疼痛性退行性膝内翻周围截骨术：2022年欧洲运动医学与关节镜学会正式共识 - Suppr

Osteotomy around the painful degenerative varus knee: a 2022 ESSKA formal consensus.

作者信息

Dawson Matt J, Ollivier Matthieu, Menetrey Jacques, Beaufils Philippe

机构信息

Department of Orthopaedics, North Cumbria Integrated Care NHS Foundation Trust, Newtown Road, Carlisle, Cumbria, UK.

Department of Orthopaedics and Traumatology, Institute of Movement and Locomotion, St Marguerite Hospital, Aix Marseille Univ, APHM, CNRS, ISM, 279 Boulevard Sainte Marguerite, BP 29, 13274, Marseille, France.

出版信息

Knee Surg Sports Traumatol Arthrosc. 2023 Aug;31(8):3041-3043. doi: 10.1007/s00167-022-07024-0. Epub 2022 Jun 13.

DOI:10.1007/s00167-022-07024-0

PMID:35697873

Abstract

摘要

相似文献

Osteotomy around the painful degenerative varus knee: a 2022 ESSKA formal consensus.疼痛性退行性膝内翻周围截骨术：2022年欧洲运动医学与关节镜学会正式共识

Knee Surg Sports Traumatol Arthrosc. 2023 Aug;31(8):3041-3043. doi: 10.1007/s00167-022-07024-0. Epub 2022 Jun 13.

Surgical strategy and complication management of osteotomy around the painful degenerative varus knee: ESSKA Formal Consensus Part II.截骨术治疗疼痛性退行性内翻膝的手术策略和并发症管理：ESSKA 正式共识第二部分。

Knee Surg Sports Traumatol Arthrosc. 2024 Aug;32(8):2194-2205. doi: 10.1002/ksa.12273. Epub 2024 May 20.

Osteotomy around the painful degenerative varus knee has broader indications than conventionally described but must follow a strict planning process: ESSKA Formal Consensus Part I.在疼痛性退行性内翻膝周围进行截骨术的适应证比传统描述的更广泛，但必须遵循严格的规划过程：ESSKA 正式共识第一部分。

Knee Surg Sports Traumatol Arthrosc. 2024 Jul;32(7):1891-1901. doi: 10.1002/ksa.12256. Epub 2024 May 13.

["Simultaneous knee arthroplasty and tibial osteotomy, for knee osteoarthritis and severe congenital genu varum deformity"].["同期膝关节置换术与胫骨截骨术治疗膝关节骨关节炎合并严重先天性膝内翻畸形"]

Rev Chir Orthop Reparatrice Appar Mot. 2001 Apr;87(2):189-90.

Preoperative varus laxity correlates with overcorrection in medial opening wedge high tibial osteotomy.术前内翻松弛与内侧开口楔形高位胫骨截骨术中的过度矫正相关。

Arch Orthop Trauma Surg. 2016 Oct;136(10):1337-42. doi: 10.1007/s00402-016-2521-x. Epub 2016 Jul 21.

Association of Preoperative Tibial Varus Deformity With Joint Line Orientation and Clinical Outcome After Open-Wedge High Tibial Osteotomy for Medial Compartment Osteoarthritis: A Propensity Score-Matched Analysis.术前胫骨内翻畸形与内侧间室骨关节炎开放性楔形高位胫骨截骨术后关节线方向及临床结局的相关性：一项倾向评分匹配分析

Am J Sports Med. 2021 Nov;49(13):3551-3560. doi: 10.1177/03635465211044146. Epub 2021 Oct 8.

[Corrective osteotomy in the treatment of degenerative changes in the knee joint].[膝关节退行性变治疗中的截骨矫正术]

Lijec Vjesn. 2000 Sep-Oct;122(9-10):229-33.

Modified biplanar open-wedge high tibial osteotomy with rigid locking plate to treat varus knee.采用刚性锁定钢板的改良双平面开放楔形高位胫骨截骨术治疗膝内翻

J Zhejiang Univ Sci B. 2009 Sep;10(9):689-95. doi: 10.1631/jzus.B0920095.

