Outcome assesment of proximal fibular osteotomy in medial compartment knee osteoarthritis

Abstract

Objective: The aim of the study was outcome assessment of proximal fibular osteotomy in medial compartment knee osteoarthritis.Method: This study was conducted in Dept. of Orthopedic J.L.N. medical collage Ajmer. Thirty five patients in between 40-71 years age group were taken in this study. Patient with moderate to severe symptomatic medial compartment OA of the knee and whom conservative management has failed were included in this study. Assessment of knee pain was done using a visual analogue scale and knee functional activities were evaluated using the WOMAC score. Preoperative and postoperative weight-bearing and whole lower extremity radiographs were obtained to analyse the alignment of the lower extremity by tibio-femoral angle and mechanical axis deviation.Results: VAS score and WOMAC score for pain relief and functional activities was significantly improved. Weight-bearing lower extremity radiographs showed significant change in tibio-femoral angle and mechanical axis. Conclusion: Proximal fibular osteotomy may re¬duce knee pain significantly in the varus osteoarthritic knee and improve the functional recov¬ery of the knee joint.