This study will compare Hight Tibial Osteotomy with or without arthroscopically repair intra-articular knee lesions in patients with early stages of Osteoarthritis.The purpose of this study is evaluate if addition of arthroscopy to HTO provides better clinical, radiological and laboratory outcomes.
Intraarticular knee lesions are often in patients with early stages of osteoarthritis. The most frequent findings are degenerative meniscus/meniscal tears and cartilage degeneration. Degenerative meniscal lesions or meniscal tears are often incidental findings without any complains from patients. In the current literature there is no evidence for good clinical outcomes after arthroscopically treatment degenerative meniscus. Cartilage injuries are common in osteoarthritic knee and depending on grading of chondromalacia are usually treated by microfractures. By this time the choice of performed surgery depends on surgeons personal assessment. The investigators believe that concomitant intraarticular procedures added to HTO will provide better clinical outcomes.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE
Enrollment
90
Hight Tibial Osteotomy
Arthroscopy treatment
Micro fractures
Department of Orthopaedics and Traumatology, Centre of Postgraduate Medical Education, Professor A. Gruca Teaching Hospital
Otwock, Masovian Voivodeship, Poland
RECRUITINGKOOS
Knee Injury and Osteoarthritis Outcome Score
Time frame: 12 months
KOOS
Knee Injury and Osteoarthritis Outcome Score
Time frame: 24 months
IKDC
International Knee Documentation Committee - Subjective Knee Evaluation Form
Time frame: 12 months
IKDC
International Knee Documentation Committee - Subjective Knee Evaluation Form
Time frame: 24 months
VAS
Visual Analog Scale
Time frame: 12 months
VAS
Visual Analog Scale
Time frame: 24 months
Blood test
no inflammatory reaction - CRP, Il-6, CTx
Time frame: 2 day
Blood test
no inflammatory reaction - CRP, Il-6, CTx
Time frame: 6 weeks
Blood test
no inflammatory reaction - CRP, Il-6, CTx
Time frame: 12 weeks,
Kinematic MRI with [chondrogram]
Meniscus healing, cartilage quality
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Time frame: 2 day,
Kinematic MRI with [chondrogram]
Meniscus healing, cartilage quality
Time frame: 24 months
X-ray - Baldini projection
Patellofemoral joint measurements
Time frame: 2 day
X-ray - Baldini projection
Patellofemoral joint measurements
Time frame: 24 months