knee osteoarthritis fibular Osteotomy


  1. Proximal fibular osteotomy in the treatment of medial osteoarthritis of the knee – A narrative review of literature
    1. Authors =  Authors and affiliations
    2. Saseendar Shanmugasundaram=Srinivas B. S. Kambhampati   = Samundeeswari Saseendar
      1. Open AccessReview article  First Online: 18 December 2019
  2. There are various mechanisms that are proposed to individually or collectively contribute to the outcomes of this procedure, and include 
    1. the theory of non-uniform settlement, 
    2. the too-many cortices theory, 
    3. slippage phenomenon, 
    4. the concept of competition of muscles, 
    5. dynamic fibular distalization theory and 
    6. ground reaction vector readjustment theory. 
      1. The mechanisms have been discussed and future directions in research have been proposed. 
  3. The current literature, which mostly consists of case series, suggests the usefulness of the procedure in decreasing varus deformity as well as improving symptoms in medial osteoarthritis. 
    1. However, large randomised controlled trials with long-term follow-up are required to establish the benefits of this procedure over other established treatment methods.

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