Price Andrew, Beard David, Thienpont Emmanuel
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, Nuffield Orthopaedic Centre (NIHR Biomedical Research Unit). University of Oxford, Oxford, OX3 7LD, UK.
Knee. 2013 Sep;20 Suppl 1:S16-20. doi: 10.1016/S0968-0160(13)70004-8.
A number of different surgical interventions can be used for treating antero-medial osteoarthritis (AMOA) of the knee and this choice can present challenges for patient's decision-making. Patients with AMOA can undergo Total Knee Replacement (TKR), Unicompartmental Knee Replacement (UKR) or High Tibial Osteotomy (HTO) for the same pathology. However many uncertainties still exist as to deciding which operation is best for individual patients and the Orthopaedic community has failed to systematically compare treatment options. The relative lack of scientifically based evidence has impacted on the ability to provide clear guidelines on treatment choice, patient suitability and direct patient preference for treatment. This paper, using available evidence, discusses the issue and offers some suggestions for future development.
多种不同的外科手术干预可用于治疗膝关节前内侧骨关节炎（AMOA），而这种选择可能给患者的决策带来挑战。患有AMOA的患者可因相同的病理情况接受全膝关节置换术（TKR）、单髁膝关节置换术（UKR）或高位胫骨截骨术（HTO）。然而，对于哪种手术最适合个体患者，仍存在许多不确定性，并且骨科界尚未对治疗方案进行系统比较。相对缺乏科学依据的证据影响了提供关于治疗选择、患者适用性以及患者对治疗的直接偏好的明确指南的能力。本文利用现有证据讨论了这一问题，并为未来发展提出了一些建议。
