Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
The objective of this study is to evaluate the functional outcomes of proximal fibular osteotomy (PFO) in patients with osteoarthritis of the knee. A total of 30 patients diagnosed with osteoarthritis were selected for the study. Among these, 15 patients received PFO for the right knee, while the remaining 15 underwent the procedure for the left knee. Pain levels were assessed using the Visual Analog Scale (VAS) and functional activity was measured through the Knee Society Score (KSS). Radiological parameters, including medial joint space, lateral joint space, and the tibiofemoral angle (TFA), were evaluated both preoperatively and postoperatively, with follow‐up conducted over a six‐month period. The mean preoperative VAS score was 5.8±0.61, showing a significant reduction in pain postoperatively, with a final follow‐up VAS score of 2.1±0.71. The mean preoperative medial joint space was recorded at 1.31±0.31, which improved significantly postoperatively to a mean of 4.5±0.28, indicating a widened medial joint space. The preoperative mean lateral joint space was 7.07±0.59, which decreased significantly postoperatively to 5.65±0.62. Additionally, the tibiofemoral angle improved from a mean of 184±1.81 preoperatively to 178.5±1.3 postoperatively. The mean functional knee score increased from 53.6 preoperatively to 74.5 at the end of the follow‐up period. Patients demonstrated enhanced walking ability within two weeks following surgery, along with improved stair‐climbing and ambulation capabilities. This procedure presents a promising alternative for managing medial compartment osteoarthritis and may postpone the need for total knee replacement (TKR).
How to cite this article:
P. Satyanarayana Prasad, Aditya Kaja and Maduri Hari Prasad Rao. A Study of Functional Outcome of Osteoarthritis Knee Treated with Proximal Fibular Osteotomy.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.11.567.571
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.11.567.571