Ahmed Masroor, Bux Muhammad, Kumar Mukesh, Ahmed Naveed, Hussain Ghulam, Ishtiyaque Muhammad
Orthopedic Surgery, United Medical and Dental College, Karachi, PAK.
Orthopedic Surgery, Shaheed Muhatarma Benazir Bhutto Medical College Lyari, Karachi, PAK.
Cureus. 2020 Jun 6;12(6):e8481. doi: 10.7759/cureus.8481.
This study was conducted to evaluate the efficacy of proximal fibular osteotomy (PFO) in terms of pain relief, and improvement in function in medial compartment osteoarthritis (OA) of the knee joint.
This case series study was conducted at the Shaheed Mohtarma Benazir Bhutto Medical College Lyari and United Medical and Dental College of Karachi. Patients with medial compartment knee joint OA were included in the study and patients with bicompartmental or tricompartmental OA, inflammatory joint disease, valgus knee deformity, morbid obesity, or any infectious pathology involving the knee joint were excluded from the study. The medial and lateral joint spaces were measured and recorded preoperatively and postoperatively. Pre- and postoperative values of visual analog scale (VAS) results and the Oxford knee score were recorded. A PFO was performed after getting informed written consent.
A total of 60 patients were enrolled in the study; 16 (26.7%) were men, and 44 (73.3%) were women. The mean age of patients was 51.8 ± 4.1 years. The mean preoperative medial joint space measurement on standard anteroposterior radiograph was 1.45 ± 0.28 mm. The mean preoperative lateral joint space was 8.86 ± 1.27 mm. The recorded mean preoperative Oxford knee score was 20.82 ± 1.97 mm. Recorded levels of mean postoperative medial joint space improved to 4.63 ± 0.668 mm, and mean postoperative lateral joint space was 4.72 ± 0.79 mm. Mean recorded levels of VAS for pain postoperatively were 2.32 ± 0.792, which improved significantly from 7.90 ± 0.79.
PFO is a good surgical technique for pain relief and functional improvement in patients suffering from medial compartment OA.
本研究旨在评估近端腓骨截骨术（PFO）在缓解膝关节内侧间室骨关节炎（OA）疼痛及改善功能方面的疗效。
本病例系列研究在沙希德·莫赫塔尔玛·贝娜齐尔·布托医学院利亚里分校和卡拉奇联合医学与牙科学院进行。纳入膝关节内侧间室OA患者，排除双间室或三间室OA、炎性关节病、膝外翻畸形、病态肥胖或任何累及膝关节的感染性病变患者。术前及术后测量并记录内侧和外侧关节间隙。记录视觉模拟量表（VAS）结果及牛津膝关节评分的术前和术后值。在获得知情书面同意后进行PFO。
本研究共纳入60例患者；16例（26.7%）为男性，44例（73.3%）为女性。患者平均年龄为51.8±4.1岁。标准前后位X线片上术前内侧关节间隙平均测量值为1.45±0.28mm。术前外侧关节间隙平均为8.86±1.27mm。记录的术前牛津膝关节评分平均为20.82±1.97mm。术后内侧关节间隙平均改善至4.63±0.668mm，术后外侧关节间隙平均为4.72±0.79mm。术后疼痛的VAS平均记录值为2.32±0.792，较术前的7.90±0.79有显著改善。
PFO是缓解内侧间室OA患者疼痛及改善功能的一种良好手术技术。
