Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
One of humanity’s oldest ailments is osteoarthritis (OA). Its stigma has been discovered even in prehistoric creatures. Ruffer in 1921 mentioned its existence in the mummies of ancient Egypt. Aetiology of this disease has for years remained the subject of speculation and controversy. In this study we have planned to evaluate the functional outcome of proximal fibular osteotomy in medial compartment osteoarthritis of knee joint. To compare merits of the procedure by means of Visual Analogue Scale, American Knee Society Score, Femoro‐tibial axis, medial and lateral joint space, Knee Range of Motion before and after operation. To compare this study with existing studies done till date. In the current study, 124 adult patients with medial compartment osteoarthritis or medial bicompartment (medial unicompartment and patella‐femoral) osteoarthritis with genu varum deformity were included. Patient’s ages ranged from 40‐65. They all attended orthopaedics outpatient at Medical College and Hospitals in Kolkata from November 1, 2017, to October 31, 2018, a period of one year. They were all given proximal fibular osteotomies. Patients who had gross bicompartment osteoarthritis as evidenced by radiography were disqualified from the research. We observed that, lower number of patients had AKSS Range in PRE OP Patients [9 (18.0%)] compared to POST OP Patients [26 (52.0%)]. It was found that, lower number of patients had Range of functional score in PRE OP Patients [3 (6.0%)] compared to POST OP Patients [35 (70.0%)]. In our study, higher number of [29 (58.0%)] patients had Femoro‐tibial angle in PRE OP Patients compared to POST OP Patients [3 (6.0%)]. We found that, significantly higher of patients had Good (AKSS71‐89 and FS>70) [40 (80.0%)]. We observed that, more number of patient’s Range of Motion (ROM) had in no Of Range of Motion (ROM) [17 (34.0%)] compared to no of knee Post‐operative [12 (24.0%)]. However, at 6‐12 months, these did not demonstrate any appreciable improvement. At a year’s worth of follow‐up the alignment of the knee remains unchanged. The authors come to the conclusion that individuals with medial compartment knee osteoarthritis only experience transient alleviation after proximal fibular osteotomy.
How to cite this article:
Rahul Mandal and Rohit Babu Ojha. A Study for Evaluation of Results of Proximal Fibular Osteotomy in Cases of Medial Compartment Osteoarthritis Knee Joint.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.1.53.56
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.1.53.56