Can body weight predict success of knee realignment surgery?
NCT ID NCT06590818
First seen Aug 25, 2026 · Last updated Aug 26, 2026 · Updated 1 time
Summary
This study looks at whether body mass index (BMI) influences the short-term results of high tibial osteotomy (HTO), a surgery that realigns the knee to relieve pain from osteoarthritis with a varus (bow-legged) deformity. Researchers will track 50 patients in Upper Egypt who undergo HTO, measuring blood loss during and after surgery, as well as knee function and pain levels. The goal is to see if heavier patients have different outcomes, which could help guide treatment decisions.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- High tibial osteotomy (HTO), a surgical procedure to realign the knee
- What this could lead to
- If successful, this could help doctors predict which patients with knee osteoarthritis and varus deformity might benefit most from HTO, potentially improving surgical outcomes and patient selection.
- What could go wrong
- This is a small, early-stage study (50 participants) and results may not apply to broader populations. Surgery carries risks like bleeding, infection, and blood clots, and the effect of BMI on outcomes is not yet proven.
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Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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50 people
The number who actually took part.
- Started
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Jul 2024
- Finished
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Jul 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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40 to 60 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Meet the diagnostic criteria for knee osteoarthritis and only have one knee * No serious underlying medical disease * Conservative treatment is ineffective and there is a willingness for surgery * X-ray shows degeneration limited to the medial joint space (Ahlback grade ≥ grade II) * Knee flexion range of motion \> 90°, varus deformity \< 15°, flexion contracture \< 5°. * Clinical examination shows intact anterior cruciate ligament and collateral ligament, tenderness point is limited to the medial joint space, and the lateral compartment and patellofemoral joint are intact. Exclusion Criteria: * knee osteoarthritis caused by infection, blood-related or autoimmune diseases. * severe obesity (BMI\>35 kg/m 2 ) or morbid obesity (obesity caused by diseases such as hypercortisolism and hypothyroidism, BMI≥30 kg/m 2 ).
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
-
Al-Azhar University hospitals
Asyut, Egypt
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Other studies related to the condition(s) this trial covers.
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