胫骨后倾角减小截骨术：适应证、安全性与比例原则之间的新差距
简介
胫骨后倾截骨术（SRO）已成为前交叉韧带（ACL）损伤管理中的重要风险控制工具，尤其适用于高危患者和翻修手术。然而，其快速普及已超越现有证据对适应证、手术时机及患者选择的界定，引发了关于手术比例性、技术要求及患者筛选的讨论。本文观点认为，SRO应基于整合的个体化风险分层，而非孤立的数值阈值；临床判断与手术经验仍是确保其安全有效应用的关键保障。证据等级：不适用…
英文摘要
Slope-reducing osteotomy (SRO) has emerged as a valuable risk-mitigation tool in the management of anterior cruciate ligament (ACL) injuries, particularly in high-risk patients and in revision settings. However, its rapid adoption has outpaced the evidence defining when, how and in whom it should be performed, raising important questions regarding proportionality, technical demand and patient selection. This editorial argues that SRO should be guided by integrated, individualised risk stratification rather than isolated numerical thresholds, and that clinical judgement and surgical experience remain the essential safeguards for its safe and effective application. LEVEL OF EVIDENCE: N/A.