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[1]吳高藝,林曉東,宋敏,等.脛骨結節(jié)上與脛骨結節(jié)下內側開放楔形脛骨高位截骨術治療內側間室膝骨關節(jié)炎有效性和安全性的Meta分析[J].中醫(yī)正骨,2022,34(02):44-50.
　WU Gaoyi,LIN Xiaodong,SONG Min,et al.Clinical outcome and safety of medial open-wedge high tibial osteotomy above and below the tibial tuberosity for treatment of medial compartment knee osteoarthritis:a meta-analysis[J].The Journal of Traditional Chinese Orthopedics and Traumatology,2022,34(02):44-50.
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脛骨結節(jié)上與脛骨結節(jié)下內側開放楔形脛骨高位截骨術治療內側間室膝骨關節(jié)炎有效性和安全性的Meta分析()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第34卷
期數:
2022年02期
頁碼:
44-50
欄目:
文獻研究
出版日期:
2022-02-20

文章信息/Info

Title:
Clinical outcome and safety of medial open-wedge high tibial osteotomy above and below the tibial tuberosity for treatment of medial compartment knee osteoarthritis:a meta-analysis
作者:
吳高藝; 林曉東; 宋敏; 李聰聰; 李安安; 林文政; 蔡宇寧; 劉文剛
廣州中醫(yī)藥大學第五臨床醫(yī)學院,廣東 廣州 510095
Author(s):
WU Gaoyi; LIN Xiaodong; SONG Min; LI Congcong; LI An'an; LIN Wenzheng; CAI Yuning; LIU Wengang
The Fifth Clinical Medical College of Guangzhou University of Chinese Medicine,Guangzhou 510095,Guangdong,China
關鍵詞:
骨關節(jié)炎; 膝;  截骨術;  脛骨結節(jié);  專題Meta分析;  系統評價
Keywords:
osteoarthritis; knee;  osteotomy;  tibial tubercle;  meta-analysis as topic;  systematic review
摘要:
目的:系統評價脛骨結節(jié)上與脛骨結節(jié)下內側開放楔形脛骨高位截骨術(open-wedge high tibial osteotomy,OWHTO)治療內側間室膝骨關節(jié)炎(knee osteoarthritis,KOA)的有效性和安全性。方法:通過計算機檢索PubMed、Cochrane Library、Embase、中國知網、萬方數據庫、維普網2000年1月1日至2020年12月31日收錄的比較脛骨結節(jié)上(試驗組)與脛骨結節(jié)下(對照組)內側OWHTO治療內側間室KOA的有效性和安全性的隨機對照臨床研究和回顧性臨床研究文獻。由2名研究者獨立按照統一的評價指標及文獻信息提取表進行文獻篩選和數據提取,采用紐卡斯爾-渥太華量表對納入的文獻進行質量評價,采用Cochrane協作網提供的RevMan5.2軟件進行Meta分析。結果:共檢索到257篇文獻,經過逐層篩選,最終納入12篇文獻,共涉及752例內側間室KOA患者,其中試驗組416例、對照組336例。Meta分析結果顯示,試驗組術后髕骨高度(Caton-Deschamps法、Blackburne-Peel法和Insall-Salvati法)、并發(fā)癥發(fā)生率均小于對照組[I2=0%,P=0.610,MD=-0.05,95%CI(-0.07,-0.02),P=0.001; I2=22%,P=0.280,MD=-0.06,95%CI(-0.10,-0.03),P=0.003; I2=88%,P=0.000,MD=-0.08,95%CI(-0.11,-0.05),P=0.000; I2=0%,P=0.960,MD=0.24,95%CI(0.07,0.83),P=0.020]; 試驗組術后美國特種外科醫(yī)院膝關節(jié)功能評分、脛骨后傾角與對照組比較,差異無統計學意義[I2=73%,P=0.030,MD=1.01,95%CI(-1.24,3.25),P=0.380; I2=0%,P=0.600,MD=0.16,95%CI(-0.22,0.54),P=0.420]。結論:脛骨結節(jié)上與脛骨結節(jié)下內側OWHTO治療內側間室KOA的療效相當; 前者較后者更易導致術后低位髕骨,但其安全性高于后者。
Abstract:
Objective:To systematically review the clinical outcome and safety of medial open-wedge high tibial osteotomy(MOWHTO)above versus below the tibial tuberosity for treatment of medial compartment knee osteoarthritis(KOA).Methods:All the randomized controlled trial(RCT)articles and retrospective clinical trial articles about the clinical efficacy and safety of MOWHTO above the tibial tuberosity(experimental group)versus MOWHTO below the tibial tuberosity(control group)for treatment of medial compartment KOA included from January 1,2000 to December 31,2020 were retrieved from the PubMed,Cochrane Library,Embase,China National Knowledge Internet,Wanfang Database and Vip Database through computer.The articles were screened and the information was extracted independently by two researchers according to unified evaluation index and literature information extraction table.The methodological quality of research in the articles was evaluated according to the Newcastle-Ottawa scale(NOS)and a Meta-analysis was conducted by using RevMan5.2 software provided by Cochrane Collaboration.Results:Two hundred and fifty-seven articles were searched out.After screening,12 articles(752 patients)were included in the final analysis,416 patients in experimental group and 336 patients in control group.The results of Meta-analysis revealed that the postoperative patellar height(measured by Caton-Deschamps method,Blackburne-Peel method and Insall-Salvati method)and the postoperative complication incidence were lower in experimental group compared to control group(I2=0%,P=0.610,MD=-0.05,95%CI(-0.07,-0.02),P=0.001; I2=22%,P=0.280,MD=-0.06,95%CI(-0.10,-0.03),P=0.003; I2=88%,P=0.000,MD=-0.08,95%CI(-0.11,-0.05),P=0.000; I2=0%,P=0.960,MD=0.24,95%CI(0.07,0.83),P=0.020).There was no statistical difference in postoperative Hospital for Special Surgery(HSS)knee function score and posterior tibial slope between experimental group and control group(I2=73%,P=0.030,MD=1.01,95%CI(-1.24,3.25),P=0.380; I2=0%,P=0.600,MD=0.16,95%CI(-0.22,0.54),P=0.420).Conclusion:MOWHTO above the tibial tuberosity is similar to MOWHTO below the tibial tuberosity in clinical outcome in treatment of medial compartment KOA,however,the former displays the advantage as higher safety and the disadvantage as more likely to cause postoperative patella baJa compared to the latter.

