Proximal fibular osteotomy in medial compartment knee osteoarthritis: a comparative study

İbrahim Halil Rizvanoğlu; Nevzat Gönder

Makale detayları

Proximal fibular osteotomy in medial compartment knee osteoarthritis: a comparative study

Yazarlar:

İbrahim Halil Rizvanoğlu | Nevzat Gönder

Yayıncı:

Cukurova University

Ana Başlıklar:

Ortopedi

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.251-260

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351446

pISSN:

2602-3032

Anahtar kelimeler:

Özet:

 Abstract Purpose: This study aims to compare the clinical and radiological outcomes of proximal fibular osteotomy PFO combined with arthroscopic debridement AD versus arthroscopic debridement alone in patients with medial compartment knee osteoarthritis MCOA. Materials and Methods: This retrospective study included 85 knees from 74 patients with MCOA who were treated at our hospital between May 2019 and January 2023. Group I comprised 44 knees that underwent AD alone, while Group II included 41 knees that received PFO combined with AD. Preoperative and postoperative clinical and radiological parameters were evaluated within each group. Postoperative outcomes and complication rates were also compared between the groups. Results: The mean postoperative pain score VAS was significantly lower in Group II 3.21  2.04 compared to Group I 6.45  1.62. The mean postoperative Oxford Knee Score was significantly higher in Group II 33.26  7.38 than in Group I 27.14  5.61. Additionally, postoperative radiological parameters, including medial joint space, lateral joint space, and the joint space ratio, were significantly better in Group II compared to Group I. Conclusion: PFO combined with AD is an effective treatment option for MCOA, providing both clinical and radiological improvements with a low complication rate.

 Abstract Purpose: This study aims to compare the clinical and radiological outcomes of proximal fibular osteotomy PFO combined with arthroscopic debridement AD versus arthroscopic debridement alone in patients with medial compartment knee osteoarthritis MCOA. Materials and Methods: This retrospective study included 85 knees from 74 patients with MCOA who were treated at our hospital between May 2019 and January 2023. Group I comprised 44 knees that underwent AD alone, while Group II included 41 knees that received PFO combined with AD. Preoperative and postoperative clinical and radiological parameters were evaluated within each group. Postoperative outcomes and complication rates were also compared between the groups. Results: The mean postoperative pain score VAS was significantly lower in Group II 3.21  2.04 compared to Group I 6.45  1.62. The mean postoperative Oxford Knee Score was significantly higher in Group II 33.26  7.38 than in Group I 27.14  5.61. Additionally, postoperative radiological parameters, including medial joint space, lateral joint space, and the joint space ratio, were significantly better in Group II compared to Group I. Conclusion: PFO combined with AD is an effective treatment option for MCOA, providing both clinical and radiological improvements with a low complication rate.

 Abstract Purpose: This study aims to compare the clinical and radiological outcomes of proximal fibular osteotomy PFO combined with arthroscopic debridement AD versus arthroscopic debridement alone in patients with medial compartment knee osteoarthritis MCOA. Materials and Methods: This retrospective study included 85 knees from 74 patients with MCOA who were treated at our hospital between May 2019 and January 2023. Group I comprised 44 knees that underwent AD alone, while Group II included 41 knees that received PFO combined with AD. Preoperative and postoperative clinical and radiological parameters were evaluated within each group. Postoperative outcomes and complication rates were also compared between the groups. Results: The mean postoperative pain score VAS was significantly lower in Group II 3.21  2.04 compared to Group I 6.45  1.62. The mean postoperative Oxford Knee Score was significantly higher in Group II 33.26  7.38 than in Group I 27.14  5.61. Additionally, postoperative radiological parameters, including medial joint space, lateral joint space, and the joint space ratio, were significantly better in Group II compared to Group I. Conclusion: PFO combined with AD is an effective treatment option for MCOA, providing both clinical and radiological improvements with a low complication rate.

 Öz Amaç: Bu çalışmanın amacı, medial kompartman diz osteoartriti MKDOA olan hastalarda artroskopik debridman AD ile kombine edilen proksimal fibula osteotomisi PFO ile yalnızca artroskopik debridman uygulanan hastaların klinik ve radyolojik sonuçlarını karşılaştırmaktır. Gereç ve Yöntem: Bu retrospektif çalışma, Mayıs 2019 ile Ocak 2023 tarihleri arasında hastanemizde tedavi edilen MKDOA tanılı 74 hastaya ait 85 dizi kapsamaktadır. Grup I, yalnızca AD uygulanan 44 dizi; Grup II ise PFO  AD uygulanan 41 dizi içermektedir. Her iki grupta da preoperatif ve postoperatif klinik ve radyolojik parametreler değerlendirildi. Gruplar arasında postoperatif sonuçlar ve komplikasyon oranları karşılaştırıldı. Bulgular: Postoperatif ortalama ağrı skorları VAS, Grup IIde 3.21  2.04, Grup Ie 6.45  1.62 göre anlamlı olarak düşüktü. Postoperatif ortalama Oxford Diz Skoru, Grup IIde 33.26  7.38, Grup Ie 27.14  5.61 kıyasla anlamlı olarak yüksekti. Ayrıca, postoperatif radyolojik parametreler medial eklem aralığı, lateral eklem aralığı ve eklem aralığı oranı Grup IIde Grup Ie kıyasla anlamlı ölçüde daha iyiydi. Sonuç: AD ile kombine edilen PFO, MKDOA tedavisinde etkili bir seçenek olup, düşük komplikasyon oranıyla hem klinik hem de radyolojik iyileşme sağlamaktadır.

Makale detayları

Proximal fibular osteotomy in medial compartment knee osteoarthritis: a comparative study

Yazarlar:

İbrahim Halil Rizvanoğlu | Nevzat Gönder

Yayıncı:

Cukurova University

Ana Başlıklar:

Ortopedi

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.251-260

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351446

pISSN:

2602-3032

Arthroscopic debridement

knee osteoarthritis

Oxford Knee Score

proximal fibular osteotomy.Artroskopik debridman

diz osteoartriti

Oxford Diz Skoru

proksimal fibula osteotomisi

Sayı

Makale detayları

Yazarlar: İbrahim Halil Rizvanoğlu | Nevzat Gönder

Yayıncı: Cukurova University

Ana Başlıklar: Ortopedi

Dergi: Cukurova Medical Journal Vol.50 Issue 2, pp.251-260

Belge Tipi: Makale

Yayın Tarihi: 6/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001351446

pISSN: 2602-3032

Sayı

Yazarlar:

İbrahim Halil Rizvanoğlu | Nevzat Gönder

Yayıncı:

Cukurova University

Ana Başlıklar:

Ortopedi

Dergi:

Cukurova Medical Journal Vol.50 Issue 2, pp.251-260

Belge Tipi:

Makale

Yayın Tarihi:

6/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001351446

pISSN:

2602-3032