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Proximal fibular osteotomy for medial compartment osteoarthrosis of knee

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Original Article

Author Details : Venugopala Reddy, T S. Raghav, Siva Reddy Panapana, Sai Saranya Burma, Satya Kumar Koduru*

Volume : 5, Issue : 4, Year : 2019

Article Page : 263-266

https://doi.org/10.18231/j.ijos.2019.052

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Abstract

Osteoarthrosis of knee is the most common cause of disability in the older. Pain and limitation in the
mobility of knee are the major causes of disability. Total knee arthroplasty, which aims to relieve pain,
improve joint function and mobility, is the main surgical treatment in this patient population Proximal
fibular osteotomy is the new alternative in the young patients with arthritis of medial compartment. From
July 2016 to July 2017, 60 consecutive patients who underwent PFO at our hospital were followed
prospectively (n = 37; age range, 48 – 72 years; 40 female, 20 male) with follow-up at 3,6,9 weeks,
3months, 6months, 9months, 12months, and 24months post-operative. Out of 60 patients who underwent
PFO medial pain relief was observed in 54 patients after PFO with in one or two days post operatively
remaining 6 had no change in pain . Results showed an increase in mean visual analog score (from 8.02+/-
0.50 to 2.74+/-2.34) and an improvement in knee and function subscore of american knee society scores
(pre operative 44.41 +/-8.90 and 41.24 +/-13.48 post operative 69.02+/- 11.12 and 67.63 +/-13.65) and
an increase inratio of medial/lateral joint space ratio (pre operative 0.20 +/-0.28 post operative 0.48+/-
0.30). Postoperative complications like paresthesias on dorsum of foot were observed in 6 patients, which
recovered by 6 to 12 weeks. Thus we conclude that proximal fibular osteotomy is a safe, simple and
affordable day care surgery that doesn’t require insertion of implants.

Keywords: PFO, OA knee, Medial compartment OA.

How to cite : Reddy V, Raghav T S, Panapana S R, Burma S S, Koduru S K, Proximal fibular osteotomy for medial compartment osteoarthrosis of knee. Indian J Orthop Surg 2019;5(4):263-266

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