单髁膝关节置换术联合高位胫骨截骨术治疗前内侧骨关节炎：一例报告
Unicompartmental knee arthroplasty combined with high tibial osteotomy in anteromedial osteoarthritis: A case report.
作者信息
Ucan Vahdet, Pulatkan Anil, Tuncay Ibrahim
机构信息
Department of Orthopedics and Traumatology, Bezmialem Vakif University School of Medicine, Vatan Cd, Fatih, 34093, Istanbul, Turkey.
Department of Orthopedics and Traumatology, Bezmialem Vakif University School of Medicine, Vatan Cd, Fatih, 34093, Istanbul, Turkey.
出版信息
Int J Surg Case Rep. 2021 Apr;81:105746. doi: 10.1016/j.ijscr.2021.105746. Epub 2021 Mar 11.
INTRODUCTION AND IMPORTANCE
Anteromedial osteoarthritis (AMOA) is a common knee pathology. However, the best treatment of AMOA remains unclear. Unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) are surgical options for AMOA patients who do not benefit from conservative treatment. We aimed to show an unusual treatment option where UKA and HTO are performed simultaneously.
CASE PRESENTATION
We present a 52-year-old man with AMOA secondary to spontaneous osteonecrosis of the knee (SONK) and metaphyseal tibial varus malalignment, who was successfully treated with a combined UKA and HTO. His functional scores were excellent at the 5-year follow-up.
CLINICAL DISCUSSION
Advanced SONK that causes AMOA can be treated with osteochondral autograft transplantation (OAT), HTO, UKA, or total knee arthroplasty (TKA). Although good results have been reported selecting appropriate patients for all of these methods, the best treatment method remains unclear.
CONCLUSION
Although HTO and UKA are alternative treatments for AMOA, successful results can be obtained using both in individual cases.
引言与重要性
前内侧骨关节炎（AMOA）是一种常见的膝关节病变。然而，AMOA的最佳治疗方法仍不明确。对于保守治疗无效的AMOA患者，单髁膝关节置换术（UKA）和高位胫骨截骨术（HTO）是手术选择。我们旨在展示一种UKA和HTO同时进行的特殊治疗方案。
病例介绍
我们报告一名52岁男性，患有继发于膝关节自发性骨坏死（SONK）和胫骨近端干骺端内翻畸形的AMOA，通过UKA和HTO联合治疗获得成功。5年随访时其功能评分优异。
临床讨论
导致AMOA的晚期SONK可采用自体骨软骨移植（OAT）、HTO、UKA或全膝关节置换术（TKA）治疗。尽管针对所有这些方法选择合适患者均有良好疗效报道，但最佳治疗方法仍不明确。
结论
尽管HTO和UKA是AMOA的替代治疗方法，但个别病例中两者联合使用也可取得成功结果。
Zotero 插件