| Objective:To compare the clinical effect of proximal fibular osteotomy(fibular osteotomy, FO)and high tibial osteotomy(high tibial osteotomy, HTO) in the treatment of varus knee osteoarthritis.Methods:A retrospective analysis was performed on 56 patients with knee osteoarthritis who met the inclusion and exclusion criteria and were treated in the Affiliated People’s Hospital of Shanxi Medical University from June 2010 to June 2015. The patients were divided into fibular osteotomy group(n=29) and HTO group(n=27) according to different surgery type. All patients were well followed-up, before and after operation(3,6 months)The operative time, peri-operative bleeding, hospitalization time,hospitalization expenses, the visual analogue scale(VAS), hospital for special surgery knee score(HSS), and knee society score(KSS) of each patient were recorded and compared between these two groups.Results:56 patients were followed-up for 6 to 60 months, with an average of 6.6±1.1 months,and all cases obtained satisfactory results. Compared with the HTO group, the operative time, hospitalization time, hospitalization expenses, hospitalization time, length of incision, and the length of incision were all lower than the fibular osteotomy group. The difference was statistically significant(P<0.05). Comparison among groups: no significant differences were observed in the KSS, HSS and VAS scores at preoperation, 3months and 6 months follow-up(P>0.05). Intra-group comparison: the KSS, HSS and VAS scores of postoperation of the two groups were all significantly higher than preoperation, and the difference was statistically significant(P<0.05).Conclusion:The clinical effect of proximal fibular osteotomy and high tibial osteotomy is equivalent in treating knee osteoarthritis, however the proximal fibula osteotomy has advantages of small trauma, quick recovery, low cost, which is an alternative treatment for knee osteoarthritis. |
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