A STUDY ON FUNCTIONAL OUTCOME AFTER HIGH FIBULAR OSTEOTOMY IN MEDIAL COMPARTMENT OSTEOARTHRITIS KNEE.

Abstract

Background: Primary Osteoarthritis of the knee is more prevalent than that of the other joints. Treatment for knee osteoarthritis can be broken down into nonsurgical and surgical management. Initial treatment begins with nonsurgical modalities and moves to surgical treatment once the nonsurgical methods are no longer effective. Various treatment modalities available include intraarticular injections, physiotherapy, visco supplementation, arthroscopic debridement, high tibial osteotomy, and knee replacement with uni compartmental arthroplasty. All of it has its complications. Hence, there is a necessity for a modest technique, easily reproducible, provides decent functional outcomes and associated with a smaller recovery period, and develops the quality of life for the affected patients. In this scenario, this study is designed to know the functional outcomes, when an osteotomy of the bula at proximal 3rd is performed in medial compartment osteoarthritis knee. The present study was conducted at the depart Methods: ment of orthopaedics Andhra medical college/ king George hospital Visakhapatnam between 2019 and 2021.Thirtypatients who fullled inclusion criteria were taken up for study n=30. Statistical Analysis: Statistical analysis was performed using SPSS version 19.0 statistical software for the window. Continuous variables were expressed as mean, ±SD, and dichotomous variables were expressed as percentages. A two-tailed t-test was applied to analyze the postoperative weightbearing ratio of knee joint space (medial/lateral compartment) data. In addition, the nonparametric test (Wilcoxson's signed-rank test) was applied to analyze the OKS, AKSS, and VAS scores. The chi-square test will analyze the Comparison of qualitative variable, and Comparison of the quantitative variable will be analyzed by independent samples unpaired T-test. A P-value less than 0.05 was considered to be signicant. Data will be entered in Microsoft Excel, and data analysis was performed using windows MEDCALC software on a personal computer. Results: Sample size of the present study was 30 (n=30). Average age of the patients was 56 years. with males accounting to 56.66% and female's 43.33 percent. There were 17 males and 13 females among the 30 patients. The majority of the patients have grade 2 medial compartment osteo arthritis. Preoperatively, the mean medial/lateral joint space ratio was 0.26+/-0.12, which increased in the postoperative phase, reaching 0.67+/- 0.29 after six months. Proximal bular osteotomy effectively reduces the pain of m Conclusion: edial compartment osteoarthritis. It also improves the mean vas pain score earliest postoperatively. We observed modest improvement in both oxford knee scores and American knee society score.