Unicompartmental Knee Arthroplasty Versus High Tibial Osteotomy: United States Practice Patterns for the Surgical Treatment of Unicompartmental Arthritis

被引：102

作者：

Nwachukwu, Benedict U. ^{[1
]}

McCormick, Frank M. ^{[2
]}

Schairer, William W. ^{[1
]}

Frank, Rachel M. ^{[3
]}

Provencher, Matthew T. ^{[4
]}

Roche, Martin W. ^{[1
]}

机构：

[1] Hosp Special Surg, New York, NY 10021 USA

[2] Holy Cross Orthoped Inst, Ft Lauderdale, FL USA

[3] Rush Presbyterian St Lukes Med Ctr, Dept Sports Med, Chicago, IL 60612 USA

[4] Massachusetts Gen Hosp, Dept Sports Med, Boston, MA 02114 USA

来源：

JOURNAL OF ARTHROPLASTY | 2014年 / 29卷 / 08期

关键词：

high tibial osteotomy; unicompartmental knee arthroplasty; osteoarthritis; joint preservation; FOLLOW-UP; OSTEOARTHRITIS;

D O I：

10.1016/j.arth.2014.04.002

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

100224 [整形外科学];

摘要：

Both unicompartmental knee arthroplasty (UKA) and high tibial osteotomy (HTO) produce satisfactory outcomes in the management of unicompartmental knee osteoarthritis (OA). The purpose of this study is to compare UKA and HTO practice patterns in a large US private payer insurance database. Utilization data for UKA and HTO were captured from the database between 2007 and 2011. Chi square analysis, parametric testing and Poisson regressions were performed where appropriate. Between 2007 and 2011, the compound annual growth rate in utilization of UKA was + 4.7%, while that for HTO was - 3.9%. Utilization of UKA and HTO were inversely correlated (P = 0.001). UKA utilization is increasing, while HTO utilization is decreasing in the management of OA. More work is required to understand specific indications and outcomes. (C) 2014 Elsevier Inc. All rights reserved.

引用

页码：1586 / 1589

页数：4

共 25 条

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