Arthroscopy. 2022 Jun;38(6):1916-1918. doi: 10.1016/j.arthro.2021.12.025.
A medial opening wedge high tibial osteotomy is a cost-effective procedure for younger patients with symptomatic medial compartment knee arthritis. A high rate of success can be expected, but excessive postoperative joint line obliquity is associated with inferior clinical outcomes. If preoperative planning predicts that the postoperative medial proximal tibial angle, the medial angle between the tibial anatomical axis and the joint line of the proximal tibia, will exceed 95°, a surgeon should consider performing a double-level osteotomy (combined proximal tibial and distal femoral osteotomies).
内侧开口楔形胫骨高位截骨术是一种针对有症状的内侧间室膝关节关节炎的年轻患者的具有成本效益的手术。可以预期手术成功率较高，但术后关节线倾斜度过大与临床效果不佳有关。如果术前规划预测术后内侧胫骨近端角，即胫骨解剖轴与胫骨近端关节线之间的内侧角度，将超过 95°，则外科医生应考虑进行双平面截骨术（包括胫骨近端和股骨远端截骨术）。
