An Observational Study Assessing the Promising Outcomes of Proximal Fibular Osteotomy in Treatment of Medial Compartment Knee Osteoarthritis
Authors/Creators
- 1. Assistant professor, Department of orthopaedics, MGM Medical College and Hospital, Jamshedpur, Jharkhand, India
- 2. Senior Resident, Department of orthopaedics, MGM Medical College and Hospital, Jamshedpur, Jharkhand, India
- 3. Assistant Professor, Department of Pediatrics, Mednirai medical college and hospital, Palamu, Jharkhand, India
- 4. Junior Resident, Department of orthopaedics, MGM Medical College and Hospital, Jamshedpur, Jharkhand, India
Description
Aim: The purpose of this prospective study was to prove the promising outcomes of proximal fibular osteotomy
in treatment of medial compartment knee osteoarthritis.
Material & Methods: A prospective observational study including 50 patients in Department of Orthopaedics
for the period of 2 years. The following clinical parameters were used: VAS, KSS, KFS. The following
radiological parameters were used: MJS, LJS, HKA Angle. post-operative physiotherapy protocol was followed.
Discharge was planned based on patients comfort and mobility, that was usually on day 4 or 5. They were followed
up at 6 weeks, 3 months, 6 months, 9 months and 12 months.
Results: In the present study, most of the patients belonged to 50-60 years age group. In the present study, there
were 19 males and 31 females, with male to female ratio 2:3 approximately. The mean age of patients was 52.78
year (age range = 40-70 years). In this study patients included who has BMI>30 and most of patients lie in between
25 to 29.9 BMI i.e. most of them fall in overweight category. Osteochondral defect was found in all cases with
various grade, 26 (52%) knees with grade 1, 15 (30%) knees with grade 2, 8 (16%) knees with grade 3 and 1 (2%)
cases with grade 4. Average visual Analogue scale (VAS) score significantly decreased from 8.20 pre-operatively
to 3.256 in 1 year of follow up. Knee society score improved from 45.25 pre-operatively to 71.77 in 12 month of
follow up. Knee function score improved pre-operatively 49.50 to 75.55 in 12 month of follow up. Medial joint
space increased from 1.62 pre-operatively to 3.56 in 12 month of follow up. Lateral joint space decreased from
6.68 pre-operatively to 5.38 in 12 months follow up. The correction of alignment Hip knee ankle angle (HKA)
after PFO were seen after 12 months.
Conclusion: Proximal fibular osteotomy [PFO] is a simple, safe and affordable surgery to reduce pain and
improve joint function and the medial compartment space in medial compartment osteoarthritis of knee joint. It
may be a promising alternative surgery in most developing countries because of their financial and healthcare
delivery limitations that may be used as an alternative surgery for patients of osteoarthritis knee who cannot
undergo.
Abstract (English)
Aim: The purpose of this prospective study was to prove the promising outcomes of proximal fibular osteotomy
in treatment of medial compartment knee osteoarthritis.
Material & Methods: A prospective observational study including 50 patients in Department of Orthopaedics
for the period of 2 years. The following clinical parameters were used: VAS, KSS, KFS. The following
radiological parameters were used: MJS, LJS, HKA Angle. post-operative physiotherapy protocol was followed.
Discharge was planned based on patients comfort and mobility, that was usually on day 4 or 5. They were followed
up at 6 weeks, 3 months, 6 months, 9 months and 12 months.
Results: In the present study, most of the patients belonged to 50-60 years age group. In the present study, there
were 19 males and 31 females, with male to female ratio 2:3 approximately. The mean age of patients was 52.78
year (age range = 40-70 years). In this study patients included who has BMI>30 and most of patients lie in between
25 to 29.9 BMI i.e. most of them fall in overweight category. Osteochondral defect was found in all cases with
various grade, 26 (52%) knees with grade 1, 15 (30%) knees with grade 2, 8 (16%) knees with grade 3 and 1 (2%)
cases with grade 4. Average visual Analogue scale (VAS) score significantly decreased from 8.20 pre-operatively
to 3.256 in 1 year of follow up. Knee society score improved from 45.25 pre-operatively to 71.77 in 12 month of
follow up. Knee function score improved pre-operatively 49.50 to 75.55 in 12 month of follow up. Medial joint
space increased from 1.62 pre-operatively to 3.56 in 12 month of follow up. Lateral joint space decreased from
6.68 pre-operatively to 5.38 in 12 months follow up. The correction of alignment Hip knee ankle angle (HKA)
after PFO were seen after 12 months.
Conclusion: Proximal fibular osteotomy [PFO] is a simple, safe and affordable surgery to reduce pain and
improve joint function and the medial compartment space in medial compartment osteoarthritis of knee joint. It
may be a promising alternative surgery in most developing countries because of their financial and healthcare
delivery limitations that may be used as an alternative surgery for patients of osteoarthritis knee who cannot
undergo.
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IJCPR,Vol16,Issue3,Article38.pdf
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Additional details
Dates
- Accepted
-
2024-03-22