{Reference Type}: Journal Article
{Title}: Age-stratified analysis of HTO and UKA clinical effects in cross-indicated anterior medial osteoarthritis.
{Author}: Xu H;Tu H;Zhao T;Xu D;Yu Q;Liao L;Zhang T;Shi B;
{Journal}: Eur J Orthop Surg Traumatol
{Volume}: 34
{Issue}: 5
{Year}: 2024 Jul 17
暂无{DOI}: 10.1007/s00590-024-03944-4
{Abstract}: <B>OBJECTIVE: </B>To compare clinical outcomes of high tibial osteotomy (HTO) and unicompartmental knee arthroplasty (UKA) for anterior medial osteoarthritis (AMOA) as well as offer surgical recommendations through age stratification.<BR><B>METHODS: </B>Between May 2019 and May 2021, 68 cross-indicated AMOA patients were analyzed. The patients were divided into HTO and UKA groups and further into two age groups of 55-60 and 60-65 years. Additionally, general data, visual analog scale (VAS) score, and Hospital for Special Surgery knee score (HSS) were analyzed.<BR><B>RESULTS: </B>All the patients were followed up for 18 months. Knee joint HSS significantly improved, and VAS score decreased in both groups (P < 0.05). In the 55-60 age group, HTO showed superior knee HSS at 1 and 3 months (P < 0.05), with no significant difference at 6, 12, and 18 months. HTO had a significantly lower VAS score at one month, and the VAS scores of the two groups decreased gradually with no significant difference. In the 60-65 age group, the UKA group showed superior knee joint HSS at one month, with no significant difference at 3, 6, 12, and 18 months. The UKA group had a significantly lower VAS score at one month, and both groups' VAS scores decreased gradually with no significant difference.<BR><B>CONCLUSIONS: </B>Both methods yield satisfactory results for AMOA cross-indications, improving knee joint function. The observed recovery trends have implications for personalized surgical recommendations, guiding interventions based on age-specific considerations for optimal outcomes in anterior medial osteoarthritis cases.