Martina Hansens Hospital.
Arthroscopy. 2020 Feb;36(2):544-545. doi: 10.1016/j.arthro.2019.10.039.
High tibial osteotomy for unilateral medial knee osteoarthritis unloads the osteoarthritic area, gives pain relief, and may prevent later osteoarthritis if performed for the ideal indications. The risk of conversion of high tibial osteotomy to total knee arthroplasty is higher if osteoarthritis has advanced too far and for overweight persons, cigarette smokers, older patients, female patients, patients with a high level of comorbidity, and patients with under-correction of the varus malalignment.
对于单侧膝关节内侧骨关节炎，胫骨高位截骨术可以减轻骨关节炎区域的压力，缓解疼痛，如果在理想的适应证下进行，还可能预防后期的骨关节炎。如果骨关节炎已经发展得太严重，或者对于超重者、吸烟者、老年患者、女性患者、合并症较多的患者以及内翻畸形矫正不足的患者，胫骨高位截骨术转为全膝关节置换术的风险更高。
