Status:

TERMINATED

Opening Wedge High Tibial Osteotomy

Lead Sponsor:

Kuopio University Hospital

Collaborating Sponsors:

Central Finland Hospital District

Conditions:

Osteoarthrosis of Knee

Osteoarthritis, Knee

Eligibility:

All Genders

25-55 years

Phase:

NA

Brief Summary

A prospective, randomised controlled trial where clinical and radiological outcome of high tibial opening wedge osteotomy with physiotherapy is compared to physiotherapy alone while treating symptomat...

Detailed Description

90 Symptomatic patients with mild to moderate medial knee osteoarthrosis are randomized to two groups: Group 1 (HTO-group) receive an diagnostic arthroscopy with high tibial opening wedge osteotomy (...

Eligibility Criteria

Inclusion

  • Pain: Subjective pain in the knee most of the month for at least one month during past 12 months.
  • Knee range of motion (ROM) at least 5-120 degrees
  • X-ray: medial joint space Altman \> 1. Lateral joint space Altman \< 2.
  • Mechanical axis \> 3 degrees varus alignment.
  • Medial proximal tibial angle (MPTA) \< 90 degrees
  • age 25-55.
  • Written consent, accepts both treatment arms.

Exclusion

  • Pain is caused by something else than medial knee osteoarthrosis
  • deficient ROM (flexion contracture \> 10 degrees, flexion \< 110 degrees)
  • significant ligament instability
  • post traumatic OA
  • clinically relevant neurological disease (e.g. Alzheimer´s disease)
  • clinically relevant metabolical disease (e.g. Diabetes)
  • alcohol/drug abuse
  • infectious/inflammatory joint disease
  • previous knee area osteotomy or lower limb arthroplasty
  • smoking (\> 0 cigarette per day)
  • obesity (BMI \> 33)
  • pregnancy or hope of pregnancy in the following two years

Key Trial Info

Start Date :

May 1 2018

Trial Type :

INTERVENTIONAL

Allocation :

ACTUAL

End Date :

May 10 2023

Estimated Enrollment :

1 Patients enrolled

Trial Details

Trial ID

NCT03448796

Start Date

May 1 2018

End Date

May 10 2023

Last Update

October 27 2023

Active Locations (1)

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1

University Hospital of Kuopio

Kuopio, Finland