Proximal Fibular Osteotomy: Is it Really an Option for Medial Compartmental Osteoarthritis Knee? Our Experience at Tertiary Centre.

Indian Journal of Orthopaedics
Aamir Bin SabirZiaul Hoda Shaan

Abstract

The medial compartment is commonly involved in age-related osteoarthritis knee because weight-bearing axis passes close to the medial condyle and its large surface area. Various treatments have been proposed ranging from conservative to total knee arthroplasty which is an expensive and complex treatment. Recently, proximal fibular osteotomy (PFO) for medial compartment knee osteoarthritis became popular as a treatment modality. Although, the mechanism of PFO is not clear. So, we conducted a prospective study to assess the clinico-radiological outcome of proximal fibular osteotomy in medial compartment osteoarthritis knee. We conducted a prospective study from November 2017 to November 2019 on 32 (47 knees) patients with degenerative medial compartmental osteoarthritis knee, varus deformity < 15 and Kellgren and Lawrence grade II and grade III (K-L Grade). We recorded the visual analogue score (VAS) and knee society score (KSS) pre-operatively and post-operatively of all patients.  We got weight bearing anterio-posterior and lateral radiograph of knee done. We assessed joint space ratio and lateral tibio-femoral angle (FTA) pre-operatively, post-operatively and at each follow-up. Mean age was 48.4 (35-65) years and the mean foll...Continue Reading

References

Jan 1, 2010·Journal of Surgical Technique and Case Report·A O OgbemudiaP E Ogbemudia
Dec 10, 2013·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Hamidreza YazdiBehrooz Givehchian
Feb 10, 2018·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Yong Nie ZeYu HuangFuXing Pei
Sep 22, 2020·Indian Journal of Orthopaedics·Najmul HudaSandeep Bishnoi

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