The tenth People's Hospital affiliated with Tong Ji University, Shanghai, People's Republic of China.
J Arthroplasty. 2013 May;28(5):759-65. doi: 10.1016/j.arth.2013.02.010. Epub 2013 Mar 15.
We conducted a systematic review of comparative clinical trials assessing the results of high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) in patients with strictly unilateral osteoarthritis of the knee. A literature search was conducted through Medline, Embase and Cochrane library. A total of 11 comparative studies were included. Pooled results showed: UKA showed significantly better results compared to HTO in terms of function results, however, no difference in specific knee score was observed; HTO got slightly better results of the range of motion; a trend towards an increased velocity was found in UKA without significant difference. Postoperative rate of revision and complications did not differ significantly between two groups. With the correct patient selection, both HTO and UKA show effective and reliable results.
我们对评估膝关节严格单侧骨关节炎患者行胫骨高位截骨（HTO）和单髁膝关节置换术（UKA）结果的比较性临床试验进行了系统回顾。通过 Medline、Embase 和 Cochrane 图书馆进行了文献检索。共纳入 11 项比较研究。汇总结果显示：UKA 在功能结果方面明显优于 HTO，但在特定膝关节评分方面无差异；HTO 获得了稍好的运动范围结果；UKA 出现了向速度增加的趋势，但无显著差异。两组术后翻修率和并发症无显著差异。正确选择患者后，HTO 和 UKA 均显示出有效且可靠的结果。
