Medial compartment osteoarthritis knee is a major health problem. Unicompartmental osteoarthritis can be treated with corrective osteotomy to transfer the load from pathological to normal condoyle. Proximal fibular osteotomy is emerging as new treatment modality for young patients, providing immediate pain relief and improvement in functional capacity. A total of 72 patients of primary medial compartment osteoarthritis of the knee were included in the study. Under regional anesthesia a 1 -1.5 cm cuff of fibula was resected, 6 -8cm below the fibular head. Patients were discharged on the same day with full weight bearing walking on the operated limb. Visual Analogal Scale (VAS) and American Knee Society Score (AKSS) were calculated on 3 months and at final follow-up. Medial joint line pain decreased in all the patient. All the patients showed significant improvement in AKSS. Post-op weight bearing radiography showed significant increase in medial joint space. Osteotomies, specially High Tibial Osteotomy (HTO) becomes a standard treatment for unicompartment osteoarthritis of the knee. However delayed weight bearing, non-union/delayed-union, peronial nerve palsy and wound related complication common with HTO. PFO is immersing as a new surgical treatment in management of medial compartment osteoarthritis for providing pain recovery and improve functional out come. We consoled that PFO is a recommended treatment for medial compartment osteoarthritis of the knee, which is simple, safe, cheap minimally invasive procedure.
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Mayank Bansal (2020) studied this question.