Functional outcome in Osteoarthritis Knee in Indian Population after Proximal Fibular Osteotomy

Dr. Mayank Pratap Singh; Dr. Shamikh M. G. Raza; Dr. Ashish Sirsikar; Dr. Prof. H. S. Varma

Volume : X, Issue : VIII, August - 2020

Functional outcome in Osteoarthritis Knee in Indian Population after Proximal Fibular Osteotomy

Dr. Mayank Pratap Singh, Dr. Shamikh M. G. Raza, Dr. Ashish Sirsikar, Dr. Prof. H. S. Varma

Abstract :

Introduction: OA of the knee is a major cause of mobility impairment, particularly among females. Recent studies have confirmed the safety and efficacy of Proximal Fibular Osteotomy (PFO) in the treatment of knee OA. Objective: The aim of this research is to study the effect of Proximal Fibular Osteotomy on the predominant medial compartment osteoarthritis knee. Methods: In a period of one year, 40 patients with predominant medial compartment osteoarthritis were operated in our department of orthopaedics. 2cm long fibula was resected 7 cm to 9 cm distally from the head of fibula. The outcome was evaluated by using VAS score. Follow up was done according to standard proforma. Results: In our study, the average age of presentation was 64.1 year. At final follow up, Mean AKSS improved to 89.95 + 12.989 at final follow up from 33.55 + 1.085 preoperatively (changes in values were significant as P<0.001). Conclusion: PFO is a new and cost–effective surgery for predominant medial compartment osteoarthritis of knee with better functional outcome of patients and significant decrease in pain as compared to the conventional treatment modalities.