Orthopedic Hospital Markgroeningen; Paracelsus Medical Private University.
Orthopedic Hospital Markgroeningen.
Arthroscopy. 2021 Feb;37(2):645-646. doi: 10.1016/j.arthro.2020.11.025.
High tibial osteotomy is a widespread treatment option and has been performed in the treatment of osteoarthritis long before joint replacements started their triumphant era in the last third of the last century. However, osteotomies have again gained increased interest and popularity within the last 2 decades. Historically, osteotomies have mainly been recommended for early osteoarthritis and contraindicated for advanced osteoarthritis. However, over time, some historic but widespread dogmas have already been contradicted regarding high tibial osteotomy. Osteotomies are very well possible and can yield excellent outcomes, even in patients with severe osteoarthritis. Thus, another dogma from the past is contradicted.
胫骨高位截骨术是一种广泛应用的治疗方法,早在上个世纪最后三分之一的关节置换术时代开始之前,它就已经被用于治疗骨关节炎。然而,在过去的 20 年里,截骨术再次引起了人们的兴趣和关注。从历史上看,截骨术主要被推荐用于早期骨关节炎,而不适合晚期骨关节炎。然而,随着时间的推移,一些历史上广泛存在的陈旧观念已经被推翻,涉及胫骨高位截骨术。截骨术是非常可行的,即使在严重骨关节炎患者中也能取得极好的效果。因此,过去的另一个陈旧观念也被推翻了。