Medial compartment osteoarthritis of the knee
Conditions
Interventions
Posterior-oblique tibial osteotomy group:Posterior-oblique tibial osteotomy:After making a 5-6 cm medial skin incision on the lower leg, dissect downward through the fat to expose the fascial layer o
Opening-wedge high tibial osteotomy group:Opening-wedge high tibial osteotomy: After making a 5–6 cm medial skin incision on the lower leg, dissect downward through the fat to expose the fascial layer
Sponsors
Shanghai Sixth People's Hospital
Eligibility
Sex/Gender
All
Age
45 Years to 80 Years
Inclusion criteria
Inclusion criteria: 1.The patient is aged between 45 and 80 years old; 2.Medial compartment osteoarthritis (OA) of the knee joint (diagnostic criteria - medial joint pain, limited daily walking function, medial joint tenderness, grade 4 degeneration of medial cartilage on MRI) combined with varus deformity of the knee joint >= 5°; 3. Conservative treatment has been ineffective for half a year
Exclusion criteria
Exclusion criteria: 1.Degeneration of the lateral compartment cartilage to grade 3 or above; 2. Knee extension limitation >=10°; 3.Range of motion =30; 5.Knee joint instability (excluding lateral laxity of the knee joint without a history of trauma); 6. Smoking patients; 7. Inflammatory arthritis; 8. The contribution to varus on the femoral side is>=5° (with the angle formed by the mechanical axis of the femoral side and the tangent of the two condyles - the mechanical angle of the lateral distal femur, mLFDA, set at 90° as the normal standard, and any angle exceeding 95° needs to be excluded); 9.Trauma and previous history of knee joint surgery. 10.Refusal to sign the informed consent form due to refusal to undergo randomization or follow-up 11.Unable to independently provide informed consent and unable to comprehend the follow-up scoring scale.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patient-Reported Outcome Score (KOOS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;Western Ontario and McMaster Universities Osteoarthritis Index;Lysholm Knee Score;Full-length weight-bearing lower limb alignment radiograph;Computed Tomography image of knee;Magnetic Resonance Imaging of knee;Physical examination(knee range of motion );Arthroscopy examination;Incidence of complications; | — |
Countries
China
Contacts
Public ContactZhao Jinzhong
Shanghai Sixth People's Hospital
Outcome results
None listed