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[Meta-analysis of unicompartmental knee arthroplasty versus high tibial osteotomy in the treatment of unicompartmental knee osteoarthritis].单髁膝关节置换术与胫骨高位截骨术治疗单髁膝关节骨关节炎的Meta分析
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Management of medial femorotibial osteoarthritis: Epidemiology, and survival of unicompartmental knee arthroplasty versus valgus high tibial osteotomy in France. Study of 108,007 cases from the French National Hospitals Database.中文译文：法国膝关节单髁置换术与外侧胫骨高位截骨术治疗内侧股胫关节骨关节炎的管理：一项基于法国国家医院数据库的 108007 例病例的研究。流行病学及生存率比较。
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引用本文的文献

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Combined unicompartmental knee arthroplasty and anterior cruciate ligament reconstruction in a young patient with post-traumatic arthritis.一名患有创伤后关节炎的年轻患者的单髁膝关节置换术与前交叉韧带重建联合手术
BMJ Case Rep. 2023 Apr 3;16(4):e252550. doi: 10.1136/bcr-2022-252550.
2
Unicompartmental knee arthroplasty is associated with lower pain levels but inferior range of motion, compared with high tibial osteotomy: a systematic overview of meta-analyses.单髁膝关节置换术与胫骨高位截骨术相比，疼痛程度较低，但活动范围较小：荟萃分析的系统评价。
J Orthop Surg Res. 2022 Sep 24;17(1):425. doi: 10.1186/s13018-022-03319-7.
3
Stiffness after unicompartmental knee arthroplasty: Risk factors and arthroscopic treatment.
单髁膝关节置换术后僵硬：危险因素及关节镜治疗
SICOT J. 2021;7:35. doi: 10.1051/sicotj/2021034. Epub 2021 May 19.
4
Unicompartmental Knee Osteoarthritis (UKOA): Unicompartmental Knee Arthroplasty (UKA) or High Tibial Osteotomy (HTO)?单髁膝关节骨关节炎（UKOA）：单髁膝关节置换术（UKA）还是高位胫骨截骨术（HTO）？
Arch Bone Jt Surg. 2016 Oct;4(4):307-313.
5
UNICOMPARTMENTAL KNEE ARTHROPLASTY: CURRENT PERSPECTIVES AND TRENDS IN BRAZIL.单髁膝关节置换术：巴西的现状与趋势
Rev Bras Ortop. 2015 Nov 4;47(6):724-9. doi: 10.1016/S2255-4971(15)30029-X. eCollection 2012.

单髁膝关节置换术与胫骨高位截骨术治疗单髁膝关节骨关节炎的Meta分析

[Meta-analysis of unicompartmental knee arthroplasty versus high tibial osteotomy in the treatment of unicompartmental knee osteoarthritis].

作者信息

Zhang Qi-Dong, Guo Wan-Shou, Liu Zhao-Hui, Zhang Qian, Cheng Li-Ming, Li Zi-Rong

机构信息

Department of Orthopedics, China-Japan Friendship Hospital, Peking University, Beijing 100029, China.

出版信息

Zhonghua Yi Xue Za Zhi. 2009 Oct 27;89(39):2768-72.

PMID:20137600
Abstract

OBJECTIVE

To assess the efficacy of UKA versus HTO in the treatment of unicompartmental knee osteoarthritis.

METHODS

Comparative studies of UKA and HTO were retrieved from the domestic and foreign literatures and included for a meta-analysis.

RESULTS

Seven eligible randomized controlled trials included 196 UKAs and 219 HTOs. The result of Meta-analysis indicated that the ratio for an excellent outcome was higher in UKA than HTO. The combined OR was 2.43, 95%CI (1.46, 4.05) (P = 0.0006). The risks of revision and complications were lower in UKA than HTO. The combined OR was 0.47 and 0.24 and 95%CI (0.23, 0.97), (0.10, 0.56).

CONCLUSION

UKA reduces the risk of postoperative revision and complications and provides excellent outcomes.

摘要

目的

评估单髁膝关节置换术（UKA）与胫骨高位截骨术（HTO）治疗单间室膝关节骨关节炎的疗效。

方法

从国内外文献中检索UKA和HTO的比较研究并纳入荟萃分析。

结果

七项符合条件的随机对照试验包括196例UKA和219例HTO。荟萃分析结果表明，UKA的优良结果比例高于HTO。合并比值比为2.43，95%置信区间（1.46，4.05）（P = 0.0006）。UKA的翻修和并发症风险低于HTO。合并比值比分别为0.47和0.24，95%置信区间（0.23，0.97），（0.10，0.56）。

结论

UKA降低了术后翻修和并发症的风险，并提供了优良的结果。