Proximal fibular osteotomy, a new horizon for symptomatic relief in medial compartment osteoarthritis knee – prospective study.

Authors:Dileep Kumar, Anurug Biswas*, Anil Kumar Gupta, Sudhir Mishra, Ganesh Yadav
Int J Biol Med Res. 2020; 11(2): 7036-7039  |  PDF File

Abstract

ABSTRACT : aim: to assess the effect of Proximal Fibular Osteotomy in medial compartment osteoarthritis knee patient by Visual Analogue Scale(VAS) & Western Ontario & Mcmaster Universities Osteoarthritis Index (WOMAC). methods: From 2018 to 2019, 22 patients with grade 2 and 3 (Kellgren Lawrence grade ) medial compartment OA knee, without having any symptomatic relief by conservative measure were enrolled for proximal fibular osteotomy after obtaining pre op fitness, and studied prospectively. After surgery, patient was advised to walk on 2nd post op day onwards and follow up was done at end of 2nd week and 4th week. Patients were assessed by VAS and WOMAC at pre op and 4 week post op follow up. result: Significant relief in pain was observed in almost all patients [mean reduction in VAS & WOMAC were 4.09 &16.31 respectively ] at 4th week follow up after proximal fibular osteotomy. There was no variation in improvement according to OA knee grade. VAS & WOMAC both shows greater improvement in patient with lesser BMI. conclusion: Proximal Fibular Osteotomy is an emerging, low cost ,safer surgery with lesser hospital stay, that reduces symptoms in medial OA knee patients by improving the mechanical alignment , reflected in changes in VAS and WOMAC.