 15.
Unicompartmental changes in the knee of a young athlete remains a difficult and controversial problem in orthopaedics. Excessive premature loading of articular cartilage, most often the result of a knee injury, has been shown to result in increased degenerative changes and pain in the younger patient. Instability may also contribute to the degeneration of cartilage and must therefore be considered in the treatment of osteoarthritis in the young adult. High tibial osteotomy has been described as a treatment option for malalignment in the older, less active adult and has shown promising results in a younger, more active population. Osteotomies for instability are more controversial and should be considered in more complex injury patterns.
在矫形外科中，年轻运动员膝关节的单室性变化仍然是一个困难和有争议的问题。关节软骨的过度过早负荷，最常见的是膝关节损伤的结果，已被证明会导致年轻患者的退行性变化和疼痛增加。不稳定也可能导致软骨退化，因此在治疗年轻成年人的骨关节炎时必须考虑到这一点。胫骨高位截骨术已被描述为老年、活动较少的成年人对线不良的治疗选择，并且在年轻、更活跃的人群中显示出有前途的结果。不稳定的截骨术更具争议性，应在更复杂的损伤模式中考虑。
