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如何进行准确且安全的内侧开放楔形高位胫骨截骨术；技术要点

How to Perform an Accurate and Safe Medial Open Wedge High Tibial Osteotomy; A Technical Note.

作者信息

Sherafat Vaziri Arash, Ahmadzadeh Hossein, Hosseinzadeh Nima

机构信息

Center of Orthopedic Trans-disciplinary Applied Research (COTAR), Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Arch Bone Jt Surg. 2025;13(6):378-382. doi: 10.22038/ABJS.2025.81222.3703.

DOI:10.22038/ABJS.2025.81222.3703
PMID:40641890
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12238855/
Abstract

Medial open-wedge high tibial osteotomy (MOWHTO) is increasingly recognized as the preferred treatment option for active patients with varus malalignment and medial compartment osteoarthritis of the knee. This procedure aims to delay the degenerative process while alleviating pain and dysfunction. In this technical note, we aim to describe the tips and tricks for performing a safe MOWHTO, drawing on recent literature.

摘要

内侧开放楔形高位胫骨截骨术（MOWHTO）越来越被认为是患有膝关节内翻畸形和内侧间室骨关节炎的活跃患者的首选治疗方案。该手术旨在延缓退变过程，同时减轻疼痛和功能障碍。在本技术说明中，我们旨在借鉴近期文献，描述进行安全的MOWHTO的技巧和窍门。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/f9bbd040a8e3/ABJS-13-378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/5d26a6641697/ABJS-13-378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/cb612d242f6a/ABJS-13-378-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/b5aa8e9bc353/ABJS-13-378-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/f9bbd040a8e3/ABJS-13-378-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/5d26a6641697/ABJS-13-378-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/cb612d242f6a/ABJS-13-378-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/b5aa8e9bc353/ABJS-13-378-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3baf/12238855/f9bbd040a8e3/ABJS-13-378-g004.jpg

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How to Perform an Accurate and Safe Medial Open Wedge High Tibial Osteotomy; A Technical Note.如何进行准确且安全的内侧开放楔形高位胫骨截骨术；技术要点
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本文引用的文献

1
Medial opening wedge high tibial osteotomy for the treatment of medial unicompartmental knee osteoarthritis: A state-of-the-art review.内侧开口楔形高位胫骨截骨术治疗内侧单髁膝关节骨关节炎：最新综述
J ISAKOS. 2024 Feb;9(1):39-52. doi: 10.1016/j.jisako.2023.10.004. Epub 2023 Oct 13.
2
Survivorship of high tibial osteotomy in the treatment of osteoarthritis of the knee: a retrospective cohort study with fourteen years' follow-up.膝关节骨关节炎高胫骨截骨术治疗的生存分析：一项 14 年随访的回顾性队列研究。
Int Orthop. 2023 Jul;47(7):1765-1770. doi: 10.1007/s00264-023-05802-0. Epub 2023 Apr 11.
3
The benefits of a percutaneous supplemental screw to reinforce the hinge of a medial open wedge tibial osteotomy.
经皮辅助螺钉加强内侧开放楔形胫骨截骨铰链的益处。
Arch Orthop Trauma Surg. 2023 Jul;143(7):3707-3713. doi: 10.1007/s00402-022-04573-4. Epub 2022 Aug 8.
4
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.
5
The Dugdale planning method for high tibial osteotomies underestimates the correction angle compared to the Miniaci method.与米尼亚奇方法相比，达格代尔高位胫骨截骨术的规划方法低估了矫正角度。
Knee Surg Sports Traumatol Arthrosc. 2023 Apr;31(4):1507-1514. doi: 10.1007/s00167-021-06663-z. Epub 2021 Jul 9.
6
High Tibial Osteotomy Survivorship: A Population-Based Study.高位胫骨截骨术的生存率：一项基于人群的研究。
Orthop J Sports Med. 2019 Dec 30;7(12):2325967119890693. doi: 10.1177/2325967119890693. eCollection 2019 Dec.
7
Improved clinical outcome after medial open-wedge osteotomy despite cartilage lesions in the lateral compartment.尽管外侧间室存在软骨损伤，但内侧切开楔形截骨术后临床结果得到改善。
PLoS One. 2019 Oct 24;14(10):e0224080. doi: 10.1371/journal.pone.0224080. eCollection 2019.
8
Patient Evaluation and Indications for Osteotomy Around the Knee.膝关节周围截骨术的患者评估与适应症
Clin Sports Med. 2019 Jul;38(3):305-315. doi: 10.1016/j.csm.2019.02.011.
9
Adding a protective K-wire during opening high tibial osteotomy increases lateral hinge resistance to fracture.在胫骨高位截骨术中增加保护性 K 线可增加外侧铰链抵抗骨折的能力。
Knee Surg Sports Traumatol Arthrosc. 2020 Mar;28(3):751-758. doi: 10.1007/s00167-019-05404-7. Epub 2019 Feb 19.
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3D printing and high tibial osteotomy.3D打印与高位胫骨截骨术
EFORT Open Rev. 2018 May 21;3(5):254-259. doi: 10.1302/2058-5241.3.170075. eCollection 2018 May.