胫骨高位截骨术。
High tibial osteotomy.
机构信息
Department of Orthopaedics, University of Torino, CTO Hospital, Via Lamarmora 26, 10128, Torino, Italy,
出版信息
Curr Rev Musculoskelet Med. 2014 Dec;7(4):292-301. doi: 10.1007/s12178-014-9234-y.
Abstract
High tibial osteotomy (HTO) is a widely accepted and performed procedure to treat medial knee arthrosis. The aim of this review is to evaluate the different surgical options in medial knee arthrosis, focusing on indications, patient's selection, long-term follow-up and survival analysis of HTO. Comparison and pooling of results are challenging because of different evaluation systems, small cohort number, and different surgical techniques. No differences have been described between opening and closing wedged HTO in terms of outcomes. Excellent early survivorship and good clinical outcomes were reported also with concomitant procedures. Correct indications, preoperative workup/planning, and technique selection are essential in achieving good results. The choice between opening and closing wedge osteotomy, graft selection in opening wedge HTO, comparison between HTO and unicompartmental knee arthroplasty, and the results of revised HTO to total knee replacement are currently under debate and will be discussed in the present review.
摘要
胫骨高位截骨术（HTO）是一种广泛接受并实施的治疗膝关节内侧骨关节炎的方法。本综述的目的是评估膝关节内侧骨关节炎的不同手术选择，重点关注HTO 的适应证、患者选择、长期随访和生存分析。由于不同的评估系统、小样本量和不同的手术技术，结果的比较和汇总具有挑战性。在开放性和闭合楔形 HTO 方面，在结果方面没有描述差异。同时进行的其他手术也有良好的早期生存率和良好的临床效果。正确的适应证、术前评估/规划和技术选择对于获得良好的效果至关重要。在开放性楔形截骨术中，选择开放楔形截骨术的移植物、HTO 与单髁膝关节置换术的比较以及翻修 HTO 至全膝关节置换术的结果目前仍存在争议，将在本综述中进行讨论。
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