Ariana Lott , M. Enes Kayaalp , Yoshiyuki Yahagi , Joseph D. Giusto , Jonathan D. Hughes , Volker Musahl
{"title":"单室膝关节骨关节炎截骨术:适应症和疗效","authors":"Ariana Lott , M. Enes Kayaalp , Yoshiyuki Yahagi , Joseph D. Giusto , Jonathan D. Hughes , Volker Musahl","doi":"10.1016/j.otsm.2024.151084","DOIUrl":null,"url":null,"abstract":"<div><p>Osteotomies are classically utilized in the treatment of unicompartmental knee osteoarthritis (OA) in young active patients as part of a joint preservation strategy. As unicompartmental knee OA is often associated with malalignment, the osteotomy procedure is designed to shift the patient's mechanical axis to neutral alignment. By shifting the mechanical axis, there is decreased contact pressures in the affected compartment providing both pain relief and offloading of the affected compartment. Osteotomies can be performed in the proximal tibia or distal femur depending on the location of deformity. Both procedures have demonstrated successful improvement in clinical and functional outcomes and a delay in progression to total knee arthroplasty. The use for osteotomy in the treatment of unicompartmental knee osteoarthritis and the outcomes associated with osteotomies are discussed in detail in this review.</p></div>","PeriodicalId":54678,"journal":{"name":"Operative Techniques in Sports Medicine","volume":"32 2","pages":"Article 151084"},"PeriodicalIF":0.4000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Osteotomy for Unicompartmental Knee Osteoarthritis: Indications and Outcomes\",\"authors\":\"Ariana Lott , M. Enes Kayaalp , Yoshiyuki Yahagi , Joseph D. Giusto , Jonathan D. Hughes , Volker Musahl\",\"doi\":\"10.1016/j.otsm.2024.151084\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><p>Osteotomies are classically utilized in the treatment of unicompartmental knee osteoarthritis (OA) in young active patients as part of a joint preservation strategy. As unicompartmental knee OA is often associated with malalignment, the osteotomy procedure is designed to shift the patient's mechanical axis to neutral alignment. By shifting the mechanical axis, there is decreased contact pressures in the affected compartment providing both pain relief and offloading of the affected compartment. Osteotomies can be performed in the proximal tibia or distal femur depending on the location of deformity. Both procedures have demonstrated successful improvement in clinical and functional outcomes and a delay in progression to total knee arthroplasty. The use for osteotomy in the treatment of unicompartmental knee osteoarthritis and the outcomes associated with osteotomies are discussed in detail in this review.</p></div>\",\"PeriodicalId\":54678,\"journal\":{\"name\":\"Operative Techniques in Sports Medicine\",\"volume\":\"32 2\",\"pages\":\"Article 151084\"},\"PeriodicalIF\":0.4000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Operative Techniques in Sports Medicine\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S106018722400025X\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SPORT SCIENCES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Operative Techniques in Sports Medicine","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S106018722400025X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SPORT SCIENCES","Score":null,"Total":0}
Osteotomy for Unicompartmental Knee Osteoarthritis: Indications and Outcomes
Osteotomies are classically utilized in the treatment of unicompartmental knee osteoarthritis (OA) in young active patients as part of a joint preservation strategy. As unicompartmental knee OA is often associated with malalignment, the osteotomy procedure is designed to shift the patient's mechanical axis to neutral alignment. By shifting the mechanical axis, there is decreased contact pressures in the affected compartment providing both pain relief and offloading of the affected compartment. Osteotomies can be performed in the proximal tibia or distal femur depending on the location of deformity. Both procedures have demonstrated successful improvement in clinical and functional outcomes and a delay in progression to total knee arthroplasty. The use for osteotomy in the treatment of unicompartmental knee osteoarthritis and the outcomes associated with osteotomies are discussed in detail in this review.
期刊介绍:
Operative Techniques in Sports Medicine combines the authority of a textbook, the usefulness of a color atlas and the timeliness of a journal. Each issue focuses on a single clinical condition, offering several different management approaches. It''s the easiest way for practitioners to stay informed of the latest surgical advancements and developments.