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.
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.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
TRIPLE
Enrollment
110
Surgery procedure - High Tibial Osteotomy
Department of Orthopaedics and Traumatology, Postgraduate Center for Medical Education, Professor A. Gruca Teaching Hospital
Otwock, Masovian Voivodeship, Poland
RECRUITINGBiomechanics MRI
Patellofemoral Joints Biomechanics improvement measured
Time frame: 1 year
Biomechanics MRI
Patellofemoral Joints Biomechanics improvement measured
Time frame: 2 years
Biomechanics X-ray
Patellofemoral Joints Biomechanics improvement measured
Time frame: 12 weeks
Biomechanics X-ray
Patellofemoral Joints Biomechanics improvement measured
Time frame: 6 months
Biomechanics X-ray
Patellofemoral Joints Biomechanics improvement measured
Time frame: 12 months
Biomechanics X-ray
Patellofemoral Joints Biomechanics improvement measured
Time frame: 24 months
KOOS
Knee Injury and Osteoarthritis Outcome Score
Time frame: 12 weeks
KOOS
Knee Injury and Osteoarthritis Outcome Score
Time frame: 6 months
KOOS
Knee Injury and Osteoarthritis Outcome Score
Time frame: 12 months
KOOS
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Knee Injury and Osteoarthritis Outcome Score
Time frame: 24 months
IKDC
International Knee Documentation Committee
Time frame: 12 weeks
IKDC
International Knee Documentation Committee
Time frame: 6 months
IKDC
International Knee Documentation Committee
Time frame: 12 months,
IKDC
International Knee Documentation Committee
Time frame: 24 months
Tegner Lysholm
Tegner Lysholm Knee Scoring Scale
Time frame: 12 weeks,
Tegner Lysholm
Tegner Lysholm Knee Scoring Scale
Time frame: 6 months
Tegner Lysholm
Tegner Lysholm Knee Scoring Scale
Time frame: 12 months
Tegner Lysholm
Tegner Lysholm Knee Scoring Scale
Time frame: 24 months
SF-36
The Short Form (36) Health Survey
Time frame: 12 weeks
SF-36
The Short Form (36) Health Survey
Time frame: 6 months
SF-36
The Short Form (36) Health Survey
Time frame: 12 months
SF-36
The Short Form (36) Health Survey
Time frame: 24 months
VAS
Pain Visual Analog Scale
Time frame: 12 week
VAS
Pain Visual Analog Scale
Time frame: 6 months
VAS
Pain Visual Analog Scale
Time frame: 12 months
VAS
Pain Visual Analog Scale
Time frame: 24 months
Blood test
CRP, IL-6, CTx
Time frame: 2nd day
Blood test
CRP, IL-6, CTx
Time frame: 6 weeks