Proximal Fibular Osteotomy (PFO) for Medial Compartment Osteoarthritis of Knee with Varus Deformity - Preliminary Report

Abstract

Introduction: Proximal fibular osteotomy (PFO) is a surgical procedure to treat osteoarthritis involving the medial compartment of knee.PFO provides pain relief and delays the progression of degenerative changes. Patients and Methods:The present study included assessment radiological and functional outcomes of proximal fibular osteotomy in medial knee osteoarthritis.Three consecutive patients who underwent PFO were followed retrospectively.Results: Medial pain relief was observed in all patients after PFO.Radiographs of the weight-bearing lower extremity showed an average increase in the medial knee joint space postoperatively compared with preoperatively. Conclusion:PFO is a simple, safe, and fast surgical procedure to relieve pain and achieving improvement in knee function and it is a promising alternative for osteoarthritis of the medial compartment of the knee, for patients who cannot undergo or it necessary to delay total knee arthroplasty because of certain medical comorbidities.It may also constitute an alternative in developing countries because of their financial and healthcare delivery limitations.