School of Medicine, University of California Irvine, Irvine, California.
Department of Orthopaedic Surgery, University of California Irvine, Orange, California.
Sports Health. 2022 Sep-Oct;14(5):681-686. doi: 10.1177/19417381211041072. Epub 2021 Sep 6.
Distal femoral osteotomy (DFO) is a joint preservation procedure that corrects genu valgum deformities and patellofemoral maltracking, thereby restoring kinematics and unloading contact pressures in the lateral tibiofemoral and patellofemoral compartments.
To evaluate the rates of return to work (RTW) and return to sport (RTS) after DFO for valgus malalignment and lateral compartment osteoarthritis through a systematic review of the literature.
A systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines was conducted on the PubMed, Cochrane, and Embase databases.
The search terms AND ( OR ) were used. Studies in which patients underwent concomitant total knee arthroplasty were excluded.
Systematic review.
Level 4 (systematic review of level 4 studies).
Data included the number of patients, age, gender, laterality of operation, time to follow-up, rate of RTW and RTS, time to RTS, activity level on return, and activity level scores (Tegner, Marx, Lysholm, and the International Knee Documentation Committee). Risk of bias was assessed using the Methodological Index for Non-Randomized Studies (MINORS) criteria.
Seven articles with 194 patients were included. The average age ranged from 19 to 49 years with a mean postoperative follow-up range of 36 to 90 months. RTW data were available for 125 patients, of whom 42.1% to 91.3% returned by final follow-up. Data on RTS were available for 149 patients, of whom 70% to 100% returned at a range of 8.3 to 16.9 months postoperatively, and 41.6% to 100% returned to the same or greater level of sports activity. The Tegner and Marx activity level scores ranged from 3 to 4 and from 5 to 11, respectively, at final follow-up.
Patients treated with DFO reported high rates of RTW and RTS, with most patients being able to return to recreational sport after surgery.
股骨远端截骨术（DFO）是一种关节保护手术，可矫正膝内翻畸形和髌股外侧轨迹不良，从而恢复外侧胫股和髌股关节的运动学并减轻接触压力。
通过文献系统回顾，评估 DFO 治疗外翻对线不良和外侧间室骨关节炎患者的重返工作岗位（RTW）和重返运动（RTS）的比率。
使用 Preferred Reporting Items for Systematic Reviews and Meta-Analyses（PRISMA）指南对 PubMed、Cochrane 和 Embase 数据库进行了系统回顾。
使用检索词“distal femoral osteotomy”AND“return to work”和“return to sport”进行搜索。排除了同时行全膝关节置换术的患者。
系统回顾。
4 级（4 级研究的系统回顾）。
数据包括患者数量、年龄、性别、手术侧、随访时间、RTW 和 RTS 率、RTS 时间、返回时的活动水平以及活动水平评分（Tegner、Marx、Lysholm 和国际膝关节文献委员会）。使用非随机研究方法学指数（MINORS）标准评估偏倚风险。
纳入了 7 篇文章共 194 名患者。平均年龄为 19 至 49 岁，平均术后随访时间为 36 至 90 个月。125 名患者的 RTW 数据可用，最终随访时 42.1%至 91.3%的患者返回工作岗位。149 名患者的 RTS 数据可用，术后 8.3 至 16.9 个月，70%至 100%的患者返回，运动水平相同或更高。最终随访时，Tegner 和 Marx 活动水平评分分别为 3 至 4 分和 5 至 11 分。
接受 DFO 治疗的患者报告 RTW 和 RTS 率较高，大多数患者术后能够重返娱乐性运动。
