Result of high Fibular Osteotomy (HFO) in Osteoarthritis knee

Ajmal Khan Silro (1) , Muhammad Faraz Jokhio (2) , Mohsin Aijaz Soomro (3) , Raheel Akbar Baloch (4) , Niaz Hussain Keerio (5) , Najeeb Ur Rehman (6) , Syed Shahid Noor (7)
(1) Dibba Hospital, Fujairah, United Arab Emirates, United Arab Emirates ,
(2) Liaquat University of Medical and Health Science, Jamshoro, Sindh, Pakistan, Pakistan ,
(3) Suleman Roshan Medical Collage, Tando Adam, Sanghar, Pakistan, Pakistan ,
(4) Liaquat University Hospital, Hyderabad, Sindh, Pakistan, Pakistan ,
(5) Muhammad Medical College and Hospital, Mirpurkhas, Sindh, Pakistan, Pakistan ,
(6) Peoples University of health and Sciences for Women, Nawabshah, Sindh, Pakistan, Pakistan ,
(7) Department of Orthopedic, Liaquat National Hospital and Medical College Karachi, Sindh, Pakistan, Pakistan

Abstract

To assess the effectiveness of high fibular osteotomy (HFO) in improving function and reducing pain among patients diagnosed with osteoarthritis knee admitted in the orthopedic department of Dibba Hospital Fujairah, United Arab Emirates. This is a descriptive, correlational cross-sectional study design. The study was conducted at the Orthopedic department Dibba Hospital Fujairah, United Arab Emirates, during the period from March 2019 to March 2020. All patients had knee osteoarthritis and were managed using HFO. All patients were adults and older than 18 years of age. Data was analyzed using the SPSS program. Ethical approval was gained from the hospital as well as from patients. The mean age of the patients was 32.5 ± 8.3 years. The study included 100 participants, among them, 28 were females, and 72 were males. There was a statistically significant relationship between knee injury and osteoarthritis outcome score and Lysholm. Also, knee x-rays images demonstrated clinical improvements among most of the patients. According to previous results, HFO and mesenchymal cell induced chondrogenesis (MCIC)should be considered for treating of medial compartment osteoarthritis, especially in patients with varus deformity.

Full text article

Generated from XML file

References

Altman, R., Asch, E., Bloch, D., Bole, G., Borenstein, D., Brandt, K., Christy, W., Cooke, T. D., Greenwald, R., Hochberg, M., Howell, D., Kaplan, D., Koop- man, W., Longley, S., Mankin, H., Mcshane, D. J., Medsger, T., Meenan, R., Mikkelsen, W., Wolfe, F. 1986. Development of criteria for the classification and reporting of osteoarthritis: Classification of osteoarthritis of the knee. Arthritis and Rheumatism, 29(8):1039–1049.

Amendola, A., Bonasia, D. E. 2010. Results of high tibial osteotomy: a review of the literature. International Orthopaedics, 34(2):155–160.

Brandt, K. D., Fife, R. S., Braunstein, E. M., Katz, B. 2010. Radiographic grading of the severity of knee osteoarthritis: Relation of the kellgren and Lawrence grade to a grade based on joint space narrowing and correlation with arthroscopic evidence of articular cartilage degeneration. Arthritis and Rheumatism, 34(11):1381–1386.

Dettoni, F., Bonasia, D. E., Castoldi, F., Bruzzone, M., Blonna, D., Rossi, R. 2010. High tibial osteotomy versus unicompartmental knee arthroplasty for medial compartment arthrosis of the knee: a review of the literature. Iowa Orthop J, 30:131–171.

Dong, T., Chen, W., Zhang, F., Yin, B., Tian, Y., Zhang, Y. 2016. Radiographic measures of settlement phenomenon in patients with medial compartment knee osteoarthritis. Clinical Rheumatology, 35(6):1573–1578.

Duivenvoorden, T., Brouwer, R. W., Baan, A., Bos, P. K., Reijman, M., Zeinstra, B., M, S. 2014. Comparison of closing-wedge and opening-wedge high tibial osteotomy for medial compartment osteoarthritis of the knee: a randomized controlled trial with a six-year follow-up. J Bone Joint Surg Am, 96:1425–1432.

Fife, R. S., Brandt, K. D., Braunstein, E. M., Katz, B. P., Shelbourne, K. D., Kalasinski, L. A., Ryan, S. 1991. Relationship between arthroscopic evidence of cartilage damage and radiographic evidence of joint space narrowing in early osteoarthritis of the knee. Arthritis and Rheumatism, 34(4):377–382.

Helminen, H. J. 2009. Sports, loading of cartilage, osteoarthritis and its prevention. Scandinavian Journal of Medicine and Science in Sports, 19(2):143–145.

