Department of Orthopedics, 199193Affiliated Hospital of Jiangnan University, Wuxi, China.
J Orthop Surg (Hong Kong). 2023 Jan-Apr;31(1):10225536231162829. doi: 10.1177/10225536231162829.
We aimed to systematically compare the clinical and functional outcomes between unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) for the treatment of medial knee osteoarthritis (KOA). Literatures were searched from PubMed, EMBASE, the Cochrane library, Wanfang DATA, China National Knowledge Infrastructure (CNKI) and SinoMed database until December 2020. Studies comparing postoperative clinical and functional outcomes of UKA versus HTO were included. Totally, 38 studies were included, including 2368 patients with 2393 knees in HTO group and 6536 patients with 6571 knees in UKA group. There was significant difference in postoperative pain, revision rate, complications, and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) score between HTO and UKA groups ( < 0.05). No significant difference was found in excellent/good surgical results, Lysholm, Hospital for Special Surgery (HSS) score, Knee Society Knee (KSS) score, knee and function score of Knee Society (KSFS) score and Tegner score between these two groups ( > 0.05). UKA produced less postoperative pain, less complications and superior WOMAC score, whereas HTO offered extended range of motion (ROM) and less revision rate.
我们旨在系统地比较单髁膝关节置换术（UKA）和胫骨高位截骨术（HTO）治疗内侧膝关节骨关节炎（KOA）的临床和功能结果。从 PubMed、EMBASE、Cochrane 图书馆、万方数据、中国知网（CNKI）和中国生物医学文献数据库（SinoMed）中检索文献，检索时间截至 2020 年 12 月。纳入比较 UKA 与 HTO 术后临床和功能结果的研究。共纳入 38 项研究，其中 HTO 组包括 2368 例患者 2393 膝，UKA 组包括 6536 例患者 6571 膝。HTO 和 UKA 组之间在术后疼痛、翻修率、并发症和 Western Ontario 和 McMaster 大学骨关节炎指数（WOMAC）评分方面存在显著差异（<0.05）。两组之间在优秀/良好手术结果、Lysholm、特种外科医院（HSS）评分、膝关节学会膝关节评分（KSS）、膝关节学会功能评分（KSFS）和 Tegner 评分方面无显著差异（>0.05）。UKA 术后疼痛较轻，并发症较少，WOMAC 评分较高，而 HTO 提供了更大的活动范围（ROM）和较低的翻修率。
