Genovarum
Conditions
Keywords
Genovarum, Medial opening-wedge high tibial osteotomy, allograft
Brief summary
The purpose of this RCT is to determine the results of opening-wedge high tibial osteotomy in patients with genovarum deformity using iliac crest allograft compared to the results when using iliac crest autograft.
Interventions
PROCEDUREIliac crest allograft
Opening wedge osteotomy of proximal tibia with allograft from iliac crest
PROCEDUREIliac crest autograft
open wedge osteotomy of proximal tibia using autogenous iliac bone graft
Sponsors
Tehran University of Medical Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
16 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Varus malalignment of knee with of without osteoarthritis: the angle between the articular surface and anatomical axis of tibia\< 82 degrees * at least 7.5 mm opening wedge is needed in medial proximal tibia to correct the deformity assessed during pre-op planning
Exclusion criteria
* symptomatic lateral compartment osteoarthritis of knee * rheumatoid arthritis or other inflammatory joint diseases * less than 100 degrees of knee range of motion * grade III laxity in knee collateral ligaments * history of surgery or fracture in the limb * \>15 degrees flexion contracture * age \<16 or \>60 years * \>20 degrees varus deformity * failure to attend follow-up visits * sever bone loss in medial tibial plateau or medial femoral condyle * \>1cm joint subluxation * presence of lateral trust during walking * presence of patella baja * skin derangements on medial proximal tibia * any form of nicotine addiction
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Range of motion of the knee | before op and at follow ups |
| knee score (womac) | before op and at final follow up |
Countries
Iran
Outcome results
None listed