胫骨高位截骨治疗膝关节退行性病变的适应证指南  

Indications guideline for high tibial osteotomies in the treatment of degenerative knee diseases

作　　者：国家骨科医学中心保膝联盟 黄野 蒋协远 柳剑 刘庆 曹光磊 the Knee Preservation Alliance,National Orthopedic Medical Center;Huang Ye;Jiang Xieyuan(不详;Department of Knee Preservation Surgery,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China;Department of Orthopaedics and Traumatology,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]不详 [2]首都医科大学附属北京积水潭医院保膝外科,100035 [3]首都医科大学附属北京积水潭医院创伤骨科,100035 [4]首都医科大学附属北京积水潭医院

出　　处：《骨科临床与研究杂志》2025年第1期1-17,共17页Journal Of Clinical Orthopedics And Research

摘　　要：胫骨高位截骨术是一种可用于治疗膝关节退行性病变的手术方法,可通过改变膝关节负荷,缓解疼痛和改善关节功能。然而,一部分患者接受胫骨高位截骨术后临床疗效和满意度欠佳。目前国内外关于胫骨高位截骨术的相关指南大多描述了胫骨高位截骨术的操作流程和临床疗效,但并未见详细描述胫骨高位截骨术患者具体选择标准的相关指南。为此,基于现有的国内外文献和临床实践经验,经过北京积水潭医院国家骨科医学中心保膝联盟的专家组成员共同讨论,本指南采用推荐意见分级的制定、评估、GRADE分级体系和卫生指南报告标准(RIGHT),对胫骨高位截骨术手术的患者选择标准进行了详细阐述。本指南专家组希望《胫骨高位截骨治疗膝关节退行性病变的适应证指南》可以作为临床医生对膝关节退行性病变患者进行胫骨高位截骨术手术决策的依据,帮助医生更好地判断患者是否适合接受胫骨高位截骨术手术,并了解胫骨高位截骨术手术的预期效果,规避潜在手术风险,对保障患者安全及提升医疗质量具有重要意义。High tibial osteotomy(HTO)is a surgical method used to treat degenerative knee joint diseases.By changing the load on the knee joint,HTO can reduce pain and improve joint function.However,some patients have poor clinical efficacy and satisfaction after undergoing HTO.At present,most of the relevant guidelines on HTO describe the process operation and clinical efficacy of HTO and the specific selection criteria of patients in detail.To this end,the guideline is discussed by members of the expert group of the Beijing Jishuitan Hospital National Orthopedic Medical Center Knee Preservation Alliance,based on existing domestic and international literature and clinical practice experience,the recommended opinion classification system,evaluation,GRADE classification system,and health guideline reporting standards(RIGHT)to elaborate on the patient selection criteria for HTO surgery.The expert group of the guideline hopes that indications guidelines of HTO for the treatment of degenerative knee diseases can serve as a basis for surgerns to make decisions regarding HTO surgery in patients with degenerative knee diseases,helping surgerns more ensure the patients are suitable for HTO surgery,understand the expected effects of HTO surgery,avoid potential surgical risks,and play an important role in ensuring patient safety and improving medical quality.

关 键 词：指南 膝关节 骨关节炎 胫骨 截骨术 膝关节不稳 

分 类 号：R684[医药卫生—骨科学]