Knee osteoarthritis. Osteoarthritis, unspecified site
Conditions
Interventions
Intervention 1: Intervention group: Intervention group: Osteotomy technique: A 6 to 8 cm longitudinal skin incision was made in the anteromedial and proximal tibia from the infrapatella to the distal.
Sponsors
Babol University of Medical Sciences
Eligibility
Sex/Gender
All
Age
No minimum to 60 Years
Inclusion criteria
Inclusion criteria: Age under 60 years Definitive diagnosis of medial osteoarthritis of the knee joint surface, as diagnosed by an orthopedic physician, according to the Kellgren and Lawrence osteoarthritis classification system, grade 3 and above (moderate and severe) Knee pain and disability due to osteoarthritis that significantly interferes with employment or active recreation Failure to respond to non-invasive treatments such as physical therapy and medication for 3 months
Exclusion criteria
Exclusion criteria: Narrowing of the lateral compartment cartilage space Lateral tibial subluxation of more than 1 cm Loss of bone in the inner side of the tibia of more than 2 or 3 mm Flexion contracture greater than 15 degrees Knee bending less than 90 degrees More than 20 degrees of correction required Inflammatory arthritis Significant peripheral vascular disease Pregnancy Opioid addiction Diabetes
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Knee Injury and Osteoarthritis Outcome Score (KOOS). Timepoint: The primary outcome assessment will be performed 3 times (at the beginning of the study, after surgery, after 6 months of surgery). Method of measurement: Knee Injury and Osteoarthritis Outcome Score (KOOS) Questionnaire.;Joint line convergence angle. Timepoint: The primary outcome assessment will be performed 3 times (at the beginning of the study, after surgery, after 6 months of surgery). Method of measurement: Using Marco Pacs software.;Posterior tibial slope angle medial. Timepoint: The primary outcome assessment will be performed 3 times (at the beginning of the study, after surgery, after 6 months of surgery). Method of measurement: Using Marco Pacs software.;Posterior tibial slope angle lateral. Timepoint: The primary outcome assessment will be performed 3 times (at the beginning of the study, after surgery, after 6 months of surgery). Method of measurement: Using Marco Pacs software. | — |
Secondary
| Measure | Time frame |
|---|---|
| Blackburne-Peel ratio. Timepoint: Before intervention and 24 weeks after intervention. Method of measurement: Using marco pacs software.;Hip-knee-ankle (HKA) angle. Timepoint: Before intervention and 12 and 24 weeks after intervention. Method of measurement: three joint view x ray. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactYasin Sharifzadeh
Babol University of Medical Sciences
Outcome results
None listed