McCormack Daniel J, Puttock Darren, Godsiff Steven P
Department of Orthopaedics, University Hospitals of Leicester NHS Trust, Leicester, UK.
EFORT Open Rev. 2021 Feb 1;6(2):113-117. doi: 10.1302/2058-5241.6.200102. eCollection 2021 Feb.
Osteoarthritis of the medial compartment, where the lateral compartment and patella-femoral joint are relatively spared, is a common orthopaedic presentation.Most frequently, the treatment of choice would be a total knee replacement, which involves removing healthy joint surfaces in such patients.Arthroscopic debridement in the osteoarthritic knee has fallen out of favour due to poor clinical results.A trend has developed towards less invasive surgery with uni-compartmental knee replacement (UKR) and high tibial osteotomy (HTO) gaining increasing popularity.Surgeons differ in their relative indications and contraindications to performing these procedures.Total knee replacement (TKR) continues to have the lowest overall revision rate of the available options.Growing evidence demonstrates more favourable patient-reported outcome measures in UKR and HTO patients, compared to TKR.Knee joint distraction (KJD) has been demonstrated as an alternative method of treatment in such patients. Cite this article: 2021;6:113-117. DOI: 10.1302/2058-5241.6.200102.
内侧间室骨关节炎较为常见，而外侧间室和髌股关节相对未受影响，这是一种常见的骨科病症。最常见的治疗选择是全膝关节置换术，这需要切除此类患者的健康关节面。由于临床效果不佳，关节镜下清理术在骨关节炎膝关节治疗中已不再受欢迎。随着单髁膝关节置换术（UKR）和高位胫骨截骨术（HTO）等微创手术越来越受欢迎，一种趋势逐渐形成。外科医生在进行这些手术的相对适应症和禁忌症方面存在差异。全膝关节置换术（TKR）在现有选择中总体翻修率仍然最低。越来越多的证据表明，与TKR相比，UKR和HTO患者的患者报告结局指标更有利。膝关节撑开术（KJD）已被证明是此类患者的一种替代治疗方法。引用本文：2021；6：113 - 117。DOI：10.1302/2058 - 5241.6.200102。
