ArticleJournal of pharmacy & bioallied sciences2025
Proximal Fibular Osteotomy for Knee Osteoarthritis: Short-Term Pain Relief or Long-Term Progression Prevention.
Article in Journal of pharmacy & bioallied sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objective: This study aimed to evaluate the long-term efficacy of proximal fibular osteotomy (PFO) in patients with medial compartment osteoarthritis (OA) of the knee, focusing on pain relief, functional outcomes, and radiological changes. Methods: Patients aged 60-69 years with moderate to severe symptomatic degenerative knee OA were included. The patients underwent PFO, and their outcomes were assessed at multiple time points (immediate postoperative, 3 weeks, 6 weeks, 3 months, 6 months, and 12 months). Pain was measured using the visual analogue scale (VAS), while knee function was assessed using the American Knee Society Score (KSS). Radiological parameters, including femorotibial and joint convergence angles, were measured preoperatively and postoperatively. Results: Significant improvements in both pain (VAS) and knee function (KSS) were observed over time. The mean VAS score decreased from 7.70 preoperatively to 1.57 at 12 months postoperatively. Similarly, the KSS increased from 33.1 preoperatively to 84.5 at 12 months. Radiologically, the femorotibial angle improved from 184.05° to 181.8° and the joint convergence angle improved from 3.13° to 1.3°. Physiotherapy and BMI were found to influence long-term outcomes, with male patients and those with normal BMI showing better results. Conclusion: Proximal fibular osteotomy is an effective, safe, and affordable surgical option for providing pain relief and improving function in patients with medial compartment knee OA. Regular physiotherapy and weight management play a crucial role in optimizing long-term outcome.
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