Abstract：
UNASSIGNED: Gonarthrosis is arthrosis of the knee joint, a chronic non-inflammatory disease manifested by progressive destruction of the intra-articular cartilage, accompanied by abnormal formation of the bones form the joint, changes in the synovial membrane and synovial fluid. Gonarthrosis is the most common type of arthrosis. Gonarthrosis can be treated conservatively and operatively. Among well-established surgical options for the treatment of medial gonarthrosis are high tibial osteotomy (HTO), unicompart-mental knee arthroplasty (UKA), and total knee arthroplasty (TKA). Proximal fibular osteotomy (PFO) or superior partial fibulectomy is a relatively recent procedure proposed to reduce knee pain in patients with medial compartment.
UNASSIGNED: Our study aims to demonstrate an alternative treatment for gonarthrosis with proximal fibular osteotomy and reduced knee pain in patients with medial compartment osteoarthritis of the knee.
UNASSIGNED: At the Department of Orthopedics and Traumatology at J.Z.U \"Borka Taleski\" Prilep in the period from 2018 to 2021, 14 cases were treated, of which 11 were female and 3 were male. All patients were aged between 62 and 82 years with a mean age of 71.3 years. Patients had a severe degree of gonarthrosis (III/IV) according to Kellgren-Lawrence classification. Arthroscopy was performed in 2 patients. The fibula osteotomy was 7 cm away from the fibular head, with 1 cm resected bone fragment from the fibula.
UNASSIGNED: The average duration of the surgery was 30 minutes. Patients were followed up on the 7th day, first month, 3 months and 6 months after surgery. The final evaluation of function was done after 6 months by examining the active and passive movements of the knee joint. In all 14 patients we have excellent results with pain reduction, improvement of movement and quality of life.
UNASSIGNED: Proximal fibular osteotomy is an option for medial compartment osteoarthritis of the knee. Current literature is limited to small case series which report good outcomes in pain reduction, including the correction of varus deformity in medial gonarthrosis. Further studies are needed to determine the place of the PFO in the medial gonarthrosis management algorithm before it can be recommended for routine clinical use.
UNASSIGNED: Our study aims to demonstrate an alternative treatment for gonarthrosis with proximal fibular osteotomy and reduced knee pain in patients with medial compartment osteoarthritis of the knee.
UNASSIGNED: At the Department of Orthopedics and Traumatology at J.Z.U \"Borka Taleski\" Prilep in the period from 2018 to 2021, 14 cases were treated, of which 11 were female and 3 were male. All patients were aged between 62 and 82 years with a mean age of 71.3 years. Patients had a severe degree of gonarthrosis (III/IV) according to Kellgren-Lawrence classification. Arthroscopy was performed in 2 patients. The fibula osteotomy was 7 cm away from the fibular head, with 1 cm resected bone fragment from the fibula.
UNASSIGNED: The average duration of the surgery was 30 minutes. Patients were followed up on the 7th day, first month, 3 months and 6 months after surgery. The final evaluation of function was done after 6 months by examining the active and passive movements of the knee joint. In all 14 patients we have excellent results with pain reduction, improvement of movement and quality of life.
UNASSIGNED: Proximal fibular osteotomy is an option for medial compartment osteoarthritis of the knee. Current literature is limited to small case series which report good outcomes in pain reduction, including the correction of varus deformity in medial gonarthrosis. Further studies are needed to determine the place of the PFO in the medial gonarthrosis management algorithm before it can be recommended for routine clinical use.
摘要：
■膝关节病是膝关节的关节病，一种慢性非炎性疾病，表现为关节内软骨的进行性破坏，伴随着关节骨骼的异常形成，滑膜和滑液的变化。膝关节病是最常见的关节病类型。膝关节病可以保守和手术治疗。胫骨高位截骨术（HTO）是治疗内侧关节炎的公认手术选择，单关节-精神膝关节置换术（UKA），全膝关节置换术（TKA）。腓骨近端截骨术（PFO）或上部分腓骨切除术是一种相对较新的手术，旨在减轻内侧室患者的膝关节疼痛。
■我们的研究旨在证明对膝关节内侧间室骨关节炎患者采用腓骨近端截骨术和减轻膝关节疼痛的替代治疗方法。
■在2018年至2021年期间，在J.Z.U“BorkaTaleski”Prilep的骨科和创伤科，共治疗了14例病例，其中女性11人，男性3人。所有患者年龄在62至82岁之间，平均年龄为71.3岁。根据Kellgren-Lawrence分类，患者患有严重的关节炎（III/IV）。对2例患者进行了关节镜检查。腓骨截骨距离腓骨头7厘米，从腓骨切除1厘米的骨碎片。
■手术的平均持续时间为30分钟。患者在第7天随访,第一个月,术后3个月和6个月。6个月后通过检查膝关节的主动和被动运动进行功能的最终评估。在所有14名患者中，我们在减轻疼痛方面都取得了出色的效果，改善运动和生活质量。
■腓骨近端截骨术是膝关节内侧间室骨关节炎的一种选择。目前的文献仅限于报告疼痛减轻效果良好的小病例系列，包括内侧关节内翻畸形的矫正。在将PFO推荐用于常规临床应用之前，需要进一步研究以确定PFO在内侧关节炎管理算法中的位置。
■我们的研究旨在证明对膝关节内侧间室骨关节炎患者采用腓骨近端截骨术和减轻膝关节疼痛的替代治疗方法。
■在2018年至2021年期间，在J.Z.U“BorkaTaleski”Prilep的骨科和创伤科，共治疗了14例病例，其中女性11人，男性3人。所有患者年龄在62至82岁之间，平均年龄为71.3岁。根据Kellgren-Lawrence分类，患者患有严重的关节炎（III/IV）。对2例患者进行了关节镜检查。腓骨截骨距离腓骨头7厘米，从腓骨切除1厘米的骨碎片。
■手术的平均持续时间为30分钟。患者在第7天随访,第一个月,术后3个月和6个月。6个月后通过检查膝关节的主动和被动运动进行功能的最终评估。在所有14名患者中，我们在减轻疼痛方面都取得了出色的效果，改善运动和生活质量。
■腓骨近端截骨术是膝关节内侧间室骨关节炎的一种选择。目前的文献仅限于报告疼痛减轻效果良好的小病例系列，包括内侧关节内翻畸形的矫正。在将PFO推荐用于常规临床应用之前，需要进一步研究以确定PFO在内侧关节炎管理算法中的位置。
