Palmer Jonathan, Getgood Alan, Lobenhoffer Phillip, Nakamura Ryuichi, Monk Paul
Unisports Orthopaedics, Auckland, 1072, New Zealand.
Fowler Kennedy Sport Medicine Clinic, University of Western Ontario, London, Ontario, Canada, N6A 3K7.
J ISAKOS. 2024 Feb;9(1):39-52. doi: 10.1016/j.jisako.2023.10.004. Epub 2023 Oct 13.
Medial unicompartmental knee osteoarthritis is a common condition that is frequently associated with significant pain and dysfunction. Medial opening wedge high tibial osteotomy (MOWHTO) offers a unique opportunity to preserve the knee joint and potentially alter the course of the degenerative process. Recent advances in this field of surgery have enabled surgeons to perform a MOWHTO in a safe, reliable and reproducible manner. This state-of-the-art review highlights the most important advances in the field of MOWHTO. Key concepts related to patient selection, pre-operative planning, surgical accuracy and patient outcome are considered. The importance of an individualized approach is emphasized and its influence on the future direction of the procedure is discussed.
膝关节内侧单髁骨关节炎是一种常见病症，常伴有严重疼痛和功能障碍。内侧开口楔形高位胫骨截骨术（MOWHTO）为保留膝关节并可能改变退变进程提供了独特契机。该手术领域的最新进展使外科医生能够以安全、可靠且可重复的方式实施MOWHTO。这篇前沿综述重点介绍了MOWHTO领域最重要的进展。文中考虑了与患者选择、术前规划、手术精准度和患者预后相关的关键概念。强调了个体化方法的重要性，并讨论了其对该手术未来发展方向的影响。
