Liu Joseph N, Agarwalla Avinesh, Gomoll Andreas H
Department of Orthopedic Surgery, Loma Linda Medical Center, 11234 Anderson Street, Loma Linda, CA, USA.
Department of Orthopaedic Surgery, Westchester Medical Center, 100 Woods Road, Valhalla, NY 10595, USA.
Clin Sports Med. 2019 Jul;38(3):401-416. doi: 10.1016/j.csm.2019.02.006.
Concomitant high tibial osteotomy and meniscal allograft transplant is indicated in patients with medial meniscus deficiency and varus deformity. A synergistic relationship likely exists between knee realignment and restoration of meniscal and chondral tissue. Therefore, it is important to address all sources of pathology, such as meniscal or chondral defects, when addressing axis malalignment. In this article, we review the indications, preoperative considerations, technique, postoperative rehabilitative protocol, and outcomes in patients undergoing high tibial osteotomy with medial meniscal allograft transplant.
对于内侧半月板缺失和膝内翻畸形的患者，可考虑同期进行高位胫骨截骨术和半月板同种异体移植。膝关节力线矫正与半月板及软骨组织修复之间可能存在协同关系。因此，在矫正力线异常时，处理所有病理根源（如半月板或软骨缺损）很重要。在本文中，我们回顾了接受高位胫骨截骨术联合内侧半月板同种异体移植患者的手术适应症、术前注意事项、技术、术后康复方案及治疗结果。
