scholarly journals A study of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee

2022 ◽  
Vol 8 (1) ◽  
pp. 91-102
Author(s):  
Dr. A Senthilnathan ◽  
Dr. M Chakravarthi ◽  
Dr. R Prabhakar ◽  
Dr. K Vijaya Shankar
Keyword(s):  
Functional Outcome ◽  
Fibular Osteotomy ◽  
Osteoarthritis Of Knee

scholarly journals Study of functional outcome of proximal fibular osteotomy in medial compartment osteoarthritis of knee

2021 ◽  
Vol 7 (2) ◽  
pp. 650-653
Author(s):  
Dr. Deepakkumar MM ◽  
Dr. Hardak J Dhamsania ◽  
Dr. Ranganath N ◽  
Dr. Prabhu Basavanagowda ◽  
Dr. Pradeep Hullatti
Keyword(s):  
Functional Outcome ◽  
Medial Compartment ◽  
Medial Compartment Osteoarthritis ◽  
Fibular Osteotomy ◽  
Osteoarthritis Of Knee

scholarly journals Randomized controlled study of proximal fibular osteotomy (PFO) with or without trabeculotomy in early osteoarthritis (OA) knee

2022 ◽  
Vol 7 (2) ◽  
pp. 82-86
Author(s):  
Syed Tariq Mahmood ◽  
Shubham Jain ◽  
Mrudul Shah ◽  
Harish Rao ◽  
Ravi Mehrotra ◽  
...  
Keyword(s):  
Functional Outcome ◽  
Randomized Controlled Study ◽  
Controlled Study ◽  
Early Osteoarthritis ◽  
Fibular Osteotomy ◽  
Osteoarthritis Of Knee ◽  
Randomized Controlled ◽  
Group 2 ◽  
Group 1

This study was conducted to evaluate and compare the clinical and functional outcome of OA knee patients treated with proximal fibular osteotomy with or without trabeculotomy.This was a randomized controlled study amongst patients of osteoarthritis knee for a period of 1 year on patients with early osteoarthritis of knee. All patients were randomly allocated into two groups; group 1 patients were managed using PFO with trabeculotomy whereas group 2 patients were managed with proximal fibular osteotomy alone. All the patients were followed up post operatively at 15 days and at 2, 6 and 12 months post operatively. At each follow up patients were assessed for presence of Pain using Visual analogue scale. Also functional outcome was assessed using WOMAC.In present study, patients of two groups were comparable in their base line characters (p>0.05). Post operatively, mean VAS score and WOMAC score improved significantly in both the groups, the improvement was significantly higher in group 1 as compared to group 2 at all the follow up (p<0.05).Proximal fibular osteotomy with or without trabeculotomy can be used effectively as a promising tool for management of cases with early osteoarthritis of knee. It is safe, effective, and cost effective surgical technique for pain relief and improving functional outcome. PFO with trabeculotomy yields better results in terms of clinical as well as functional outcome as compared to PFO without trabeculotomy.

scholarly journals Proximal Fibular Osteotomy vs high Tibial Osteotomy in medial compartment Osteoarthritis of knee

2021 ◽  
Vol 12 (6) ◽  
pp. 69-74
Author(s):  
Sujay K Mahadik ◽  
Shriansh Pandey ◽  
Neel S Belsare ◽  
Girish S Shinde ◽  
Shrikant B Deshpande
Keyword(s):  
Functional Outcome ◽  
High Tibial Osteotomy ◽  
Weight Bearing ◽  
Medial Compartment ◽  
Full Weight Bearing ◽  
Tibial Osteotomy ◽  
Complication Rates ◽  
Medial Compartment Osteoarthritis ◽  
Fibular Osteotomy ◽  
Osteoarthritis Of Knee

Background: Osteoarthritis of knee is one of the common conditions seen in older individuals and known to affect quality of life considerably. It makes it difficult for individuals with knee osteoarthritis to climb stairs, walk long distances, and stand for long time and squatting. In intractable cases not responding to conservative management surgical management such as proximal fibular Osteotomy (PFO) or high tibial Osteotomy (HTO) is routinely done. We conducted this comparative study to analyse the functional outcome of patients who had undergone HTO and PFO for medial compartment osteoarthritis of knee joint. Aims and Objectives: 1) To analyse the functional outcome of patients who had undergone HTO and PFO for medial compartment osteoarthritis of knee joint. 2) To compare complication rates in both the groups. Materials and Methods: A total of 60 patients with medial compartment knee osteoarthritis were included in this study on the basis of a predefined inclusion and exclusion criteria. Patients were randomized to 2 groups. Thirty patients undergoing proximal fibular osteotomy (Group A) and 30 patients undergoing high tibial osteotomy (Group B). The patients were followed up for improvements in functional outcome for 12 months. The statistical analysis was done using SSPS 21.0 software and p value less than 0.05 were taken as statistically significant. Results: Mean time for surgery was less for PFO surgery as compared to HTO and the difference was statistically significant. Moreover mean bleeding amount, drainage volume and time required for full weight bearing was low in PFO group as compared to HTO group and the difference was found to be statistically significant (P<0.05). The mean VAS score at the time of presentation in PFO and HTO groups was found to be 4.9 +/- 1.12 and 4.7 +/- 1.02 respectively. A statistically significant reduction in pain was documented at the time of follow up of 4 weeks in both the groups. The functional outcome and complication rates were comparable in both the groups. Conclusion: Proximal fibular osteotomy is a better option as compared to high tibial osteotomy in terms of mean surgery time, mean bleeding amount, drainage volume and time required for full weight bearing. Functional outcome and improvement in VAS were comparable in both the groups.

scholarly journals OUTCOME OF PROXIMAL FIBULAR OSTEOTOMY IN ISOLATED MEDIAL COMPARTMENT OSTEOARTHRITIS OF KNEE: A COMPARATIVE STUDY.

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Angad Kumar Choudhary
Keyword(s):  
Visual Analogue Score ◽  
Joint Space ◽  
Medial Compartment ◽  
P Value ◽  
Medial Compartment Osteoarthritis ◽  
Visual Analogue Pain ◽  
Fibular Osteotomy ◽  
Medical College ◽  
Osteoarthritis Of Knee

Aim: Outcome of Proximal Fibular Osteotomy in isolated medial compartment Osteoarthritis of Knee. Material and Methods: The present study was conducted in the department of Orthopedics Jawaharlal Nehru Medical College, Bhagalpur from july 2018 to jan 2019. 36 patients amounting to 50 knee joints (male and female between 40-60 years age group) with medial compartment OA Knee were recruited. Medial joint spaces along-with visual analogue score for pain were recorded pre-operative, immediate post-operative and at final follow up. Result: Significant improvement in mean visual analogue pain score (VAS), from 7.02 preoperative to 3.39 at the final follow up was observed (p-value <0.001). Medial joint space opening from 1.01 to 4.11 at final follow up was observed. Conclusion: The objectives as well as functional outcome after proximal fibular osteotomy were satisfactory. Keywords: Medial compartment Osteoarthritis Knee, PFO

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