Efficacy of Arthroscopic Debridement with Proximal Fibular Osteotomy in Early Medial Joint Osteoarthritis of the Knee

Abstract

In the USA alone, osteoarthritis affects > 3 billion people, making it the most predominant type of joint disorder. It costs the US more than $185 billion a year and is the primary cause of persistent disability in older persons. The results of our cases will help encourage local health researchers to continue this procedure and review the available resources thereof. Objective: To determine efficacy of arthroscopic debridement with proximal fibular osteotomy in early medial joint osteoarthritis of the knee in patients presented to tertiary care hospital. Methods: This descriptive Case Series was held in the Orthopedic Surgery department, MTI-Hayatabad Medical Complex, Peshawar from 30 Dec, 2020 to 30 Jun, 2021. Patients with medial knee osteoarthritis were treated by proximal fibular osteotomy combined with arthroscopic debridement. The efficacy of the knee function was evaluated by VAS score, AKSS, and ML ratio at 1 week and 3 months after operation. Results: As per frequencies and percentages for efficacy, 114 (69.1%) patients showed effective results of arthroscopic debridement. Conclusion: This study demonstrated that arthroscopic debridement with proximal fibular osteotomy is an effective procedure in the management of early medial joint osteoarthritis of the knee in terms of improved knee function.