Systematic Reviews
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Orthop. Nov 18, 2020; 11(11): 499-506
Published online Nov 18, 2020. doi: 10.5312/wjo.v11.i11.499
Proximal fibular osteotomy: Systematic review on its outcomes
Munis Ashraf, Prabhudev Prasad Purudappa, Vishaal Sakthivelnathan, Senthilnathan Sambandam, Varatharaj Mounsamy
Munis Ashraf, Department of Orthopedic Surgery, Yenepoya Medical College Hospital, Mangalore 575108, India
Prabhudev Prasad Purudappa, Department of Orthopedic Surgery, Boston VA Medical Center, Boston, MA 02130, United States
Vishaal Sakthivelnathan, School of Medicine, University of Texas Medical Branch, Texas, TX 77030, United States
Senthilnathan Sambandam, Varatharaj Mounsamy, Department of Orthopedic Surgery, Dallas VA Medical center, Dallas, TX 75216, United States
Author contributions: Ashraf M contributed to the study by study design, review of literature, manuscript preparation and submission; Sakthivelnathan V performed the review of literature and statistical analysis; Purudappa PP, Sambandam S and Mounsamy V contributed equally in formulation of study design, editing of manuscript and final review of manuscript.
Conflict-of-interest statement: The authors disclose that there is no conflict of interest.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Munis Ashraf, DNB, Orthopedic Surgeon, Department of Orthopedic Surgery, Yenepoya Medical College Hospital, Derlakatte, Mangalore 575108, India. keyi.orth@gmail.com
Received: April 21, 2020
Peer-review started: April 21, 2020
First decision: June 15, 2020
Revised: August 25, 2020
Accepted: September 22, 2020
Article in press: September 22, 2020
Published online: November 18, 2020
ARTICLE HIGHLIGHTS
Research background

A systematic review of articles pertaining to proximal fibular osteotomy (PFO).

Research motivation

To better understand the effects of PFO in treating medial compartmental arthritis.

Research objectives

To conduct a systematic review and Coleman’s methodological assessment.

Research methods

To evaluate using systematic review using PRISMA guidelines and methodological quality of studies using Coleman’s scoring.

Research results

Short term and midterm outcomes have demonstrated clinically and statistically significant reduction in pain and functional outcomes.

Research conclusions

The results obtained are rather encouraging and PFO may be a viable option in selected patients.

Research perspectives

Further long term outcomes and randomized controlled trials are to be conducted to shed light on this treatment strategy.