ArticleJournal of orthopaedic surgery and research2020
Effects of proximal fibular osteotomy on stress changes in mild knee osteoarthritis with varus deformity: a finite element analysis.
Article in Journal of orthopaedic surgery and research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Proximal fibular osteotomy versus high tibial osteotomy for treating knee osteoarthritis: a systematic review and meta-analysis.Journal of orthopaedic surgery and research · 2022Pooled it
- Evolving Strategies for Knee Osteoarthritis: A Narrative Review of Integrated Rehabilitation, Pharmacologic, and Joint-Preserving Interventions.Medical science monitor : international medical journal of experimental and clinical research · 2026Review
- Conversion of proximal fibula osteotomy for knee osteoarthritis to subsequent surgery: Time-to-event analysis and predictors.Chinese medical journal · 2026Article
- A novel osteotomy tool reduces complications and improves operative efficiency in proximal fibular osteotomy for medial compartment knee osteoarthritis: a retrospective comparative study.BMC musculoskeletal disorders · 2026Article
- In case effects of proximal fibular osteotomy and total knee arthroplasty on load distribution in the human knee: A comparative finite element study.Joint diseases and related surgery · 2026Article
- Characterization of time-dependent changes in the subchondral bone density distribution of the proximal tibia following high tibial osteotomy.Journal of experimental orthopaedics · 2025Article
- The Influence of Varus Deformity Correction on Clinical Outcomes: a Comparative Study of Proximal Fibular Osteotomy and High Tibial Osteotomy in Knee Osteoarthritis.Indian journal of orthopaedics · 2025Article
- Subchondral insufficiency fracture of the knee: progress in the pathogenesis and treatment.Frontiers in surgery · 2025Review
- Comparison of tibial fracture plate length, placement, and fibular integrity effects on plate integrity through finite element analysis.Scientific reports · 2024Article
- How effective is proximal fibular osteotomy in redistributing joint pressures? Insights from an HTO comparative in-silico study.Journal of orthopaedic surgery and research · 2024Article
- Mechanical overloading leads to chondrocyte degeneration and senescence via Zmpste24-mediated nuclear membrane instability.iScience · 2023Article
- Stress Effect in the Knee Joint Based on the Fibular Osteotomy Level and Varus Deformity: A Finite Element Analysis Study.Bioengineering (Basel, Switzerland) · 2023Article
- Low Correlation between Gait and Quality of Life in Advanced Knee Osteoarthritis.Journal of functional morphology and kinesiology · 2023Article
- Combine Approach of Proximal Fibula Osteotomy (PFO) Followed by Intra-Articular Dextrose Prolotherapy in Severe Medial Knee Osteoarthritis.Journal of pain research · 2022Article
- Relationship between the height of fibular head and the incidence and severity of knee osteoarthritis.Open medicine (Warsaw, Poland) · 2022Article
Corrections and comments
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Authors and funding
11 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundMany previous studies lack sufficient quantitative evidences about changes in biomechanical properties of the knee in response to proximal fibular osteotomy (PFO). Therefore, the aim of this study was to compare the preoperative and postoperative effects of PFO on mechanical stresses in the knee joint and provide with a biomechanical basis for PFO in the treatment of mild knee osteoarthritis (KOA) with varus deformity.
methodsA total of 10 patients suffering mild KOA with varus deformity were enrolled in this study. Their image data from computerized tomography (CT) and magnetic resonance imaging (MRI) were used for finite element models, and PFO models were established. Static structural analysis was carried out using ABAQUS to compare the von Mises stress distribution and values of the maximal von Mises stress of femoral cartilage, meniscuses, tibial cartilages, and tibial plateau before and after surgery.
resultsThe stress distribution in the cortical bone of the tibial plateau showed that stresses were transferred from the anterior medial area to the posterior medial area after PFO. Values of the maximal von Mises stress in femoral cartilage, medial meniscus, medial tibial cartilage, and tibial plateau after surgery were significantly lower than the preoperative values, with statistically significant differences (P < 0.05). Postoperative values of the maximal von Mises stress of lateral meniscus and lateral tibial cartilage were significantly higher than the preoperative ones, with statistically significant differences (P < 0.05).
conclusionPFO could reduce the stresses in the medial compartment of the knee joint with stress pathways transferring from the anterior medial area to the posterior medial area of the tibial plateau. Therefore, PFO is recommended for the treatment of mild KOA with varus deformity featuring favorably pain-relieving effects.
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