A study of medial compartment osteoarthritis of knee after proximal fibular osteotomy

Abstract

Background: Osteoarthritis of knee is a common and debilitating problem. It is associated with huge societal and economic burden. It has physical and psychological sequelae. Pain contributes to substantial socio-economic burden. Greater insite is needed into pain management in osteoarthritis to enable rational mechanism, based on different modalities. Hence it is imperative to look for newer, safer and simpler method of management of osteoarthritis. Objective: To explore the effects of proximal fibular osteotomy as a new surgery for pain relief and improvement of medial joint space and function in patients with knee osteoarthritis. Methods: From October 2018 to September 2020, a total of 60 patients, including 26 males and 34 females, with medial compartment OA were treated by proximal fibular osteotomy. Anteroposterior and lateral weight-bearing radiographs and the Knee Society Score (KSS) of the knee joint were evaluated and compared preoperatively and postoperatively. Results: In our series of 60 patients, preoperative and postoperative KSS scores were compared. Majority of the patients were females and the mean age was 52.67± 6.32 years. Right side knee was most effected. At the final follow up, PFO had statistically very high significant difference between pre-op and post-op KSS scores (P