Discrepancy of alignment in different weight bearing conditions before and after high tibial osteotomy.高位胫骨截骨术前、后不同负重条件下的对线差异。

Int Orthop. 2017 Jan;41(1):85-92. doi: 10.1007/s00264-016-3279-z. Epub 2016 Aug 18.

Primary Results of Medial Epicondylar Osteotomy in Patients with Severe Bilateral Varus Knee Candidate for Total Knee Replacement.严重双侧膝内翻拟行全膝关节置换患者的内侧髁上截骨术的初步结果

J Knee Surg. 2021 Jan;34(2):142-146. doi: 10.1055/s-0039-1694047. Epub 2019 Aug 8.

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Changes of Knee Phenotypes Following Osteotomy Around the Knee in Patients with Valgus or Varus Deformities-A Retrospective Cross-Sectional Study.膝内翻或膝外翻畸形患者膝关节周围截骨术后膝关节表型的变化——一项回顾性横断面研究

J Clin Med. 2025 Jul 2;14(13):4684. doi: 10.3390/jcm14134684.

3D-printed patient-specific instrumentation and the freehand technique in high-tibial osteotomy: A prospective cohort-comparative study in an outpatient setting.3D打印定制化器械与徒手技术在高位胫骨截骨术中的应用：门诊环境下的前瞻性队列比较研究。

J Exp Orthop. 2025 Jan 20;12(1):e70088. doi: 10.1002/jeo2.70088. eCollection 2025 Jan.

Revisiting two thousand hinge fractures in open wedge high tibial osteotomy with a fifty years review: the oscillating saw cannot replace the traditional "ear-hand" dialogue between osteotome and hammer to estimate the elastic modulus of bone.回顾两千例开放性楔形高位胫骨截骨术的铰链骨折：五十年回顾——摆动锯无法取代骨凿与锤子之间传统的“耳手”对话来评估骨的弹性模量。

SICOT J. 2025;11:5. doi: 10.1051/sicotj/2024060. Epub 2025 Jan 20.

Return to sports after unilateral medial opening wedge high tibial osteotomy in highly active patients: Analysis of factors affecting functional recovery.高活动量患者单侧内侧开放楔形高位胫骨截骨术后的运动恢复：影响功能恢复的因素分析

J Exp Orthop. 2025 Jan 3;12(1):e70083. doi: 10.1002/jeo2.70083. eCollection 2025 Jan.

Simoultaneous bilateral medial opening wedge high tibial osteotomy can be performed safely and effectively without bone grafting: analysis of a monocentric retrospective series.同期双侧内侧开口楔形高位胫骨截骨术无需植骨即可安全有效地进行：单中心回顾性系列分析

BMC Musculoskelet Disord. 2024 Dec 19;25(1):1035. doi: 10.1186/s12891-024-08022-8.

Fixation of Takeuchi Type II/III lateral hinge fractures provides favourable stability of a medial open wedge high tibial osteotomy-A biomechanical study.竹内II/III型外侧铰链骨折的固定为内侧开放楔形高位胫骨截骨术提供了良好的稳定性——一项生物力学研究。

Knee Surg Sports Traumatol Arthrosc. 2025 Apr;33(4):1428-1442. doi: 10.1002/ksa.12560. Epub 2024 Dec 15.

Medial open wedge high tibial osteotomy is a viable option in young patients with advanced arthritis in a long-term follow-up.内侧开放楔形高位胫骨截骨术对于患有晚期关节炎的年轻患者而言，在长期随访中是一种可行的选择。

Knee Surg Sports Traumatol Arthrosc. 2025 Mar;33(3):1025-1032. doi: 10.1002/ksa.12469. Epub 2024 Sep 18.

Arthroscopic Centralization of the Medial Meniscus Reduces Load on a Posterior Root Repair Under Dynamic Varus Loading: A Biomechanical Investigation.关节镜下内侧半月板中央化可减少动态内翻下后根修复的负荷：一项生物力学研究。

Am J Sports Med. 2024 Oct;52(12):3030-3038. doi: 10.1177/03635465241274791. Epub 2024 Sep 15.