參考文獻/References:

[1] 陸艷紅,石曉兵.膝骨關節(jié)炎國內外流行病學研究現狀及進展[J].中國中醫(yī)骨傷科雜志,2012,20(6):81-84.
[2] 許蓓,林進.骨關節(jié)炎發(fā)病機制及治療進展[J].浙江醫(yī)學,2017,39(21):1833-1835.
[3] LOESER R F.Aging and osteoarthritis:the role of chondrocyte senescence and aging changes in the cartilage matrix[J].Osteoarthritis Cartilage,2009,17(8):971-979.
[4] 白浩,孫海飚,韓曉強,等.脛骨高位截骨與單髁置換治療膝關節(jié)內側間室骨關節(jié)炎的Meta分析[J].中國組織工程研究,2020,24(30):4905-4913.
[5] 孫茂淋,何銳,郭林,等.開放楔形脛骨高位截骨術的臨床應用及研究現狀[J].中國修復重建外科雜志,2019,33(5):640-643.
[6] SAITO T,KUMAGAI K,AKAMATSU Y,et al.Five- to ten-year outcome following medial opening-wedge high tibial osteotomy with rigid plate fixation in combination with an artificial bone substitute[J].Bone Joint J,2014,96-B(3):339-344.
[7] 劉娜,陳德生,王丙剛.脛骨結節(jié)上與結節(jié)下截骨治療膝單間室骨關節(jié)炎對比[J].實用骨科雜志,2015,21(11):983-987.
[8] 曾建春,曾意榮,羅偉,等.單平面與雙平面截骨對OWHTO術后脛骨后傾角的影響[J].實用骨科雜志,2020,26(7):609-613.
[9] 陳禹名.脛骨高位內側雙平面上行截骨與下行截骨的臨床療效對比研究[D].吉林:北華大學,2019.
[10] ELMALI N,ESENKAYA I,CAN M,et al.Monoplanar versus biplanar medial open-wedge proximal tibial osteotomy for varus gonarthrosis:a comparison of clinical and radiological outcomes[J].Knee Surg Sports Traumatol Arthrosc,2013,21(12):2689-2695.
[11] GAASBEEK R D A,SONNEVELD H,VAN HEERWAARDEN R J,et al.Distal tuberosity osteotomy in open wedge high tibial osteotomy can prevent patella infera:a new technique[J].Knee,2004,11(6):457-461.
[12] GOOI S G,CHAN C X Y,TAN M K L,et al.Patella heightchanges post high tibial osteotomy[J].Indian J Orthop,2017,51(5):545-551.
[13] HINTERWIMMER S,BEITZEL K,PAUL J,et al.Control of posterior tibial slope and patellar height in open-wedge valgus high tibial osteotomy[J].Am J Sports Med,2011,39(4):851-856.
[14] OGAWA H,MATSUMOTO K,YOSHIOKA H,et al.Distal tibial tubercle osteotomy is superior to the proximal one for progression of patellofemoral osteoarthritis in medial opening wedge high tibial osteotomy[J].Knee Surg Sports Traumatol Arthrosc,2020,28(10):3270-3278.
[15] KRAUSE M,DRENCK T C,KORTHAUS A,et al.Patella height is not altered by descending medial open-wedge high tibial osteotomy(HTO)compared to ascending HTO[J].Knee Surg Sports Traumatol Arthrosc,2018,26(6):1859-1866.
[16] LONGINO P D,BIRMINGHAM T B,SCHULTZ W J,et al.Combined tibial tubercle osteotomy with medial opening wedge high tibial osteotomy minimizes changes in patellar height:a prospective cohort study with historical controls[J].Am J Sports Med,2013,41(12):2849-2857.
[17] PARK H,KIM H W,KAM J H,et al.Open wedge high ti-bial osteotomy with distal tubercle osteotomy lessens change in patellar position[J/OL].Biomed Res Int,2017[2020-11-01].https://pubmed.ncbi.nlm.nih.gov/28804716/.DOI:10.1155/2017/4636809.
[18] HORIKAWA T,KUBOTA K,HARA S,et al.Distal tuberosity osteotomy in open-wedge high tibial osteotomy does not exacerbate patellofemoral osteoarthritis on arthroscopic evaluation[J].Knee Surg Sports Traumatol Arthrosc,2020,28(6):1750-1756.
