Lei Zhang, Mubin Wei, Aifeng Liu, Shuwei Gong, Zhi-ping Tu
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Comparison of HTO and UKA in the treatment of unicompartmental knee osteoarthritis: a Meta analysis
Objective
To evaluate the efficacy of high tibial osteotomy(HTO) and unicompartmental knee arthroplasty(UKA) for knee unicompartmental osteoarthrits(KOA) using Meta analysis.
Methods
The controlled clinical trial literatures of HTO and UKA treating KOA were retrieved, the database including Chinese Biomedical Literature Database, Wanfang Data, CNKI, VIP Data, PubMed, Cochrane Library, EBSCO and Embase, and the search period was limited to the beginning of the database to July 2018. The literature was screened and evaluated, and Review Manager 5.3 software was used for Meta analysis.
Results
A total of 19 articles including 1 359 knee joints were included. Meta analysis results showed that HTO was superior to UKA in range of motion (ROM) (P 0.05).
Conclusions
Both HTO and UKA have their own advantages and disadvantages. It is necessary to properly choose the operation according to the patient's condition and psychological expectation.
Key words:
High tibal osteotomy; Unicompartmental knee arthroplasty; Unicompartmental knee osteoarthritis; Meta analysis
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