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述评:高位胫骨截骨术有效,即使是在严重骨关节炎患者中:来自过去的另一个谬论的反驳。

Editorial Commentary: High Tibial Osteotomy Is Effective, Even in Patients With Severe Osteoarthritis: Contradiction of Another Dogma From the Past.

机构信息

Orthopedic Hospital Markgroeningen; Paracelsus Medical Private University.

Orthopedic Hospital Markgroeningen.

出版信息

Arthroscopy. 2021 Feb;37(2):645-646. doi: 10.1016/j.arthro.2020.11.025.

DOI:10.1016/j.arthro.2020.11.025
PMID:33546801
Abstract

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.

摘要

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。

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1
Editorial Commentary: High Tibial Osteotomy Is Effective, Even in Patients With Severe Osteoarthritis: Contradiction of Another Dogma From the Past.述评:高位胫骨截骨术有效,即使是在严重骨关节炎患者中:来自过去的另一个谬论的反驳。
Arthroscopy. 2021 Feb;37(2):645-646. doi: 10.1016/j.arthro.2020.11.025.
2
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Unicompartmental osteoarthritis: High survival rate with a combined mechanical and biological salvage approach as alternative to metal resurfacing: Results at minimum 10 years of follow-up.单髁骨关节炎:采用机械与生物联合挽救方法替代金属表面置换术的高生存率:至少10年随访结果
Knee Surg Sports Traumatol Arthrosc. 2025 Jan;33(1):220-228. doi: 10.1002/ksa.12268. Epub 2024 May 20.
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影像学晚期内侧膝关节骨关节炎患者行胫骨高位截骨术后的高存活率和良好临床结果:一项系统评价。
Arch Orthop Trauma Surg. 2024 Sep;144(9):3977-3988. doi: 10.1007/s00402-024-05254-0. Epub 2024 Mar 2.
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Early results of high tibial osteotomy versus combined arthroscopic surgery.高位胫骨截骨术与关节镜联合手术的早期结果
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