Comparative study between functional outcome of high tibial osteotomy and partial fibulectomy in isolated medial compartment osteoarthritis of knee

Abstract

Purpose: To compare the results of high tibial osteotomy with partial fibulectomy in the surgical management of isolated medial compartment osteoarthritis of knee and to reduce pain and deformity. Methods: patients visiting the outpatient department of S.C.S.M.S.R. with complaints of knee pain. Patients who were found to have isolated medial compartment osteo-arthritis will be included in the study. 50 patients were subjected to high tibial osteotomy and 50 patients were operated with partial fibulectomy. Functional outcome of both the procedure were compared with WOMAC score. Patients were followed up at 3 months 6 months and 9 months and reassessed. Result: There were a total of 100 patients with clinically and X-ray confirmed medial compartment osteoarthritis of knee (41 males and 59 females) with most patient in 51-60 year age group. mean pre operative WOMAC score was 82.38 and mean post operative score at 9 Month follow up was 38.43(p value