Karpman R R, Volz R G
Orthopedics. 1982 Aug;5(8):989-91. doi: 10.3928/0147-7447-19820801-05.
Forty patients (44 knees) with unicompartmental arthritis of the knee were reviewed to assess the overall functional result following high tibial osteotomy as compared to unicompartmental prosthetic replacement. All patients were evaluated both pre- and postoperatively using a standardized computer form. Mean followup was 24 months in the osteotomy group, and 41 months in the prosthetic replacement group.Results in the osteotomy group were rated excellent in two patients, good in nine, and poor in 12. Results in the prosthetic replacement group were rated excellent in 10, good in nine and poor in two. We therefore believe that unicompartmental replacement offers a viable alternative to high tibial osteotomy in the treatment of unicompartmental arthritis of the knee if proper patient selection and precise component placement is employed.
对40例（44膝）膝关节单髁关节炎患者进行了回顾性研究，以评估高位胫骨截骨术与单髁假体置换术后的总体功能结果。所有患者在术前和术后均使用标准化计算机表格进行评估。截骨术组的平均随访时间为24个月，假体置换组为41个月。截骨术组中，2例结果评定为优，9例为良，12例为差。假体置换组中，10例结果评定为优，9例为良，2例为差。因此，我们认为，如果进行适当的患者选择并精确放置假体组件，单髁置换术在治疗膝关节单髁关节炎方面为高位胫骨截骨术提供了一种可行的替代方法。
