Prospective study of functional outcome of proximal fibular osteotomy in patients of knee osteoarthritis

Author(s): Dr. Vijay Gupta, Dr. Amit Mishra and Dr. Sandeep Kumar Singh

Abstract: Objective: The study was intended to explore the effects of proximal fibular-osteotomy (PFO) as a new surgery for pain relief and improvement of medial joint space and function in patients with medial compartment knee osteoarthritis. Results:There was a female preponderance seen in our study with the right knee being most commonly affected. Post surgery, 8 patients shows good, 10 patient shows fair and 34 patient shows unsatisfactory response as evaluated by WOMAC score at follow up. Weight bearing lower extremities radiographs shows significant increase in medial knee joint space in 20 percent patients. Conclusion:From the inferences of the study we can concluded that it is simple, cost effective, and easy to perform procedure can improve both radiographic appearance and function of the affected knee joint and also achieve long term pain relief. It is associated with lesser complication and shorter recovery period as compared to High tibial osteotomy (HTO). This procedure may be an alternative treatment option for medial compartment osteoarthritis knee. A longer period of follow- up is necessary to evaluate whether the beneficial effects of Proximal fibular osteotomy is sustained over a period of time mainly in respect to improvement in medial joint space.

DOI: https://doi.org/10.22271/ortho.2020.v6.i1e.1877