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Effects of proximal fibular partial excision on medial compartment knee osteoarthritis

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Abstract

Background

This study aimed to investigate the clinical and radiological progression of the patients who underwent proximal fibular partial excision (PFPE) for medial compartment knee osteoarthritis.

Methods

Patients with medial compartment knee osteoarthritis who did not benefit from conservative treatment and accepted the PFPE surgery were involved in this study. Patients with traumatic arthritis, inflammatory arthritis, previous lower extremity fractures, valgus malalignment of the knee, and infection at the planned surgical site, however, were kept apart. Patients were assessed both clinically by Visual Analog Scale (VAS) and American Knee Society Score (AKSS), radiologically by Kellgren Lawrence classification, tibiofemoral angle, and joint-line convergence angle (JLCA). The patients were systematically assessed especially in the sixth month and first, second, and third years of the post-operative period.

Results

A total of 35 patients (mean age: 56.5, min: 45, max: 79) were involved in this study. The mean follow-up period was 22.4 months (min: 6, max: 36). It has been observed that:

  • Statistically significant decrease in VAS and increase in AKSS after PFPE (p < 0.001)

  • No statistically significant improvement in preoperative and postoperative tibiofemoral angle and JLCA measurements

Conclusions

The PFPE is a safe and effective surgical treatment for pain relief and functional improvement in medial compartment knee osteoarthritis. More studies are needed on its mechanism of action, long-term effects, and comparison with other treatment options.

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Authors and Affiliations

  1. Department of Orthopaedic Surgery, University of Health Sciences, Haseki Training and Research Hospital, Istanbul, Turkey

    Doğan Atlıhan & Duran Can Muslu

  2. Department of Orthopaedic Surgery, Mersin Training and Research State HospitalKorukent MahMersin Entegre Sağlık Kampüsü, 96015 Sok, 33240, Toroslar, Mersin, Turkey

    Fatih Günaydın

Authors
  1. Doğan Atlıhan
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  2. Fatih Günaydın
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  3. Duran Can Muslu
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Contributions

All the authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Doğan Atlıhan, Fatih Günaydın, and DuranCan Muslu. The first draft of the manuscript was written by Fatih Günaydın, and all the authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Fatih Günaydın.

Ethics declarations

Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. Approval was granted by the Ethics Committee of Haseki Eğitim ve Araştırma Hastanesi (Date 03/02/2016/No323).

Written informed consent was obtained from the parents.

Consent for publication

The authors affirm that human research participants provided informed consent for publication of the images in Figs. 1 and 3.

Conflict of interest

The authors declare no competing interests.

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Atlıhan, D., Günaydın, F. & Muslu, D.C. Effects of proximal fibular partial excision on medial compartment knee osteoarthritis. International Orthopaedics (SICOT) 46, 2251–2256 (2022). https://doi.org/10.1007/s00264-022-05471-5

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  • DOI: https://doi.org/10.1007/s00264-022-05471-5

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