Emre Gültaç, Fatih İlker Can, Hıdır Tanyıldızı, Cem Yalın Kılınç, Nevres Aydoğan

Department of Orthopedics and Traumatology, Muğla Sıtkı Koçman University Faculty of Medicine, Muğla, Turkey

Keywords: Medial release, metal allergy, metal hypersensitivity, osteoarthritis, proximal partial fibular resection


A 66-year-old female patient with Grade III osteoarthritis was considered for primary total knee arthroplasty (TKA). Due to her metal allergy, TKA was abandoned and proximal partial fibular resection (PPFR) was planned. The patient was evaluated at regular follow-ups. Based on the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Visual Analog Scale (VAS) scores, a significant improvement, particularly in terms of pain and functional scores with limited radiological change, was observed. In conclusion, the PPFR is a viable surgical treatment option in patients with gonarthrosis who have metal hypersensitivity.

Citation: Gültaç E, Can Fİ, Tanyıldızı H, Kılınç CY, Aydoğan N. Proximal partial fibular resection instead of total knee prosthesis in a patient with metal allergy. Jt Dis Relat Surg Case Rep 2022;1(1):35-38.

Conflict of Interest

The authors declared no conflicts of interest with respect to the authorship and/or publication of this article.

Financial Disclosure

The authors received no financial support for the research and/or authorship of this article.