Medial Compartment Osteoarthritis of the Knee
Conditions
Keywords
HTO, Arthroscopy, Quality-of-Life, Gait Analysis
Brief summary
Participants will be randomized to undergo a High Tibial Osteotomy (HTO) with or without a knee scope. Patients will be tested in the Gait Lab, will fill out quality-of-life questionnaires, and have a clinical evaluation done preoperative and at each follow-up visit.
Interventions
Patient undergoes a knee arthroscopy and HTO
Patient undergoes an HTO without knee arthroscopy
Sponsors
Study design
Eligibility
Inclusion criteria
* All patients booked for an HTO due to OA * Grades II to IV severity of OA by radiographic evaluation (Kellgren & Lawrence grade) * OA of the knee primarily involving the medial compartment
Exclusion criteria
* Imaging evidence of significant knee joint pathology that would change the decision to do an HTO * An arthroscopy of the knee within 2 years of planned surgery * Active joint or systemic infection, * Major medical illness that would preclude undergoing surgery, * Patients who are unwilling or unable to be assessed according to study protocol for two years following surgery * Major psychiatric illness, developmental handicap or inability to read and understand the English language
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| WOMAC | Preoperatively; 3, 6, 12, 18 and 24 months |
Secondary
| Measure | Time frame |
|---|---|
| The Lower Extremity Functional Scale (LEFS) | Preoperatively; 3, 6, 12, 18 and 24 months |
| Patient Diary to asses swelling, pain and frequency of analgesic and NSAID use. | Daily x 2 weeks post surgery; Weekly x 3 months |
| SF-12 | Preoperatively; 3, 6, 12, 18 and 24 months |
| Gait Testing Procedures | 6, 12 and 24 months post-operatively |
Countries
Canada