High Tibial Osteotomy for Osteoarthritis of the Knee: a Randomised Controlled Trial
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoarthritis
- Sponsor
- Erasmus Medical Center
- Enrollment
- 92
- Locations
- 1
- Primary Endpoint
- The achievement of an overcorrection of valgus of 4°.
- Status
- Completed
- Last Updated
- 12 years ago
Overview
Brief Summary
A prospective, randomised, controlled trial compared two different techniques of high tibial osteotomy with a lateral closing wedge or a medial opening wedge, stabilised by a Puddu plate. The clinical outcome and radiological results were examined at one year.
Detailed Description
A prospective, randomised, controlled trial compared two different techniques of high tibial osteotomy with a lateral closing wedge or a medial opening wedge, stabilised by a Puddu plate. The clinical outcome and radiological results were examined at one year. The primary outcome measure was the achievement of an overcorrection of valgus of 4°. Secondary outcome measures were the severity of pain (visual analogue scale), knee function (Hospital for Special Surgery score), and walking distance.
Investigators
T. Duivenvoorden
M.D.
Erasmus Medical Center
Eligibility Criteria
Inclusion Criteria
- •Radiological OA, medial joint pain and varus malalignment
Exclusion Criteria
- •Symptomatic OA of the lateral compartment, rheumatoid arthritis, ROM \<100, collateral ligament laxity, history of fracture of previous open operation of the lower limb and a flexion contracture \> 10 degrees.
Outcomes
Primary Outcomes
The achievement of an overcorrection of valgus of 4°.
Time Frame: one year
The achieved correction will be determined on a whole leg radiograph.
Secondary Outcomes
- Knee function(one year)
- Walking distance(one year)
- Severity of pain(one year)