Clinical Trial Details
— Status: Completed
Administrative data
NCT number |
NCT06288100 |
Other study ID # |
OWHTOPTS |
Secondary ID |
|
Status |
Completed |
Phase |
|
First received |
|
Last updated |
|
Start date |
January 1, 2023 |
Est. completion date |
January 1, 2024 |
Study information
Verified date |
February 2024 |
Source |
Al-Azhar University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
High tibial osteotomy has been established as an efficient surgical intervention for young
patients with uni-compartmental osteoarthritis of the knee. The principle of this surgery
involves the realignment of the lower extremity to shift the load distribution from the
medial compartment into the lateral compartment, thus leading to a decrease in symptoms
related to medial compartment knee Osteoarthritis However, medial opening wedge high tibial
osteotomy is also known to affect the posterior tibial slope angle , and it is reported that
posterior tibial slope angle increases after medial opening wedge high tibial osteotomy .
Description:
High tibial osteotomy has been established as an efficient surgical intervention for young
patients with uni-compartmental osteoarthritis of the knee. Medial opening wedge high tibial
osteotomy is a well established surgery for patients with medial compartment knee
osteoarthritis its most notable advantages include the precision of intraoperative angular
correction, absence of the risk of peroneal nerve palsy in fibular osteotomy, absence of leg
shortening, and preservation of bone stock.
The principle of this surgery involves the realignment of the lower extremity to shift the
load distribution from the medial compartment into the lateral compartment, thus leading to a
decrease in symptoms related to medial compartment knee Osteoarthritis However, medial
opening wedge high tibial osteotomy is also known to affect the posterior tibial slope angle
, and it is reported that posterior tibial slope angle increases after medial opening wedge
high tibial osteotomy .
Satisfactory outcomes after surgery require optimal realignment both in the sagittal and
coronal planes; in fact, poor realignment could lead to unsatisfactory clinical outcomes. An
unintentional increase in posterior tibial slope angle after medial opening wedge high tibial
osteotomy may influence knee kinematics and stability in the sagittal plane, which could lead
to anterior translation of the tibial plateau, anterior shift of the tibiofemoral contact
area, and subsequent redistribution of pressure into the posterior tibial plateau
(particularly in knees with injured anterior cruciate ligaments). These conditions could
result in articular cartilage degradation and further knee disability