Гений oртопедии · Published 2026-06-25 · DOI 10.18019/1028-4427-2026-32-3-331-339
A. M. Miromanov, Kh. A. Bulikyan, A. N. Staroselnikov
Introduction Knee osteoarthritis (OA) represents a significant challenge in modern orthopedics and can be associated with short-term and long-term disability. Medial knee OA correlates with medial meniscus extrusion, leading to rapid progression of OA. The objective was to compare surgical outcomes of patients with medial knee OA treated with original and standard methods. Material and methods Treatment outcomes of 80 patients (44.5 [43.0; 47.0] years) with grade 2 medial knee OA due to medial meniscus damage are reported. The patients were surgically treated using arthroscopic partial meniscus resection (Group 1; n = 20); arthroscopic meniscus centralization (Group 2; n = 20); arthroscopic partial meniscus resection combined with fibular osteotomy (Group 3; n = 20); original technique of arthroscopic meniscus centralization and proximal fibular osteotomy (Group 4; n = 20). Patients were examined preoperatively, at three, six and 12 months of surgery using WOMAC, Lysholm and KOOS grading systems, radiology and MR imaging. The nature of meniscal injury and the extent of meniscal extrusion were evaluated using the WORMS method. Statistical processing of the results was performed using the IBM SPSS Statistics Version 25.0 software package. Results There were statistically significant differences in the WOMAC, Lysholm, and KOOS scores (p < 0.05) in patients of group 4 and groups 1–3 at 12 months. Statistically significant differences were seen in the WOMAC and Lysholm scores (p > 0.05) in patients of group 3 and group 1 and in Lysholm scores of group 2 (p < 0.05). Statistical differences were recorded in the width of the joint space in the medial knee joint of patients of groups 1, 2 and groups 3, 4, while no differences were found between groups 3 and 4 for this parameter, p > 0.05. Discussion The effectiveness of the original technique could be caused by the synergistic effect of the two components. Realignment and restored function of the meniscus facilitated normal load distribution, and proximal fibular osteotomy ensured decompression of the medial compartment and the limb realignment with improved function and objective radiographic changes. Conclusion The original surgical method offered for the treatment of the medial knee OA demonstrated superior results compared to the standard approaches facilitating lasting pain relief, restored knee function and improved quality of life for patients.
Abstract from DOAJ. Public domain (CC0 1.0).
Read the article at the publisher →
Miromanov, A., Bulikyan, K., Staroselnikov, A. (2026). Original surgical technique for patients with medial knee osteoarthritis: short-term and medium-term results. Гений oртопедии. https://doi.org/10.18019/1028-4427-2026-32-3-331-339