Comparative Analysis Between Proximal Fibular Osteotomy And PRP Injection In Medial Compartment Osteoarthritis Knee Patients
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 9
Abstract
Introduction: Osteoarthritis (OA) is a slowly progressive, chronic degenerative disease that is characterized with varying degrees of joint cartilage loss with local inflammation and peri-articular bone rebuild.The progression of cartilage lesions manifests with pain, stiffness, swelling, decreased joint range of motion while significantly affecting the quality of life.Osteoarthritis is the most common cause of disability in the older population. Disability is caused by pain and limitations in mobility.Patients resistant to topical and oral pharmacological treatments can benefit from intra-articular injections platelet rich plasma (PRP) and surgical techniques like Proximal Fibular Osteotomy (PFO), High Tibial Osteotomy (HTO) and Total Knee Replacement (TKR). Aims & Objectives: The aim of the study is to assess the comparative analysis between proximal fibular osteotomy and PRP injection in medial compartment osteoarthritis knee patients. Materials and Methods: The proposed study was conducted in the department of orthopaedics, Santosh Medical College Hospital, Ghaziabad. Total 38 patients (n=38; mean age, 62.86 +_ 7.84 years; age range, 49-75 years) with medial Compartment Osteoarthritis knee were included in the study (22 females and 16 males) conducted at our institute between April 2017 to March 2018and were retrospectively assessed. Patients diagnosed with Medial Compartment OA Knee were randomly divided into 2 treatment groups, Group Awith patients who underwent Proximal Fibular Osteotomy (PFO) and Group B with patients in whomPRP with 2% Xylocaine was administered. Results: Group A (PFO) patients got better symptomatic relief at 4th and 8th week whereas in Group B (PRP)patients were better symptomatically better at 16th and 20th week post-operatively. Group B patients who were treated with PRP with 2% Xylocaine for medial compartment OA knee showed better results atlonger duration of follow-up in terms of pain, stiffness and ADL (Activities of daily living) at 16th week (4th month) and 20th week (5th month). Conclusion: The hypothesis of this study was that PRP reduces pain and leads to a more effective and lasting functional recovery compared with Proximal Fibular Osteotomy (PFO). Our objective was to compare the efficacy of PRP IAI for relieving pain and improving knee function during late-stage OA with Proximal Fibular Osteotomy (PFO).
Authors and Affiliations
Tushar Sachdev, Amit Dwivedi, Ashok Kumar
Keywords
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- EP ID EP395485
- DOI 10.9790/0853-1709107493.
- Views 66
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