Mechanism and influencing factors of proximal fibular osteotomy for treatment of medial compartment knee osteoarthritis: A prospective study

The Journal of International Medical Research
Di QinYing-Ze Zhang

Abstract

Objectives This study was performed to explore the mechanism of proximal fibular osteotomy (PFO) for treatment of medial compartment knee osteoarthritis (OA) and evaluate the relevant factors influencing the treatment outcome. Methods Fifty-two patients with medial compartment knee OA with varus deformities were prospectively selected. Radiographs were obtained preoperatively and postoperatively. Knee function and OA severity were evaluated using the Hospital for Special Surgery (HSS) knee score and the Kellgren-Lawrence (KL) score. Multivariable linear regression models were used to examine associations between increases in the HSS score and selected factors influencing knee OA. Results Sixty-seven knee joints of 45 patients undergoing PFO were included. The HSS scores were significantly better at the final follow-up than preoperatively. Regression analysis identified five factors influencing changes in the HSS score: the change in the vertical distance between the fibular head and tibial plateau, the KL score for tibiofibular joint arthritis, the body mass index, the inclination of the tibiofibular joint, and the preoperative HSS score. Conclusions PFO is a simple and effective procedure for medial compartment knee OA. Greate...Continue Reading

References

Dec 1, 1957·Annals of the Rheumatic Diseases·J H KELLGREN, J S LAWRENCE
Oct 21, 2004·The American Journal of Sports Medicine·Robert F LaPradeFred A Wentorf
Sep 4, 2007·Journal of Anatomy·Jacob ScottAntonie J van den Bogert
Nov 24, 2007·Knee Surgery, Sports Traumatology, Arthroscopy : Official Journal of the ESSKA·Hakan BoyaHaluk H Oztekin
Feb 27, 2015·International Orthopaedics·Martin FaschingbauerDaniel Dornacher

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Citations

Mar 23, 2019·PloS One·Jialiang GuoYingze Zhang
Feb 11, 2020·International Orthopaedics·Tian-Rui WangYing-Ze Zhang
Jul 15, 2020·Knee Surgery & Related Research·Saseendar ShanmugasundaramSamundeeswari Saseendar
Jan 5, 2021·Frontiers in Bioengineering and Biotechnology·Xin-Zheng QiMin Zhang
Dec 4, 2020·World Journal of Orthopedics·Munis AshrafVaratharaj Mounsamy
Jun 11, 2021·Orthopaedic Surgery·Haining PengYi Zhang

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