Osteotomy is a surgery in which ivory is either add or removed from the affected articulatio . So , fundamentally osteotomy is any surgical operation that cuts and reshape your bone . The idea is to dislodge the free weight from the damaged destiny of a joint to an area where there is more respectable cartilage . This procedure is advised to patients withosteoarthritis . The patient does n’t have to be very mad or honest-to-god to have an osteotomy . Many young people have this surgery to hold over the hip / genu replacement surgery for many years .
What is Osteotomy?
Osteotomy is a osseous tissue - realignment to shift weight - bearing away from the damaged part . This is a surgical procedure that involves bone cut where the surgeon removes a bomber of bone near the joint which is pretend . The estimate is to switch the weight from the damaged portion of a roast to the levelheaded portion of the joint . This surgery is more relevant to people who desire to postpone the knee operation ; peculiarly , if they are too untried and dynamic . Thus , the patient role does n’t have to be disgusted or old to have an osteotomy . Knee osteotomy is most coarse in multitude young than 60 and are active .
When most patients consider of joint OR , they only think of full joint substitute . Osteotomy is a subroutine that more and more mass should recognise about .
Who is a Good Candidate for Osteotomy?
Generally , masses who are below 60 years , dynamic , and overweight are debate to be appropriate for the procedure . If the patient has mismatched joint damage , disfigurement that is correctable , and has no signs of inflammation , he / she is a ripe campaigner .
On Which Bone or Joint is Osteotomy Performed?
This Osteotomy procedure is used for many bones and joint . Most commonly in the following joints :
Preparing for Osteotomy Surgery
Once your operating surgeon decides that you are a suited prospect for Osteotomy surgery , it becomes crucial to follow the advice ease up by the doctor before the Osteotomy surgery . These may include :
If you smoke , you must stop smoking at least two weeks prior to the Osteotomy surgery and must not smoke until three months after the surgery . This will assist you with a faster convalescence billet Osteotomy and less chances of infection .
If you have a heart experimental condition and are on drug like warfarin , you must understand clearly how to take medications before , during , and after the Osteotomy surgery . As , these drug inhibit descent clotting and you may require to stop them to blockade bleeding during the surgery .
In lawsuit of world-wide anesthesia , you will be apprize about fast and drinking pee the daylight prior to Osteotomy surgery . You must follow these instructions to avoidvomiting .
How is Osteotomy Performed?
Various anesthesia pick will be hash out with you by your doctor . A general anesthesia may be recommended to many people undergoing Osteotomy . If your Osteotomy surgical process is perform on the lower half of your body , a spinal anesthesia may be recommended to numb your eubstance below the waistline region . This allow you to stay alert during the surgery . For operating theatre like toe osteotomy , only local anaesthesia may be have . Your Dr. do it which one will accommodate you the secure .
fundamentally , the Osteotomy procedure involves realignment of the free weight - bearing line . At the time of the osteotomy , the surgeon will make a humble cut in your tegument . especial usher wires are then used to measure out your bone and then a division is taken out using a special surgical sawing machine . This cut is filled . This is done in dissimilar means . Tiny ass and metal plates are often used to view as the bones together . They are sometimes permanent and can be taken out in some case . A ivory graft is also used by surgeons which can be take from your pelvis or some bone depository financial institution . These are then secure with a metal ironware . Depending on the character of Osteotomy surgery , you may need to drop a few nights in the hospital .
What to Expect After the Osteotomy Surgery?
Once you are out of anaesthesia , you will be encouraged to walk within few hours . This helps the blood flow and reduce the risk of infection of DVT ( deep nervure thrombosis ) . You will be yield pain relief in the first 48 hours at the infirmary . At home , over - the - counter pain backup can be used as required for the next few solar day . Anti - inflammatory tablets are avoided during osteotomy .
After a femoral osteotomy , you will need to use crutch or human knee brace for four - six weeks . forcible therapy , leg - tone exercises , and walking are part of the full reclamation programme . While some surgeons predict that a replication to full bodily function is possible after 3 to 6 months , others lay claim it may take up to a yr to adjust to the objurgate position of the knee joint after knee osteotomy .
Complications After the Osteotomy Surgery
Very few patients have complications after an osteotomy ; however , it is of the essence to live what to look after and when to touch your surgeon . Each type of osteotomy add up with different sets of risks . In universal , you must see or call your Doctor of the Church in the undermentioned fount :
For a selected group of people over 60 age who are stick out from kneearthritis , in particular , knee osteotomy has potential advantage over knee replacement . The ground for this is the factual knee joint is preserved .
