Aim: The purpose of this prospective study was to prove the promising outcomes of proximal fibular osteotomyin treatment of medial compartment knee osteoarthritis.Material & Methods: A prospective observational study including 50 patients in Department of Orthopaedicsfor the period of 2 years. The following clinical parameters were used: VAS, KSS, KFS. The followingradiological parameters were used: MJS, LJS, HKA Angle. post-operative physiotherapy protocol was followed.Discharge was planned based on patients comfort and mobility, that was usually on day 4 or 5. They were followedup at 6 weeks, 3 months, 6 months, 9 months and 12 months.Results: In the present study, most of the patients belonged to 50-60 years age group. In the present study, therewere 19 males and 31 females, with male to female ratio 2:3 approximately. The mean age of patients was 52.78year (age range = 40-70 years). In this study patients included who has BMI>30 and most of patients lie in between25 to 29.9 BMI i.e. most of them fall in overweight category. Osteochondral defect was found in all cases withvarious grade, 26 (52%) knees with grade 1, 15 (30%) knees with grade 2, 8 (16%) knees with grade 3 and 1 (2%)cases with grade 4. Average visual Analogue scale (VAS) score significantly decreased from 8.20 pre-operativelyto 3.256 in 1 year of follow up. Knee society score improved from 45.25 pre-operatively to 71.77 in 12 month offollow up. Knee function score improved pre-operatively 49.50 to 75.55 in 12 month of follow up. Medial jointspace increased from 1.62 pre-operatively to 3.56 in 12 month of follow up. Lateral joint space decreased from6.68 pre-operatively to 5.38 in 12 months follow up. The correction of alignment Hip knee ankle angle (HKA)after PFO were seen after 12 months.Conclusion: Proximal fibular osteotomy [PFO] is a simple, safe and affordable surgery to reduce pain andimprove joint function and the medial compartment space in medial compartment osteoarthritis of knee joint. Itmay be a promising alternative surgery in most developing countries because of their financial and healthcaredelivery limitations that may be used as an alternative surgery for patients of osteoarthritis knee who cannotundergo.

Aim: The purpose of this prospective study was to prove the promising outcomes of proximal fibular osteotomyin treatment of medial compartment knee osteoarthritis.Material & Methods: A prospective observational study including 50 patients in Department of Orthopaedicsfor the period of 2 years. The following clinical parameters were used: VAS, KSS, KFS. The followingradiological parameters were used: MJS, LJS, HKA Angle. post-operative physiotherapy protocol was followed.Discharge was planned based on patients comfort and mobility, that was usually on day 4 or 5. They were followedup at 6 weeks, 3 months, 6 months, 9 months and 12 months.Results: In the present study, most of the patients belonged to 50-60 years age group. In the present study, therewere 19 males and 31 females, with male to female ratio 2:3 approximately. The mean age of patients was 52.78year (age range = 40-70 years). In this study patients included who has BMI>30 and most of patients lie in between25 to 29.9 BMI i.e. most of them fall in overweight category. Osteochondral defect was found in all cases withvarious grade, 26 (52%) knees with grade 1, 15 (30%) knees with grade 2, 8 (16%) knees with grade 3 and 1 (2%)cases with grade 4. Average visual Analogue scale (VAS) score significantly decreased from 8.20 pre-operativelyto 3.256 in 1 year of follow up. Knee society score improved from 45.25 pre-operatively to 71.77 in 12 month offollow up. Knee function score improved pre-operatively 49.50 to 75.55 in 12 month of follow up. Medial jointspace increased from 1.62 pre-operatively to 3.56 in 12 month of follow up. Lateral joint space decreased from6.68 pre-operatively to 5.38 in 12 months follow up. The correction of alignment Hip knee ankle angle (HKA)after PFO were seen after 12 months.Conclusion: Proximal fibular osteotomy [PFO] is a simple, safe and affordable surgery to reduce pain andimprove joint function and the medial compartment space in medial compartment osteoarthritis of knee joint. Itmay be a promising alternative surgery in most developing countries because of their financial and healthcaredelivery limitations that may be used as an alternative surgery for patients of osteoarthritis knee who cannotundergo.