Associated applicance of artroscopic debridement and proximal fibular osteotomy at the treatment of patients with deformic artritis of knee

Abstract

Introduction The problem of varus deformed knee joint osteoarthritis remains one of the actual topics of modern adult orthopedics. The use of many well-known methods of surgical interventions and arthroscopic technology are not rational in terms of restoring the biomechanical axis of the lower limb. The purpose of the research Analysis of the results of arthroscopic debridement and the use of proximal fibular osteotomy (PFO) in the treatment of varus deformed knee osteoarthritis. Materials and investigation methods Our study included a survey of 152 patients with deforming osteoarthritis of I-II-III degree and varus deformity of the knee joint, dividing them into 2 groups: Group I (control) consisted of 131 patients who underwent debridement of the articular surface. Group II (main) consisted of 19 patients with debridement and PFO developed in our clinic. The analysis of the achieved results was assessed on the basis of indicators of the KSS scale. Results The results of the surgery in both groups were reviewed comparatively at 1 year after surgery by KSS scale data with results: < 60 points – unsatisfactory; 60-69 points – satisfactory; 70-79 points – good; 80-100 points – rated very good. Conclusion The use of the KSS scale to assess the long-term results of treatment of patients with deformed osteoarthritis of the knee joint is optimal. The combined use of arthroscopic debridement with PFO allowed to increase the proportion of good results to 89 % versus 69 % of patients using arthroscopic debridement without PFO, as well as reduce the proportion of unsatisfactory results to “zero” versus 9 % of patients using arthroscopic debridement.

Keywords

• knee joint
• deforming osteoarthrosis
• osteotomy
• artroscopy