胫骨高位截骨临床结果相关影响因素的研究进展△

Research progress on factors related to clinical outcome of high tibial osteotomy

摘要:

胫骨高位截骨 (high tibial osteotomy, HTO) 作为目前膝关节内侧间室骨性关节炎的一种经典的“保膝”治疗方案， 在广大高功能活动需求的年轻膝骨性关节炎 (knee osteoarthritis, KOA) 患者中扮演着重要角色。虽然 HTO 能有效改善临床症状，恢复膝关节功能并延长使用寿命，但术后临床效果及其影响因素仍具有不可预知性。研究并明确这些影响因素，对于膝内侧间室骨性关节炎患者进行个体化治疗及提高术后临床疗效具有重要意义。本文将对影响 HTO 术后临床效果的相关因素进行综述，以期对临床治疗有所帮助。

Abstract:

High tibial osteotomy, a classic knee-preserving surgery for medial compartment osteoarthritis of the knee, plays an impor- tant role in young patients with knee osteoarthritis who need high-function activities. Although high tibial osteotomy can effectively im- prove clinical symptoms, restore knee function and prolong service life, the clinical results and the related factors still remain unpredict- able. It is of great significance to study and clarify these influencing factors for individualized treatment of medial knee compartment osteo- arthritis and to improve the postoperative clinical efficacy. This article will review the factors related to the clinical outcome of high tibial os- teotomy, in order to help the decision making in clinical setting.