Changes in ankle joint alignment after proximal fibular osteotomy.

The purpose of this study was to assess the effect of proximal fibular osteotomy (PFO) on ankle joint. 49 patients or 53 lower limbs were included and followed-up with a minimum of one year in the study prospectively. Patients were evaluated radiographically and clinically. The questionnaires of the...

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Main Authors: Jialiang Guo, Li Zhang, Di Qin, Wei Chen, Weichong Dong, Zhiyong Hou, Yingze Zhang
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0214002
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author Jialiang Guo
Li Zhang
Di Qin
Wei Chen
Weichong Dong
Zhiyong Hou
Yingze Zhang
author_facet Jialiang Guo
Li Zhang
Di Qin
Wei Chen
Weichong Dong
Zhiyong Hou
Yingze Zhang
author_sort Jialiang Guo
collection DOAJ
description The purpose of this study was to assess the effect of proximal fibular osteotomy (PFO) on ankle joint. 49 patients or 53 lower limbs were included and followed-up with a minimum of one year in the study prospectively. Patients were evaluated radiographically and clinically. The questionnaires of the American Knee Society Score (KSS), the Ankle-Hindfoot Scale of the American Orthopedic Foot and Ankle Society (AOFAS), Visual Analogue Scale/Score (VAS) were used to assess the patients clinically. Radiographic evaluations were measured by the hip-knee-ankle angle (HKA), the femoro-tibial angle (FTA), tibial inclination (TI), distal tibial articural surface (TAS), talar tilt (TT), length of fibular (FL), and hind foot alignment such as hindfoot alignment view angle (HAVA), hindfoot alignment ratio (HAR), and hindfoot moment arm (HMA). Of the 53 subjects, no significant differences were exhibited in AOFAS, VAS scores and FL in ankle joint, but a significant differences were demonstrated in KSS score, HKA, FTA, TI, TT, HAVA, HAR and HMA after PFO. Due to the structural improvements of ankle joint, PFO not only improves joint function but also the alignment of ankle joint radiographically, and is still recommended as a safe surgery in treating medial compartment osteoarthritis of knee.
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spelling doaj.art-84d4c598ed9743138680cf83197bdbbe2022-12-21T20:46:35ZengPublic Library of Science (PLoS)PLoS ONE1932-62032019-01-01143e021400210.1371/journal.pone.0214002Changes in ankle joint alignment after proximal fibular osteotomy.Jialiang GuoLi ZhangDi QinWei ChenWeichong DongZhiyong HouYingze ZhangThe purpose of this study was to assess the effect of proximal fibular osteotomy (PFO) on ankle joint. 49 patients or 53 lower limbs were included and followed-up with a minimum of one year in the study prospectively. Patients were evaluated radiographically and clinically. The questionnaires of the American Knee Society Score (KSS), the Ankle-Hindfoot Scale of the American Orthopedic Foot and Ankle Society (AOFAS), Visual Analogue Scale/Score (VAS) were used to assess the patients clinically. Radiographic evaluations were measured by the hip-knee-ankle angle (HKA), the femoro-tibial angle (FTA), tibial inclination (TI), distal tibial articural surface (TAS), talar tilt (TT), length of fibular (FL), and hind foot alignment such as hindfoot alignment view angle (HAVA), hindfoot alignment ratio (HAR), and hindfoot moment arm (HMA). Of the 53 subjects, no significant differences were exhibited in AOFAS, VAS scores and FL in ankle joint, but a significant differences were demonstrated in KSS score, HKA, FTA, TI, TT, HAVA, HAR and HMA after PFO. Due to the structural improvements of ankle joint, PFO not only improves joint function but also the alignment of ankle joint radiographically, and is still recommended as a safe surgery in treating medial compartment osteoarthritis of knee.https://doi.org/10.1371/journal.pone.0214002
spellingShingle Jialiang Guo
Li Zhang
Di Qin
Wei Chen
Weichong Dong
Zhiyong Hou
Yingze Zhang
Changes in ankle joint alignment after proximal fibular osteotomy.
PLoS ONE
title Changes in ankle joint alignment after proximal fibular osteotomy.
title_full Changes in ankle joint alignment after proximal fibular osteotomy.
title_fullStr Changes in ankle joint alignment after proximal fibular osteotomy.
title_full_unstemmed Changes in ankle joint alignment after proximal fibular osteotomy.
title_short Changes in ankle joint alignment after proximal fibular osteotomy.
title_sort changes in ankle joint alignment after proximal fibular osteotomy
url https://doi.org/10.1371/journal.pone.0214002
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