Center for Joint Disease, Chonnam National University Hwasun Hospital, Jeonnam, South Korea.
J Arthroplasty. 2013 Feb;28(2):243-7. doi: 10.1016/j.arth.2012.06.011. Epub 2012 Jul 31.
The purpose of this study was to compare clinical outcomes including return to recreational activities (cycling, swimming, exercise walking, dancing, jogging, and mountain climbing) after opening-wedge high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA). Clinical outcomes were assessed using Tegner activity scores, ranges of motion, and Lysholm knee scores. In both groups, the number of patients participating in recreational activities was significantly reduced after surgery, but without a significant intergroup difference (1.3 activities in HTO group and in 1.6 activities in UKA group). Average Tegner activity scale scores, ranges of motion, and Lysholm knee scores did not show significant differences between the 2 groups. This study identified no significant differences between HTO and UKA for medial unicompartmental osteoarthritis in terms of return to recreational activity and short-term clinical outcomes.
本研究旨在比较行高位胫骨开放楔形截骨术（HTO）与单髁膝关节置换术（UKA）后重返休闲活动（骑车、游泳、锻炼步行、跳舞、慢跑和登山）的临床结果。采用 Tegner 活动评分、活动范围和 Lysholm 膝关节评分评估临床结果。两组患者术后参与休闲活动的人数均明显减少，但组间差异无统计学意义（HTO 组 1.3 项，UKA 组 1.6 项）。两组平均 Tegner 活动量表评分、活动范围和 Lysholm 膝关节评分无显著差异。本研究未发现 HTO 和 UKA 治疗内侧单间室骨关节炎在重返休闲活动和短期临床结果方面存在显著差异。
