Proximal Fibular Osteotomy: Pain Relief of Medial Compartment Knee Osteoarthritis.
Journal Title: Journal of Pakistan Orthopaedic Association - Year 2023, Vol 35, Issue 02
Abstract
Objective: This study was carried out to compare the mean pain score in patients of medial compartmental osteoarthritis of knee before and after proximal fibular osteotomy (PFO). Methodology: This single group quasi experimental study of thirty patients was carried out in the Orthopaedic department. The patients of primary knee osteoarthritis involving only medial compartment for 3 months to 2 years with Kellgren and Lawrence grade 2-3 were included in the study. Visual analog scale was used for pain assessment before and after PFO on the day before the surgery and again after two months of surgery. Paired sample t-test was used to compare them. Results: The patients mean age was 49.63±6.68 years (range 38 – 59 years). There were 19 (63.33%) female and 11 (36.67%) male patients. Mean pre-PFO pain score was 7.30±1.15 (range 5-10). Mean post-PFO pain score was 2.87±0.82 (range 1-4). There were 14 (46.67%) patients with right side involvement and 16 (53.33%) were with left side involvement. Diabetes was diagnosed in 07 (23.33%), hypertension was found in 09 (30.00%) patients. Eleven (36.67%) out of 30 patients were smokers. In age group of 38-50 years, mean pre-PFO pain score was 7.14±1.03 and post-PFO pain score was 2.71±0.73 (p<0.001). In patients having age 51-59 years, mean pre-PFO pain score was 7.44±1.26 and post-PFO pain score was 3.00±0.89 (p<0.001). In male patients, mean pre-PFO pain score was 7.36±1.21 and post-PFO pain score was 2.91±0.83 (p<0.001). In female patients, mean pre-PFO pain score was 7.26±1.15 and post-PFO pain score was 2.84±0.83 (p<0.001). Conclusion: Proximal fibular osteotomy is an effective method for relief of pain with significant reduction in VAS score and thus functional regain with little or no complications in Kellgren and Lawrence grade 2-3 primary knee osteoarthritis.
Authors and Affiliations
Muhammad Badar ud din Zafir1, Muhammad Khalid Chishti2, Azmat Rasool3, Tariq Mahmood4, Mazhar Ali5, Mukhtar Ahmad Tariq6
Keywords
Related Articles
- EP ID EP740858
- DOI -
- Views 26
- Downloads 0
Outcome of Elastic Intramedullary Nailing of Femur Shaft Fractures in Children
Objective: To determine the outcome of elastic intramedullary nailing of femur shaft fractures in children in terms of fracture union, final wound healing, range of movement, limb lengths and gait of the patient. Met...
Diabetic Foot Care: Awareness and Practices among Diabetic Patient and Role of Preventive Education for Foot Ulceration in Developing Country, “SAVE FEET SAVE LIVES”
Background: foot ulcers are among the most complication in Diabetic patients worldwide. At the same time, regular care and timely evaluation of the foot ulcer or abrasion may lead to the prevention and reduction in the n...
Epidemiology and In-Hospital Clinical Outcome of Post Traumatic Limb Amputations in Lady Reading Hospital Peshawar
Objective: To find out the epidemiology and in-hospital clinical outcome of post traumatic major limb amputations. Methods: This descriptive case series study was carried from February 2014 to June 2016. Life saving m...
Short term results of Anterolateral approach for open reduction of neglected Developmental Dysplasia of Hip (DDH)
Objective: To determine the short term functional and radiological results of open reduction of Developmental Dysplasia of Hip (DDH) through anterolateral approach. Methods: This was a descriptive study conducted in P...
Outcome of Fibular Strut Graft in Neglected Neck of Femur Fracture
Objective: To evaluate the role of fibular strut graft for neglected neck of femur fracture via functional and radiological outcome. Methods: This descriptive study was carried out from January 2013 to July 2015. Data...