Knee osteoarthritis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Age between 40 and 70 years; 2.Unilateral medial compartment knee osteoarthritis (mild to moderate pain); 3.Mild to moderate varus deformity (5°–15°); 4.Coronal MRI showing medial meniscus extrusion (MME) >3 mm and flexion contracture <10°; 5.Intact lateral meniscus and articular cartilage; 6.Willingness to voluntarily sign the informed consent form.
Exclusion criteria
Exclusion criteria: 1.Patients with concomitant inflammatory arthritis (e.g., rheumatoid arthritis) or systemic inflammatory diseases; 2.Patients with severe varus deformity (>10°) or flexion contracture >10°; 3.Patients with lateral meniscus pathology (tear, discoid meniscus) or knee joint instability; 4.Patients with a history of major knee trauma, infection, or prior knee surgery; 5.Patients with severe patellofemoral osteoarthritis; 6.Patients with advanced medial compartment osteoarthritis (bone-on-bone contact or knee subluxation); 7.Patients who refuse second-look arthroscopy or participation in the study; 8.Patients unable to complete at least 12 months of follow-up; 9.Patients with severe osteoporosis; 10.Patients with cognitive impairment.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| KAM relative decline rate (%?KAM); | — |
Secondary
| Measure | Time frame |
|---|---|
| HKA Accuracy;KOOS score;WOMAC score;Lysholm score;HSS score;MCID achievement rate;Operative time;Number of intraoperative fluoroscopies;Reoperation rate; | — |
Countries
China
Contacts
The First Affiliated Hospital of Wenzhou Medical University