Uquillas Carlos, Rossy William, Nathasingh Christopher K, Strauss Eric, Jazrawi Laith, Gonzalez-Lomas Guillem
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, 301 East 17th Street, Suite 1402, New York, NY 10003.
J Bone Joint Surg Am. 2014 Dec 17;96(24):e199. doi: 10.2106/JBJS.N.00270.
Varus or valgus malalignment of the lower extremity can alter the load distribution across the knee and hasten the development of focal osteoarthritis. Although knee arthroplasty remains an effective option for end-stage arthritis, it is not typically recommended in the young, active patient. In the setting of painful unicompartmental cartilage injury in a mechanically malaligned limb, alignment correction by osteotomy has been shown to slow the progression of osteoarthritis and lessen pain. In this review, we will discuss the different options, indications, and techniques for osteotomies about the knee.
下肢内翻或外翻畸形可改变膝关节的负荷分布，并加速局灶性骨关节炎的发展。尽管膝关节置换术仍是终末期关节炎的有效治疗选择，但通常不建议用于年轻、活跃的患者。对于机械性畸形肢体中疼痛的单髁软骨损伤，截骨术矫正力线已被证明可减缓骨关节炎的进展并减轻疼痛。在本综述中，我们将讨论膝关节周围截骨术的不同选择、适应症和技术。
