A Critical Review of Proximal Fibular Osteotomy for Knee Osteoarthritis

Abstract

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