High Tibial Osteotomy With/Without Fulkerson Osteotomy in Knee OA

Last updated: November 9, 2021
Sponsor: Centre of Postgraduate Medical Education
Overall Status: Active - Recruiting

Phase

N/A

Condition

Osteoarthritis

Treatment

N/A

Clinical Study ID

NCT05128864
HTO_fulkerson
  • Ages 18-65
  • All Genders
  • Accepts Healthy Volunteers

Study Summary

This study will compare Hight Tibial Osteotomy with or without Fulkerson Osteotomy performed on patients with early stages of Osteoarthritis with patellofemoral joint disorders. The purpose of this study is evaluate which type of osteotomy provides better clinical, radiological and laboratory outcomes.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  • Knee medial compartment or patellofemoral osteoarthritis in medical interview andphysical examination
  • Confirmation of cartilage degeneration/damage and knee malalignment in radiologicaltests

Exclusion

Exclusion Criteria:

  • no informed consent to participate in the study
  • age under 18 years or above 65
  • multi ligament injury or single plane knee instability
  • another musculoskeletal disorders in lower limb
  • lower limb deformity requiring axis correction below 4o or above 12.5o
  • joints inflammatory diseases
  • ASA score > II

Study Design

Total Participants: 110
Study Start date:
July 15, 2020
Estimated Completion Date:
May 30, 2022

Study Description

Progression of knee cartilage degenerative changes leads to necessary total knee arthroplasty in future, which is the most popular procedure for treating OA. HTO applied at early stages of osteoarthritis allow slow down cartilage degeneration process, but the choice of performed surgery depends on surgeons personal assessment. Patellofemoral Pain Syndrome often occurs with knee arthritis. Antero-medialisation of tibial tubercle is frequent procedures for patella maltracking. So far, both, HTO and Fulkerson osteotomy was performed separately, even if patient have symptoms from patellofemoral joint and OA. The investigators believe that simultaneously surgery of HTO and fulkerson Osteotomy provides better outcomes and significantly slow down knee degeneration.

Connect with a study center

  • Department of Orthopaedics and Traumatology, Postgraduate Center for Medical Education, Professor A. Gruca Teaching Hospital

    Otwock, Mazowieckie 05-400
    Poland

    Active - Recruiting

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