[19] 陳百成,高石軍,王曉峰,等.脛骨高位截骨術后髕骨低位[J].中華骨科雜志,2003,23(8):449-451.
[20] 呂立桃,謝興文,顧玉彪,等.低位髕骨對髕股關節(jié)炎發(fā)生影響的研究進展[J].中國骨與關節(jié)雜志,2015,4(4):314-316.
[21] EL-AZAB H,GLABGLY P,PAUL J,et al.Patellar height and posterior tibial slope after open- and closed-wedge high tibial osteotomy:a radiological study on 100 patients[J].Am J sports Med,2010,38(2):323-329.
[22] STOFFEL K,WILLERS C,KORSHID O,et al.Patellofemoral contact pressure following high tibial osteotomy:a cadaveric study[J].Knee Surg Sports Traumatol Arthrosc,2007,15(9):1094-1100.
[23] 荊立忠,王小譚,王少山,等.分別基于脛骨與股骨為參考點的MOWHTO術后髕骨高度測量及其與前方截骨間隙的相關性分析[J].中國中西醫(yī)結合影像學雜志,2020,18(2):186-188.
[24] 林曉東,鄭沐欣,夏威夷,等.脛骨后傾角在膝關節(jié)手術中的臨床意義[J].中華創(chuàng)傷骨科雜志,2019,21(10): 914-917.
[25] KIM G B,KIM K I,SONG S J,et al.Increased posterior ti-bial slope after medial open-wedge high tibial osteotomy may result in degenerative changes in anterior cruciate ligament[J].J Arthroplasty,2019,34(9):1922-1928.
[26] NHA K W,KIM H J,AHN H S,et al.Change in posterior tibial slope after open-wedge and closed-wedge high ti-bial osteotomy:a meta-analysis[J].Am J Sports Med,2016,44(11):3006-3013.
[27] TÜRKMEN F,KAÇIRA B K,ÖZKAYA M,et al.Comparison of monoplanar versus biplanar medial opening-wedge high tibial osteotomy techniques for preventing lateral cortex fracture[J].Knee Surg Sports Traumatol Arthrosc,2017,25(9):2914-2920.
[28] JO H S,PARK J S,BYUN J H,et al.The effects of different hinge positions on posterior tibial slope in medial open-wedge high tibial osteotomy[J].Knee Surg Sports Traumatol Arthrosc,2018,26(6):1851-1858.
[29] LEE Y S,LEE S B,OH W S,et al.Changes in patellofemoral alignment do not cause clinical impact after open-wedge high tibial osteotomy[J].Knee Surg Sports Traumatol Arthrosc,2016,24(1):129-133.
[30] OGAWA H,MATSUMOTO K,OGAWA T,et al.Effect of wedge insertion angle on posterior tibial slope in medial opening wedge high tibial osteotomy[J].Orthop J Sports Med,2016,4(2):232-236.
[31] LEE S S,NHA K W,LEE D H.Posterior cortical breakage leads to posterior tibial slope change in lateral hinge fracture following opening wedge high tibial osteotomy[J].Knee Surg Sports Traumatol Arthrosc,2019,27(3):698-706.
[32] 臧永輝,許瀚,石波,等.關節(jié)鏡聯合開放楔形脛骨高位截骨術治療膝關節(jié)骨關節(jié)炎的早期效果[J].骨科,2020,11(5):417-421.
[33] 閔翊,王建軍,葉超,等.脛骨結節(jié)下單平面開放脛骨高位截骨術治療內側間室膝骨關節(jié)炎的近期效果觀察[J].醫(yī)學綜述,2020,26(2):403-407.
[34] DIFFO KAZE A,MAAS S,HOFFMANN A,et al.Mechanical strength assessment of a drilled hole in the contralateral cortex at the end of the open wedge for high tibial oste-otomy[J].J Exp Orthop,2017,4(1):23.

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備注/Memo

備注/Memo:
基金項目:廣東省中醫(yī)藥局科研項目(20211035,20211023); 廣州市科技計劃項目(202002030204)
通訊作者:劉文剛 E-mail:[email protected]
更新日期/Last Update: 2022-02-20