Open Wedge High Tibial Osteotomy Versus Double Level Osteotomy
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 入组人数
- 44
- 主要终点
- Occurrence of joint line obliquity (JLO) in the two groups.
研究概览
简要总结
To compare the radiographic and clinical outcomes of varus osteoarthritic knees treated with an open-wedge high tibial osteotomy (OWHTO) alone or with a double-level osteotomy (DLO). It was hypothesized that treatment with DLO would prevent the joint line obliquity (JLO) , optimize post-operative limb alignment and provide better clinical and radiological outcomes after surgery than medial opening-wedge high tibial osteotomy (OWHTO) alone for patients with medial compartment osteoarthritis.
详细描述
Osteoarthritis is a degenerative joint disease characterized by erosion of the articular cartilage, hypertrophy of the bone at the margins and subchondral sclerosis(1). Osteoarthritis of the knee is a common problem causing significant knee pain and disability. Medial compartment osteoarthritis is predisposed to be varus deformity of the knee(2). High tibial osteotomy (HTO) is a well-established method for treatment of medial Uni compartmental-knee osteoarthritis and correction of varus deformity(3).Double level osteotomy recently used as another method for treatment this problem to improve outcomes and decrease complication(4).
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 40 Years 至 60 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients that are indicated for surgery for medial compartment osteoarthritis only (medial joint line tenderness, varus tibiofemoral malalignment) with classification of Kellgren Lawrence grade (1/2/3)
- •Age between 40 _ 60 years
- •No associated bony fractures or deformities
- •No associated ligamentous functional instability
- •Varus more than or equal 15 degrees
排除标准
- •Age younger than 40 or older than 60 years
- •Secondary Arthritis (Inflammatory arthritis, post-traumatic osteoarthritis, active knee infection)
- •Lateral Compartment OA or patellofemoral OA
结局指标
主要结局
Occurrence of joint line obliquity (JLO) in the two groups.
时间窗: Preoperative , three months postoperative , one year postoperative
Postoperative limb alignment using bilateral standing anteroposterior full-length views of both lower limbs
次要结局
未报告次要终点
研究者
Abd Elgawad Mohamed Abd Elgawad Ahmed
Resident Doctor
Assiut University