Medial compartment osteoarthritis of the knee
Conditions
Interventions
WBL50~55% group:Taking WBL50-55% as the ideal correction position of the tibial plateau, the lower limb force line was measured using the tibial high-level osteotomy software (APP HTO system, Osteo Ma
WBL55~60% group:Taking WBL55-60% as the ideal correction position of the tibial plateau, the lower limb force line was measured using the tibial high-level osteotomy software (APP HTO system, Osteo Ma
WBL6
Sponsors
Luoyang Orthopedic Hospital of Henan Province
Eligibility
Sex/Gender
All
Age
40 Years to 65 Years
Inclusion criteria
Inclusion criteria: (1) Advanced stage of knee osteoarthritis (with genu varum deformity), the pain mainly concentrates on the medial side of the knee joint in osteoarthritis, and conservative treatment for more than half a year has been ineffective. The X-ray shows a Kellgren-Lawrence grade III patient; (2) The X-ray in the weight-bearing position shows narrowing of the medial gap, genu varum deformity, with an angle exceeding 5°, the lateral gap is basically normal, the knee joint structure is basically normal, and MRI indicates intact knee ligament function, knee joint stability, and no knee dislocation changes; (3) The knee joint flexion range of motion is > 90°, and the varus angle is = 18.5 kg/m².
Exclusion criteria
Exclusion criteria: (1) Those with injury to the cruciate ligament or collateral ligament of the knee; (2) Those with moderate to severe osteoarthritis in the patellofemoral compartment or lateral compartment; (3) Those with severe internal medical conditions and who, after assessment, cannot tolerate this surgery; (4) Those with wounds in the surgical area or active infections throughout the body; (5) Those with mental disorders or during pregnancy; (6) Those with severe osteoporosis; (7) Those with bone diseases caused by conditions such as gout, rheumatoid arthritis, ankylosing spondylitis, or tumors; (8) Those with neuropathic lesions around the knee joint; (9) Those who have undergone surgical treatment of the knee joint or have a history of joint cavity injections recently.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Western Ontario and McMaster Universities Osteoarthritis Index;Finite Element Analysis; | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale;Knee Society Score;Imaging Evaluation; | — |
Countries
China
Contacts
Public ContactTan Honglue
Henan Luoyang Orthopedic Hospital (Henan Orthopedic Hospital)
Outcome results
None listed