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Category: Volume 09 Issue 10 October 2021
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Title: Role of Fibular Osteotomy in Medial Compartment Osteoarthritis of the Knee Joint

Authors: Dr Shahnawaz Ali, Dr Ajay Kumar Mahto, Dr Rishab Dubey

 DOI: https://dx.doi.org/10.18535/jmscr/v9i10.11

Abstract

Osteoarthritis is the most common joint disease and the second most common rheumatologic problem in India, with a frequency of 22 % to 39 %. Knee OA is a leading cause of increased mobility, particularly in women.  OA is the 10th major cause of nonfatal burden. 

Method: The present study was conducted after obtaining clearance and approval from the Institutional Ethics Committee Katihar Medical College & Hospital. Written informed consents were taken from the patients’ side. This study was conducted in the Department of Orthopaedics, Katihar Medical College & Hospital and it was a prospective study. The study was conducted over a period of 2 years. The current randomized clinical trial was performed on 34 consecutive cases of medial compartment osteoarthritis with varus deformity clinically and radiologically diagnosed. The detailed history of the patient was taken and a complete medical examination was done as per our department protocol.

Results: The majority of the study subjects were aged between 51 to 60 years (50%) followed by 10 patients (29.4%) who were aged between 61-65 years and 7 (20.6%) patients who were aged between 40 to 50 years. The mean age was 57.17±6.59 years.

Conclusion: Medial compartment OA knee is a fairly frequent condition that affects the older population's lifestyle. A wide range of treatments is available. Based on the findings of this study, we may infer that PFO is a potential therapeutic option for osteoarthritis affecting the medial compartment of the knee joint. Its popularity may be related to the fact that it is less complicated, less costly, and requires less rehabilitation than other treatments such as HTO, UKA, and TKA. Early medial compartment arthritis of the knee can be treated with a PFO. It might also be a viable alternative treatment for osteoarthritis of the knee's medial compartment, especially for individuals who are unable to undergo TKA due to medical complications. Furthermore, if TKA is required in the future, these individuals will be able to do so.

Keywords: osteoarthritis, knee, PFO.

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Corresponding Author

Dr Shahnawaz Ali

Junior Resident, Department of Orthopaedic, KMC, Katihar