Early Surgical Effects and Influencing Factors of High Tibial Osteotomy in the Treatment of Knee Osteoarthritis

Shufeng Li

Status: Completed

Conditions: Osteoarthritis, Knee

Treatments: Procedure: High tibial osteotomy

Study type: Observational

Funder types: Other

Identifiers

NCT06512948

0000-0001-6044-0655

Details and patient eligibility

About

Exploring the factors influencing postoperative functional recovery after high tibial osteotomy

Full description

A retrospective study was conducted on patients who underwent HTO at the First Affiliated Hospital of Shandong First Medical University from January 2018 to December 2020, and the preoperative and postoperative imaging indicators [medial proximal tibial angle (MPTA), joint line intersection angle (JLCA), hip-knee-ankle angle (HKA angle), knee weight-bearing line percentage (WBL%), postoperative distraction distance, postoperative distraction angle] and knee joint function score [including the American Hospital for Special Surgery (HSS) knee score, American Knee Society score (KSS), Lysholm score, Western Ontario and McMaster Universities Osteoarthritis Index score (WOMAC), and all were included in logistic regression analysis to study the surgical effect and impact of HTO factor

Enrollment: 78 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Medial knee OA, varus deformity is mainly in the tibia
• Aged ≤70 years old, with higher requirements for future activities
• Knee joint extension is limited to ≤10°, and flexion is >90°
• Body Mass Index (BMI) ≤ 40
• No subchondral bone wear

Exclusion criteria

• There is a history of fracture or surgery of the lower limb on the operated side
• Traumatic KOA
• Combined with nerve, muscle or connective tissue diseases
• Incomplete imaging data and loss of follow-up

Trial design

78 participants in 1 patient group

Logistics regression model

Description:

This article is a retrospective study, which mainly incorporates patients' preoperative and postoperative imaging parameters and demographic data into Logistics regression analysis to analyze factors that may affect the surgical effect. No interventions such as medication are involved.

Treatment:

Procedure: High tibial osteotomy