Maintaining Posterior Tibial Slope and Patellar Height During Medial Opening Wedge High Tibial Osteotomy.内侧张开楔形高位胫骨截骨术中维持胫骨后倾坡度和髌骨高度

Orthop J Sports Med. 2023 Dec 11;11(12):23259671231213595. doi: 10.1177/23259671231213595. eCollection 2023 Dec.

A systematic approach to managing complications after proximal tibial osteotomies of the knee.一种用于处理膝关节近端胫骨截骨术后并发症的系统方法。

J Exp Orthop. 2023 Dec 6;10(1):131. doi: 10.1186/s40634-023-00708-7.

本文引用的文献

A 2021 consensus statement on osteotomies around the knee by the UK Knee Osteotomy consensus Group (KOG).2021 年英国膝关节截骨术共识组（KOG）关于膝关节周围截骨术的共识声明。

Knee. 2021 Dec;33:73-83. doi: 10.1016/j.knee.2021.08.034. Epub 2021 Sep 22.

Good long-term survival and patient-reported outcomes after high tibial osteotomy for medial compartment osteoarthritis.高胫骨截骨术治疗内侧间室骨关节炎的长期良好生存和患者报告结果。

Knee Surg Sports Traumatol Arthrosc. 2021 Nov;29(11):3569-3584. doi: 10.1007/s00167-020-06262-4. Epub 2020 Sep 9.

Low rates of serious complications but high rates of hardware removal after high tibial osteotomy with Tomofix locking plate.高胫骨截骨术采用 Tomofix 锁定钢板后严重并发症发生率低，但硬件移除率高。

Knee Surg Sports Traumatol Arthrosc. 2021 Oct;29(10):3361-3367. doi: 10.1007/s00167-020-06199-8. Epub 2020 Aug 12.

Surgical competence, research and evidence-based medicine (EBM) in orthopaedic surgery: what the ESSKA is doing to bring it all together.骨外科手术中的手术能力、研究与循证医学（EBM）：欧洲骨科学与创伤外科学会（ESSKA）为整合这一切所做的工作。

Knee Surg Sports Traumatol Arthrosc. 2020 Feb;28(2):335-338. doi: 10.1007/s00167-019-05837-0. Epub 2019 Dec 23.

Impact of total knee replacement practice: cost effectiveness analysis of data from the Osteoarthritis Initiative.全膝关节置换术的影响：来自骨关节炎倡议组织数据的成本效益分析

BMJ. 2017 Mar 28;356:j1131. doi: 10.1136/bmj.j1131.

Surgical management of degenerative meniscus lesions: the 2016 ESSKA meniscus consensus.退行性半月板损伤的外科治疗：2016年欧洲运动医学学会半月板共识

Knee Surg Sports Traumatol Arthrosc. 2017 Feb;25(2):335-346. doi: 10.1007/s00167-016-4407-4. Epub 2017 Feb 16.

Osteotomy around the knee: evolution, principles and results.膝关节周围截骨术：演变、原则和结果。

Knee Surg Sports Traumatol Arthrosc. 2013 Jan;21(1):3-22. doi: 10.1007/s00167-012-2206-0. Epub 2012 Sep 29.

Clinical and economic consequences of the treatment gap in knee osteoarthritis management.膝关节骨关节炎管理治疗差距的临床和经济后果。

Med Hypotheses. 2011 Jun;76(6):887-92. doi: 10.1016/j.mehy.2011.02.044. Epub 2011 Mar 25.

Upper tibial osteotomy for gonarthrosis. The evolution of the operation in the last 18 years and long term results.膝关节骨性关节炎的胫骨高位截骨术。过去18年该手术的发展历程及长期疗效。

Orthop Clin North Am. 1979 Jan;10(1):191-210.

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Osteotomy around the painful degenerative varus knee: a 2022 ESSKA formal consensus.

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