Huang Meng-Quan, Li Yu-Biao, Liao Chun-Lai, Guo Nai-Ming, Peng Jun, Luo Xiao-Wei, Lai Qiu-Lian
Department of Orthopaedics, Southern Theater Air Force Hospital of PLA, Guangzhou 510000, Guangdong, China;
Department of Orthopaedics, Southern Theater Air Force Hospital of PLA, Guangzhou 510000, Guangdong, China.
Zhongguo Gu Shang. 2019 May 25;32(5):428-433. doi: 10.3969/j.issn.1003-0034.2019.05.008.
To systematic evaluate the outcome of open-wedge high tibial osteotomy(OWHTO) and unicomartmental knee arthroplasty (UKA) in treating medial compartment osteoarthritis of the knee.
According to the retrieval strategy made by the Cochrane collaboration, a computer-base research of Medline, Pubmed, EMbase, Cochrane Library, CBM, CNKI, and Wanfang databases was performed and search deadline was March 2018. Related Chinese and English orthopedic journals and conference papers were manually searched. Controlled studies of OWHTO and UKA in the treatment of medial knee osteoarthritis were included. The quality of included researches was evaluated, and the data of postoperative knee function, complications, total knee arthroplasty(TKA) revision rates, and postoperative pain were extracted. Meta analysis was performed using the RevMan 5.0 software.
A total of 8 articles that met the criteria were included containing a total of 675 patients. Meta-analysis showed that there was no significant difference in postoperative HSS score, knee score, functional score, and Lysholm score between the OWHTO and UKA groups(=0.32, =0.87, =0.22, =0.53). The range of joint motion in the OWHTO group was better than that in the UKA group, and the difference was statistically significant(=0.009). There was no significant difference in postoperative complications and the rates of revision to TKA between the two groups(=0.81, =0.23). There was no difference in postoperative knee pain between the two groups.
In the treatment of medial compartmental osteoarthritis of the knee that meets the surgical indications, OWHTO had better postoperative joint mobility. The results were similar in postoperative knee score, postoperative complications, and postoperative TKA revision rates between OWHTO and UKA groups.
系统评价开放性楔形高位胫骨截骨术（OWHTO）与单髁膝关节置换术（UKA）治疗膝关节内侧间室骨关节炎的疗效。
根据Cochrane协作网制定的检索策略，对Medline、Pubmed、EMbase、Cochrane图书馆、中国生物医学文献数据库（CBM）、中国知网（CNKI）和万方数据库进行计算机检索，检索截止日期为2018年3月。同时手动检索相关中英文骨科期刊及会议论文。纳入OWHTO与UKA治疗膝关节内侧骨关节炎的对照研究。对纳入研究的质量进行评价，并提取术后膝关节功能、并发症、全膝关节置换术（TKA）翻修率及术后疼痛的数据。使用RevMan 5.0软件进行Meta分析。
共纳入8篇符合标准的文章，共计675例患者。Meta分析显示，OWHTO组与UKA组术后HSS评分、膝关节评分、功能评分及Lysholm评分差异无统计学意义（I² = 0.32，P = 0.87，I² = 0.22，P = 0.53）。OWHTO组关节活动度优于UKA组，差异有统计学意义（I² = 0.009）。两组术后并发症及TKA翻修率差异无统计学意义（I² = 0.81，P = 0.23）。两组术后膝关节疼痛差异无统计学意义。
在治疗符合手术指征的膝关节内侧间室骨关节炎时，OWHTO术后关节活动度更佳。OWHTO组与UKA组术后膝关节评分、术后并发症及术后TKA翻修率结果相似。
