THE EFFECTS OF PROXIMAL FIBULAR OSTEOTOMY ON THE KNEE AND ANKLE JOINTS: A FINITE ELEMENT ANALYSIS


Ünal Ö. K. , Dağtaş M. Z. , Demir C. , Najafov T., Ugutmen E.

The 28th Annual Meeting of the European Orthopaedic Research Society (EORS), İzmir, Türkiye, 17 - 18 Eylül 2020, cilt.102, sa.20494416, ss.93

  • Yayın Türü: Bildiri / Tam Metin Bildiri
  • Cilt numarası: 102
  • Doi Numarası: 10.1302/1358-992x.2020.11.093
  • Basıldığı Şehir: İzmir
  • Basıldığı Ülke: Türkiye
  • Sayfa Sayıları: ss.93

Özet

Background

Proximal fibular osteotomy (PFO) was defined to provide a treatment option for knee pain caused by gonarthrosis(1). Minor surgical procedure, low complication rate and dramatic pain relief were the main reasons for popularization of this procedure(2, 3). However, changes at the knee and ankle joint after PFO were not clarified objectively in the literature.

Questions/purposes

We asked: 1) Does PFO change the maximum and average pressures at the medial and lateral chondral surface of the tibia plateau? 2) Are chondral surface stresses redistributed at the knee and ankle joint after PFO? 3)Does PFO change the distribution of total load on the knee joint? 4) Can PFO lead to change in alignment of lower limb?

Methods

This study was conducted at Maltepe University Faculty of Medicine Hospital, Orthopedics and Traumatology Department and Yildiz Technical University Mechanical Engineering Department in Istanbul, Turkey, between September 2019 and February 2020. Finite element analysis (FEA) was used to evaluate effects of PFO(4). One 62 years old, female volunteer's X-ray, computer tomography and magnetic resonance imaging images were used for creating right lower limb model. Two different lower limb models were created. One of them was osteotomized model (OM) which was created according to definition of PFO and the other was non-osteotomized model (NOM). To obtain a stress distribution comparison between the two models, 350 N of axial force was applied to the femoral heads of the models.