Ignite Creation Date:
2024-05-06 @ 8:07 PM
Last Modification Date:
2024-10-26 @ 3:20 PM
Study NCT ID:
NCT06251752
Status:
RECRUITING
Last Update Posted:
2024-02-09
First Post:
2024-01-30
Brief Title:
Long Term Evaluation of Clinical and Radiologic Results on Femoro-patellar Joint After High Tibial Osteotomy
Sponsor:
Istituto Ortopedico Rizzoli
Organization:
Istituto Ortopedico Rizzoli
Study Overview
Official Title:
Long Term Evaluation of Clinical and Radiologic Results on Femoro-patellar Joint After High Tibial Osteotomy
Status:
RECRUITING
Status Verified Date:
2024-02
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Osteotomies are among the oldest orthopedic treatments in use for over 2000 years and still commonly employed The basic principle involves making a bone cut to allow the realignment of the limb segment affected by deformity Today new knowledge and technologies understanding of bone healing mechanisms and the introduction of new fixation methods have made osteotomies one of the preferred treatments for early knee arthritis They serve as an alternative to joint prosthesis implantation in young patients with medium to high functional demand
Medial knee osteoarthritis is a pathology increasingly prevalent in todays population The resulting varus deformity leads to a shift in the load axis on the medial tibial plateau Osteotomy in this context becomes a therapeutic tool capable of restoring the correct mechanical axis of the lower limb and delaying or avoiding the progression of arthritis thus avoiding the need for joint replacement
The two most commonly used techniques are the Closing Wedge Lateral High Tibial Osteotomy LCW-HTO and the Opening Wedge Medial High Tibial Osteotomy MOW-HTO which are high tibial osteotomies in closure with a wedge removal and in opening with a wedge insertion respectively
The medium to long-term effects of this procedure in terms of survival and modification of the tibial slope have been extensively studied as evidenced by the extensive literature on the subject However the effect of this intervention in its two variants on the progression of femoro-patellar arthritis and the height of the patella remains poorly investigated to date
Medial knee osteoarthritis is a pathology increasingly prevalent in todays population The resulting varus deformity leads to a shift in the load axis on the medial tibial plateau Osteotomy in this context becomes a therapeutic tool capable of restoring the correct mechanical axis of the lower limb and delaying or avoiding the progression of arthritis thus avoiding the need for joint replacement
The two most commonly used techniques are the Closing Wedge Lateral High Tibial Osteotomy LCW-HTO and the Opening Wedge Medial High Tibial Osteotomy MOW-HTO which are high tibial osteotomies in closure with a wedge removal and in opening with a wedge insertion respectively
The medium to long-term effects of this procedure in terms of survival and modification of the tibial slope have been extensively studied as evidenced by the extensive literature on the subject However the effect of this intervention in its two variants on the progression of femoro-patellar arthritis and the height of the patella remains poorly investigated to date
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None