Clinical observations of medial compartment knee osteoarthritis by proximal fibular osteotomy with arthroscopy

Abstract

Objective: To explore the clinical short-term result of proximal fibular osteotomy with arthroscopy in the treatment of knee osteoarthritis. Methods: From August 2015 to March 2016 thirty six patients with medial compartment knee osteoarthritis were treated by proximal fibular osteotomy with arthroscopy in Department of Orthopaedics, Beijing Tongren Hospital, Capital Medical University.The preoperative and postoperative visual analogue scale (VAS) and the hospital for special surgery (HSS) knee score were compared in follow-up. Results: The follow-up period was 3 and 10 months.The postoperative HSS knee scoreincreased significantly[(56.1±11.1)score vs(83.0±5.9), (83.7±3.9)score](P<0.05) and the VAS scoredecreased significantly [(7.9±0.8)score vs(2.4±0.7), (1.8±0.9)score](P<0.05) compared with pre-operation.There are 3 cases of superficialperonealnerve injury and recovered 3 months after operation. Conclusion: Proximal fibular osteotomy with arthroscopy in the treatment of medial compartment knee osteoarthritis can provide satisfactory early effects.