High tibial osteotomy: does navigation improve results?
High tibial osteotomy: does navigation improve results?
复制标题
胫骨高位截骨术：导航能否改善结果？
作者：
F. Maurer;Günther Wassmer
在2003年1月至2006年3月期间，作者进行了67例开放楔形胫骨高位截骨术（HTO），用于治疗内翻和骨关节炎。通过两组的比较，本研究试图回答无计算机断层扫描（CT）导航是否适用于HTO，并将提供更准确的矫正角度，而不会引起额外的并发症。结果显示，在导航下进行HTO时，实现适当腿轴矫正的准确性显著更高（P<0.016）。HTO中的导航允许术中计算下肢轴，似乎是一种可靠且安全的手术。已知HTO治疗下肢轴内翻畸形的临床结果与矫正术后外翻对线以及避免过度矫正和矫正不足密切相关，研究得出结论，使用导航将有助于改善临床结局。
Between January 2003 and March 2006, the authors performed 67 open-wedge high tibial osteotomies (HTO) for treatment of genu varum and osteoarthritis. Through comparison of two groups, the study sought to answer whether computed tomography (CT)-free navigation is feasible for HTO and will provide a more accurate correction angle without giving rise to additional complications. The results showed a significantly higher accuracy in achieving the proper leg axis correction (P< .016) when HTO was performed with navigation. Navigation in HTO, which allows intraoperative calculation of the leg axis, seems to be a reliable and safe procedure. Knowing that clinical results of HTO in varus deformity of the leg axis are closely connected to correct postoperative valgus alignment and avoiding overcorrection and undercorrection, the study lead to the conclusion that the use of navigation will contribute to better clinical outcomes.