Partial fibular ostectomy and arthroscopy for varus knee osteoarthritis

Abstract

Background: osteoarthritis of the knee associated to angular deformity is common and usually needs different modalities of surgical treatment, which save or not the original joint. Objective: to deepen into the advantages of partial fibular ostectomy combined with knee arthroscopy in patients suffering from knee ostearhrtitis and varus deformity. Methods: a search in the databases PubMed, Hinari, SciELO and Medline was done through the information locator EndNote by using the words osteoarthritis of the knee, knee arthroscopy, varus deformity, fibular ostectomy and knee osteotomy, resulting in a total of 171 articles which 47 of them were selected for review, 38 of them belong to the last five years, including seven books. Development: several kinds of varus deformities like: primary, double and triple ones were pointed out. Surgical indications were stated as well as contraindications for partial fibular ostectomy and arthroscopy. Regarding to simultaneous and combined knee arthroscopy and partial fibular ostectomy advantages and disadvantages were stated. The most complications found in literature were described. Conclusions: combined and simultaneous knee arthroscopy and partial fibular ostectomy is a useful technique for patients suffering from knee osteoarthritis and varus deformity. DeCS:KNEE JOINT; OSTEOARTHRITIS, KNEE; ARTHROPLASTY, REPLACEMENT, KNEE; FIBULA/surgery; REVIEW LITERATURE AS TOPIC.

Keywords

• ar- articulación de la rodilla or- osteoartritis de rodilla dav- desviación angular en varo au- artroplastia unicompartimental atr- artroplastia total de rodilla opp- ostectomía parcial del peroné