What is Osteotomy? What Should You Know?

Orthopedic surgeries have improved a lot in the last few decades and so has the outcome of the procedures. With that, orthopedic implants and instruments have also become better. Well, in this post, we will be focusing on discussing one of the orthopedic procedures called osteotomy. Let us start with a brief introduction to the procedure. 


What is Osteotomy?

Osteotomy is a surgery in which an orthopedic surgeon cuts bone to fix the alignment and/or shape of the bone. One of the best parts about the procedure is that it can be performed on almost all bones in our body including jaw, spine, elbow, shoulder, hips, knees, feet, legs, and toes. Several joint problems can also be fixed using the technique. Let us see why osteotomy is performed. 


Why is Osteotomy Performed?

There are several reasons why an orthopedic surgeon may recommend osteotomy. Here are some of the common ones:

Knees 

Because of arthritic damage or congenital misalignment, the surgeon may cut the shinbone and fix again using an orthopedic plate to correct the deformity. This helps with painful symptoms and assists with better body mechanics. 


Fractures in Long Bones

Now, you might be thinking about what osteotomy could do with fracture treatment. Let us make it clear. In some instances, long bones heal incorrectly after a fracture. Hence, osteotomy is recommended to correct the position of the bone and help the patient with better function. 


Hip

Osteotomy in the hip joint is performed in early childhood to ensure the proper development of the acetabulum and prevent dislocation of the hip in children suffering from congenital hip dislocation. Osteotomy here can prevent the sequela of hip dislocation. 


Spine

Developmental and age-related deformities in the spine can also be fixed by orthopedic surgeons using osteotomy. 


Jaw

Jaw osteotomy is often performed/recommended by plastic surgeons to correct the shape of the jaw bone and restore regular teeth bite.  


Are there Any Preparations Needed for Osteotomy?

Yes, before recommending osteotomy, the orthopedic surgeon will closely assess the condition along with several other body parameters to confirm whether the procedure is safe or not. Routine pathological examination along with several imaging tests will be ordered:

  • Routine blood tests including CBC and other special tests to check the functioning of organs

  • Urine examination

  • ECG

  • Chest X-ray to examine the functioning of lungs

  • CT scans to prepare the surgical plan


What Are the Risks Associated with Osteotomy?

All surgical procedures carry risk and there are some with osteotomy as well:

  • Problems with anesthesia

  • Infection at the operated site

  • Formation of blood clots

  • Injury to nerves or arteries

  • Joint inflammation

  • Improper healing or alignment of the bone

  • Chronic pain 

  • Permanent scar


What Recovery Is Like After Osteotomy?

Recovery after osteotomy may take some time and that depends on the location and severity of the condition treated. If osteotomy is performed in the lower body, the patient may need crutches to move around. The surgeon may also suggest wearing a cast or a splint to ensure proper healing. Physical therapy may also be recommended to improve the range of motion and strength of the operated joint. 

To know about recent trends in the orthopedic industry and meet global orthopedic professionals, register for the World Orthopedics Conference 2023 in the United Kingdom. 


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