Zhao Jinzhong
Department of Sports Medicine, Shanghai Sixth People's Hospital, Shanghai Jiao Tong University, Shanghai, China.
Arthrosc Tech. 2021 Oct 6;10(11):e2421-e2427. doi: 10.1016/j.eats.2021.07.018. eCollection 2021 Nov.
High tibial osteotomy is a common procedure to address unicompartment knee osteoarthritis and other conditions. Regarding the specific surgical methods, medial open wedge osteotomy and lateral close wedge osteotomy are the most used. Both methods have a common disadvantage in that they are not so suitable to correct a severe deformity. Thus, we would like to introduce an anterior proximal-to-posterior distal oblique proximal tibial osteotomy technique, which is especially suitable to correct severe tibial deformity. The most critical point of this technique is to create an osteotomy plane from the most proximal posterior site of the tibial tubercle posteriorly and distally to the posterior cortex of the tibia, with each horizontal osteotomy maneuver in the coronal plane. Combined fibular osteotomy is always needed, and better results can be obtained when it is combined with arthroscopic debridement of the knee. We consider the introduction of this technique will provide a useful option when tibial osteotomy is needed to preserve the knee, especially for a great deformity correction.
高位胫骨截骨术是治疗单髁膝关节骨关节炎和其他病症的常见手术。关于具体的手术方法，内侧开放楔形截骨术和外侧闭合楔形截骨术是最常用的。这两种方法都有一个共同的缺点，即它们不太适合矫正严重畸形。因此，我们想介绍一种从前近端到后远端的胫骨近端斜形截骨术，该技术特别适合矫正严重的胫骨畸形。该技术最关键的一点是从胫骨结节最近端的后侧向后并向远端至胫骨后皮质创建一个截骨平面，在冠状面进行每次水平截骨操作。总是需要联合腓骨截骨术，并且当它与膝关节镜清理术联合使用时可以获得更好的效果。我们认为，当需要进行胫骨截骨术以保留膝关节，尤其是进行严重畸形矫正时，这项技术的引入将提供一个有用的选择。
