A Critical Review of Proximal Fibular Osteotomy for Knee Osteoarthritis



Department of Orthopaedics and Joint Replacement Surgery Indraprastha Apollo Hospitals, Sarita Vihar, New Delhi, INDIA


The surgical management of Knee Osteoarthritis (KOA), so far, mainly revolved around arthroscopic procedures,
arthroplasty (total: TKA and unicompartmental: UKA) or high tibial osteotomy (HTO). Recently, another minimally
invasive surgical treatment of proximal fibular osteotomy (PFO) has been proposed for the management of KOA. The
PFO has been found to be useful in the management of pain in KOA. The success of PFO depends on the correct
location of the osteotomy and the right surgical technique. However, the experience of this procedure is minimal. Still,
many questions need to be answered about the PFO viz. selection of best candidates and likely duration of pain relief.
More multicentric, comparative and prospective studies are needed on a more substantial number of patients, the
overlong follow-up to confirm its validity and recommendation for routine use for KOA.
Level of evidence: IV


Main Subjects

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