Results of Proximal Fibular Osteotomy for Medial Joint Space Osteoarthritis Knee
Journal Title: International Journal of Medical Science and Innovative Research (IJMSIR) - Year 2018, Vol 3, Issue 4
Abstract
Arthritis is the most common cause of disability in the older population whether its about lage joints [shoulder joint, knee joint, hip joint etc] or small joints. Disability is mainly caused by pain and limitations of movements. Osteoarthritis of knee is one of the common causes for disability in older population leading to opt for expensive tretments [conservative or surgical] by the patient. The pathological characteristics of Knee Osteoarthritis (KOA) include joint structure degradation and cartilage destruction and hyperplasia, with joint pain, dysfunction and joint deformity as the main clinical symptoms. Total knee arthroplasty (TKA), which aims to relieve pain and improve joint function and mobility, is the main surgical alternative in this patient population. However, TKA is expensive and complex, and have its own complications specially in young population. Many treatment modalities has been developed for joint preservation like arthroscopic debridement, HTO [High tibial osteotomy], PFO [proximal fibular osteotomy], SVF[stromal vascular fraction] therapy, PRP [platelet rich plasma] injection etc. Although high tibial osteotomy (HTO) is the first-choice treatment for young patients with osteoarthritis of the medial compartment of the knee, there are some potential disadvantages after surgery. Proximal fibular osteotomy (PFO) relieves pain and improves joint function in human knee osteoarthritis.2 This new surgery is simple, safe with minimal trauma and affordable. Pain relief after surgery occurs in almost all patients. PFO may delay or replace TKA in a subpopulation of patients with knee osteoarthritis. In the present study, we carefully evaluated the efficacy of PFO in terms of pain relief and improvement of joint function in a cohort of patients from our hospital.
Authors and Affiliations
Dr. Ravindra Gupta
Keywords
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