背景与目的:膝骨关节炎是现代各国的严重负担。手术时机和治疗选择在骨科文献中仍然存在争议。这项研究的目的是确定2001年至2016年意大利胫骨高位截骨术的发生率和住院趋势。材料和方法:数据来自2001年至2016年意大利卫生部的国家医院出院报告(SDO)。结果:在研究期间,意大利共进行了34,402例胫骨高位截骨术。累积发病率为每10万居民3.6例。年龄在50-54岁、55-59岁的人的手术数量较高。在儿科患者(0-19岁),胫骨高位截骨术也主要进行。大多数接受手术的患者是M/F比为1.5的男性。患者平均年龄为44.2±19.2岁。男性明显比女性年轻(43.3±20.7vs.45.6±17.7)。平均住院时间为6.1±7.3天。在分析过程中,住院时间呈下降趋势.主要诊断代码为\"Varusknee\"(736.42ICD-9-CM代码,33.9%),“骨关节病,局部化,小学,腿部区域\"(715.16ICD-9-CM代码,9.5%)。结论:在研究期间,意大利胫骨高位截骨术几乎减半。内翻畸形和膝骨关节炎是需要胫骨高位截骨术的主要原因。除了儿科设置,结果表明,从20-24岁到50-54岁,膝关节截骨的要求越来越高,而在那些年龄>60岁的人中,发病率逐渐下降。意大利多年来HTO的明显下降似乎反映了膝关节截骨术在膝关节OA治疗中的作用较小,因为它似乎主要是为年轻的男性患者保留的。
Background and Objectives: Knee osteoarthritis is a serious burden for modern countries. Timing of surgery and treatment choice are still a matter of controversy in the orthopedic literature. The purpose of this study was to ascertain the incidence and hospitalization trends of high
tibial osteotomy in Italy from 2001 to 2016. Materials and Methods: Data are sourced from the National Hospital Discharge Reports (SDO) of the Italian Ministry of Health between 2001 and 2016. Results: A total of 34,402 high
tibial osteotomies were performed over the study period in Italy. The cumulative incidence was 3.6 cases per 100,000 residents. The age classes 50-54, 55-59 showed the higher number of procedures. In pediatric patients (0-19 years), high
tibial osteotomies are also largely performed. The majority of patients having surgery were men with a M/F ratio of 1.5. The mean age of patients was 44.2 ± 19.2 years. Males were significantly younger than females (43.3 ± 20.7 vs. 45.6 ± 17.7). The average length of hospitalization was 6.1 ± 7.3 days. Over the course of the analysis, a declining trend in hospital stay length was seen. The main primary diagnosis codes were \"Varus knee\" (736.42 ICD-9-CM code, 33.9%), \"Osteoarthrosis, localized, primary, leg region\" (715.16 ICD-9-CM code, 9.5%). Conclusions: Over the study period, high
tibial osteotomies in Italy almost halved. Varus deformity and knee osteoarthritis are the leading causes requiring high
tibial osteotomy. Except for the pediatric setting, results showed that from the 20-24 age class to the 50-54 age class, there was an increasing request for knee osteotomy, whereas in those aged >60 years, the incidence progressively decreased. The evident decline in HTO performed over the years in Italy seems to reflect a minor role for knee osteotomy in the management of knee OA, as it seems to be primarily reserved for younger male patients.