Title: An observational study of outcomes of proximal fibular osteotomy (PFO) in Medial Compartment osteoarthritis of knee joints
Authors: Bijayendra Nath Chaturvedi, Bharat Singh, Shakil Ahmad
DOI: https://dx.doi.org/10.18535/jmscr/v10i6.08
Abstract
Objective: Main aim of this study was to observe the outcomes of proximal fibular osteotomy in unicompartmental (Medial) osteoarthiritis of knee joint.
Patients & Method: A prospective clinical study was undertaken from May 2019 to October 2020 on total 32 patients. Preoperative and postoperative weight bearing and whole lower extremity Radiographs were obtained to analyze the alignment of the lower extremity and ratio of the knee joint space (Medial / lateral Compartment).
Both preoperative and postoperative knee pain was assessed by using a VAS (Visual Analogue scale) and knee Ambulation activities by American knee society score.
Results: After PFO
- Pain- Relief of Medial Compartment pain was observed in almost all patients.
- Knee ambulation- In most of the patient’s knee ambulation improved post-operetively.
- Medial / Lateral compartment space ratio improved
- Lower extremity radiographs- correction of alignment observed in 9 patients out of 30 patients.
Conclusion: This prospective study demonstrates that PFO effectively reliefs pain and improves joint functions in patients with medial compartment osteoarthirits of knee at a mean of 10.4 months post operatively.
Keywords: (i) Medial compartment osteoarthiritis of knee
(ii) Proximal fibular osteotomy.
References
- Focht BC. Move to improve how knee osteoarthritis patients can use exercise to enhance quality of life. ACSM’s Health Fit J. 2012; 16:24-28
- Felson DT, Naimark A, Anderson J, Kazis L, Castelli W, Meenan RF. The prevalence of knee osteoarthritis in the elderly: The Framingham Osteoarthritis Study. Arthritis Rheum. 1987; 30(8):914-918.
- Vincent KR, Conrad BP, Fregly BJ, Vincent HK. The pathophysiology of osteoarthritis: a mechanical perspective on the knee joint. PM&R. 2012; 4(5):S3-S9.
- Shiozaki H, Koga Y, Omori G, Yamamoto G, Takahashi HE. Epidemiology of osteoarthritis of the knee in a rural Japanese population. Knee. 1999; 6(3):183-188.
- Ahlbäck S. Osteoarthrosis of the knee: a radiographic ActaRadiol. 1968; DECEMBER 2015 | Volume 38 • Number 12 e
- Wu LD, Hahne HJ, Hassenpflug A longterm follow-up study of high tibial osteotomy for medial compartment osteoarthrosis. Chin J Traumatol. 2004; 7:348-353.
- Sprenger TR, Doerzbacher JF. Tibial osteotomy for the treatment of varusgonarthrosis: survival and failure analysis to twenty-two years. J Bone Joint Surg 2003; 85:469474.
- Schnurr C, Jarrous M, Gudden I, Eysel P, Konig DP. Pre-operative arthritis severity as a predictor for total knee arthroplasty patients’ satisfaction. IntOrthop. 2013; 37(7):1257-1261.
- Zhang Y, Li C, Li J, et al. The pathogenesis research of non-uniform settlement of the tibial plateau in knee degeneration and varus. J Hebei Med Univ. 2014; 35(2):218-219.
- Zheng Z, Sun Y, Zhang X, Chen W, Li S, Zhang The pathogenesis and clinical imageology research of the knee osteoarthritis. J Hebei Med Univ. 2014; 35(5):599-600.
- Campbell ‘s Operative Orthopaedics 12th Edition page 471.
- Amendola A, Rorabec C, Bourne R, Apyan P. Total knee arthroplasty following high tibial osteotomy for osteoarthritis.J Arthroplasty.1989;4:S11-S17.
- Newton-John H, Morgan D. Osteoporosis: disease or senescence? Lancet. 1968; 291(7536):232–233. doi:10.1016/S0140-6736(68)90853-2 [CrossRef]
- Zhang Y, Li C, Li J, et al. The pathogenesis research of non-uniform settlement of the tibial plateau in knee degeneration and varus. J Hebei Med Univ. 2014; 35(2):218–219.
- Segal NA, Anderson DD, Iyer KS, et al. Baseline articular contact stress levels predict incident symptomatic knee osteoarthritis development in the MOST cohort. J Orthop Res. 2009; 27(12):1562–1568. doi:10.1002/jor.20936