Title: High Fibular Osteotomy (HFO) for medial compartmental arthri􀆟 s of knee with varus deformity in Indian subcon􀆟 nent

Biography:

Shah Kushal V has accomplished his MS in Orthopaedics from Rajiv Gandhi University of Health Sciences, Bangalore in 2017. Currently he is working as Consultant Surgeon at
Parul Sevashram Hospital (Vadodara) and was previously associated with Zydus Hospital (Dahod,Gujarat). He is a Member of ISKSAA, Member of Indian Orthopaedic Associa-
􀆟 on and Member of Gujarat Orthopaedic Associa􀆟 on.

Abstract

Osteoarthri􀆟 s (OA) Knee is a common health problem
aff ecô€†Ÿ ng almost 29 % of India’s Populaô€†Ÿ on1. Gold standard
treatment for high grade Arthri􀆟 s is Total Knee Replacement2.
However this procedure carries its risk to benefi t ra􀆟 o and
complica􀆟 ons3 like DVT, persistent pain. High 􀆟 bial osteotomy
and uni-compartmental replacement are other modali􀆟 es for
high grade knee which needs surgical skills and has its risk to
benefi t ra􀆟 o and complica􀆟 ons 4 like fracture, implant failure
and others. Incidental fi ndings Of High Fibular Osteotomy
a Simple Surgical Procedure seems to be boon for those
pa􀆟 ents who have excrucia􀆟 ng pain and wai􀆟 ng for total knee
replacement but cannot go for it due to its prohibi􀆟 ve cost.
Evidence of its effi cacy has been piling up fast and seems to
buy 􀆟 me for pa􀆟 ent with medial compartment arthri􀆟 s for
total knee replacement and gives short to medium term relief.
For Indian subcon􀆟 nent where > 50 % have varus deformity
with medial compartment arthri􀆟 s seems to be best interim
surgery with minimal blood loss, small surgical scar, ability of
full weight bearing walk and squat on the same day and cost
eff ec􀆟 ve with no age limits5. A total follow up of 20 pa􀆟 ent
shows increase in medial joint space of > 2mm and decrease
Tibiofemoral angle around 2° with improved Visual Analogue
Score (VAS) score from 2 To 8. Thus HFO can be considered
as a choice of treatment for medial compartment knee with
varus deformity as a joint preserving procedure for a span of
2-10 years.