Hunter, D. J., Wilson, D. R. 2009. Imaging the Role of Biomechanics in Osteoarthritis. Rheumatic Disease Clinics of North America, 35(3):465–483.

Hunter, D. J., Zhang, Y., Niu, J., Tu, X., Amin, S., Goggins, J., Lavalley, M., Guermazi, A., Gale, D., Felson, D. T. 2005. Structural factors associated with malalignment in knee osteoarthritis: the Boston osteoarthritis knee study. The Journal of Rheumatology, 32(11):2192–2199.

Insall, J. N., Dorr, L. D., Scott, R. D., Norman, W. 1989. Rationale of The Knee Society Clinical Rating System. Clinical Orthopaedics and Related Research, (248):13–14.

Kanamiya, T., Naito, M., Hara, M., Yoshimura, I. 2002. The influences of biomechanical factors on cartilage regeneration after high tibial osteotomy for knees with medial compartment osteoarthritis. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 18(7):725–729.

Kirgis, A., Albrecht, S. 1992. Palsy of the deep peroneal nerve after proximal tibial osteotomy. An anatomical study. The Journal of Bone and Joint Surgery, 74(8):1180–1185.

Laprade, R. F., Spiridonov, S. I., Nystrom, L. M., Jansson, K. S. 2012. Prospective Outcomes of Young and Middle-Aged Adults with Medial Compartment Osteoarthritis Treated With a Proximal Tibial Opening Wedge Osteotomy. Arthroscopy: The Journal of Arthroscopic and Related Surgery, 28(3):354–364.

Lee, D. C., Byun, S. J. 2012. High tibial osteotomy. Knee Surg Relat Res, 24(2):61–69.

Naudie, D., Bourne, R. B., Rorabeck, C. H., Bourne, T. J. 1999. Survivorship of the High Tibial Valgus Osteotomy A 10-to 22-Year Follow-up Study. Clinical Orthopaedics and Related Research, 367:18–27.

Ryu, S. M., Park, J. W., Na, H. D., Shon, O. J. 2018. High Tibial Osteotomy versus Unicompartmental Knee Arthroplasty for Medial Compartment Arthrosis with Kissing Lesions in Relatively Young Patients. Knee Surgery and Related Research, 30:17–22.

Spahn, G., Hofmann, G. O., Engelhardt, L. V. V., Li, M., Neubauer, H., Klinger, H. M. 2013. The impact of a high tibial valgus osteotomy and unicondylar medial arthroplasty on the treatment for knee osteoarthritis: a meta-analysis. Knee Surgery, Sports Traumatology, Arthroscopy, 21(1):96–112.

Sprenger, T. R., Doerzbacher, J. F. 2003. Tibial Osteotomy for the Treatment of Varus gonarthrosis. The Journal of Bone and Joint Surgery, 85(3):469–474.

Tang, W. M., Zhu, Y. H., Chiu, K. Y. 2000. Axial Alignment of the Lower Extremity in Chinese Adults. The Journal of Bone and Joint Surgery, 82(11):1603–1608.

Tourville, T. W., Johnson, R. J., Slauterbeck, J. R., Naud, S., Beynnon, B. D. 2013. Assessment of Early Tibiofemoral Joint Space Width Changes After Anterior Cruciate Ligament Injury and Reconstruction. The American Journal of Sports Medicine, 41(4):769–778.

Wang, X., Wei, L., Lv, Z., Zhao, B., Duan, Z., Wu, W., Zhang, B., Wei, X. 2017. Proximal fibular osteotomy: a new surgery for pain relief and improvement of joint function in patients with knee osteoarthritis. Journal of International Medical Research, 45(1):282–289.

Yokoyama, M., Nakamura, Y., Onishi, T., Hirano, K., Doi, M. 2016. Healing period after open high tibial osteotomy and related factors: Can we really say that it is long? SpringerPlus, 5:123.

Zhang, Y. Z. 2015. Innovations in Orthopedics and Traumatology in China. Chinese Medical Journal, 128(21):2841–2842.

Authors

Ajmal Khan Silro
Muhammad Faraz Jokhio
Mohsin Aijaz Soomro
Raheel Akbar Baloch
Niaz Hussain Keerio
niaz_h@hotmail.com (Primary Contact)
Najeeb Ur Rehman
Syed Shahid Noor
Ajmal Khan Silro, Muhammad Faraz Jokhio, Mohsin Aijaz Soomro, Raheel Akbar Baloch, Niaz Hussain Keerio, Najeeb Ur Rehman, & Syed Shahid Noor. (2021). Result of high Fibular Osteotomy (HFO) in Osteoarthritis knee. International Journal of Research in Pharmaceutical Sciences, 12(4), 2325–2329. Retrieved from https://ijrps.com/home/article/view/353

Article Details

Most read articles by the same author(s)

No Related Submission Found