Online ISSN: 2515-8260

Keywords : knee pain

Functional outcomes of proximal fibular osteotomy in osteoarthritis knee grade II & III

Govind Pratap Singh, Bhupinder Singh Brar, Dr. Punit, Navneet Singh, Sandeep Singh Jaura

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1059-1066

Introduction: Osteoarthritis of the knee is a degenerative condition with a variety of treatment options like high tibial osteotomy (HTO), arthroscopic debridement, unicompartmental knee arthroplasty and total knee arthroplasty. This study was conducted with an aim to assess the outcomes of individuals with Grade II and III medial compartment osteoarthritis treated with a proximal fibular osteotomy (PFO) to alleviate discomfort, improve medial joint space and function of the knee joint.
Methodology: From November 2019 to October 2021, 25 Patients aged 45 to 65 years with knee OA of grade II or III (Kellgren-Lawrence classification) involving the medial compartment of the knee were included and underwent proximal fibular osteotomy and were followed up. Preoperatively as well as postoperatively, the entire lower extremity radiographs were obtained to assess the alignment of the lower extremity and the ratio of the knee joint space (medial/lateral compartment), knee pain was assessed using a visual analogy scale and knee ambulation activities were assessed using the American Knee Society score.
Results: All patients experienced alleviation from medial knee discomfort postoperatively. Postoperative weight-bearing lower limb radiographs revealed an average increase in medial knee joint space. The mean preoperative AKSS improved from 43.92 to 63.88 till the last follow-up.
Conclusion: PFO is a safe, simple and effective procedure that significantly decreases knee discomfort. It also enhances the joint's radiographic appearance and functional outcome in patients with medial compartment osteoarthritis of the knee.

Association Between Knee Inflammation and Knee Pain in Patients with Knee Osteoarthritis: An Institutional Based Study

Shakti Condil Sharma, Vijay Sharma

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 1, Pages 657-662

Objective: The aim of the present study is to determine the association between knee
inflammation and knee pain in patients with knee osteoarthritis.
Methods: A total of 250 patients with knee OA were included in this study. The
diagnosis was based on the American College of Rheumatology (ACR) criteria for knee
OA. The severity of knee pain, stiffness, and disability were measured using the
Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC).
Results: The mean age of the patients was 50.11 ± 6.34 years. Kellgren-Lawrence
grading scale and age or disease duration were positively and significantly associated,
whereas none of the WOMAC sub-scores were found to be related with Kellgren-
Lawrence grading scale (P > 0.05). On the other hand, WOMAC disability scores were
significantly associated with WOMAC pain and WOMAC stiffness (P < 0.01).
Conclusion: Knee pain, stiffness, and duration of disease may affect the level of
disability in the patients with knee OA. Therefore, treatment of knee OA could be
planned according to the clinical features and functional status.