Medial Opening-Wedge High Tibial Osteotomy for Medial Compartment Arthrosis/Overload

被引：40

作者：

Day, Molly ^{[1
]}

Wolf, Brian R. ^{[2
]}

机构：

[1] Univ Iowa Hosp & Clin, Dept Orthoped & Rehabil, 200 Hawkins Dr, Iowa City, IA 52242 USA

[2] Univ Iowa Athletics, Univ Iowa Hosp & Clin, Dept Orthoped & Rehabil, 2701 Prairie Meadow Dr, Iowa City, IA 52240 USA

来源：

CLINICS IN SPORTS MEDICINE | 2019年 / 38卷 / 03期

关键词：

Medial opening-wedge high tibial osteotomy; Medial tibiofemoral osteoarthrosis; Medial tibiofemoral compartment overload; Varus deformity; Mechanical axis; LONG-TERM; CLOSING-WEDGE; VARUS GONARTHROSIS; VALGUS OSTEOTOMY; PUDDU PLATE; KNEE; OSTEOARTHRITIS; COMPLICATIONS; SURVIVAL; REGENERATION;

D O I：

10.1016/j.csm.2019.02.003

中图分类号：

G8 [体育];

学科分类号：

040301 [体育人文社会学];

摘要：

Medial opening-wedge high tibial osteotomy has become increasingly popular for treating isolated, medial compartment arthrosis in younger, more active patients. Relative indications include age younger than 55 to 60 years, normal weight, preserved range of motion, and isolated medial compartment osteoarthritis or overload. Several surgical techniques exist for stabilization of the osteotomy with similar outcomes. Complication rates after medial opening-wedge high tibial osteotomy vary from 29% to 37%, with highest risk of nonunion, fracture, stiffness, and loss of correction. Good long-term outcomes can be achieved, with 5- and 10-year survivorship rates ranging from 75% to 98.7% and 51% to 97.6%, respectively.

引用

页码：331 / +

页数：20

共 37 条

[1]

AGLIETTI P, 1983, CLIN ORTHOP RELAT R, P239

[2]

Amendola A, 2004, J Knee Surg, V17, P164

[3]

Amendola A, 1989, J ARTHROPLASTY S, V4, P11, DOI DOI 10.1016/S0883-5403(89)80002-6

[4]

Results of high tibial osteotomy: review of the literature [J].