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Deformity correction aims to focus on treatments that involve addressing certain deformities that occur in bones or tissues in the body. Deformities are caused by trauma or injury, certain diseases, and congenital and developmental abnormalities. Straightening of the bone, arm, leg, or foot helps with normal alignment and function.
Since deformity correction encompasses dealing with many regions of the body, precise planning and execution are necessary to achieve the best possible outcomes. The Orthopaedics Department at Manipal Hospitals in Bhubaneswar, Odisha, has immense background and knowledge in dealing with routine to complex cases, tackling therapies, and handling procedures with a unique and comprehensive approach. Moreover, the department is equipped with leading-edge technologies, facilitating orthopaedic specialists to respond to challenging cases and conduct correction procedures with ease.
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Several types of deformities are corrected with surgery, such as:
Limb-length Discrepancy: A type of deformity where one leg or arm is shorter compared to the other leg or arm. The differences in length vary from a small fraction of an inch to several inches.
Angular Limb Deformities: Commonly seen in knees, the axis of the limb is distorted or not straight. Angular limb deformities are of two types: knock-kneed (Genu valgum) and bow-legged (Genu varum).
Rotational Deformities: The deformity occurs when there is an abnormal alignment seen in the legs, feet, or hands.
Contracture Deformity: A deformity involving the replacement of elastic fibres with inelastic fibres, thereby restricting the normal movement of muscles, tendons, or ligaments that surround the joint.
The symptoms of deformity are based on the location of the anomaly, including regions such as the spine, arm, hand, finger, hip, leg, and ankle. Common symptoms include:
Your specialist will assess your deformity by considering general and local symptoms and asking about your general condition and medical history. A comprehensive evaluation is done, and you will undergo diagnostic scans such as X-rays or magnetic resonance imaging scans (MRI). Based on the results obtained from your assessment, your doctor will tailor and recommend a personalised treatment plan for you.
Various surgical procedures are done to correct deformities. Some of them include:
Osteotomy: The procedure involves correcting misalignments and is done by cutting and reshaping bones. The surgery uses materials like metal plates, rods, or screws to provide stabilisation to the bone, facilitating efficient healing.
External Fixation: The procedure involves the insertion of pins and wires into bone percutaneously and securing them together through an external scaffold. The surgery helps stabilise the bone and promote healing.
Internal Fixation: The procedure involves the fixation of screws or plates inside the affected bone, thereby aligning the position of the bones in the correct place.
Limb Lengthening: The procedure involves employing devices such as external fixators or internal lengthening rods to lengthen the bone over time. The surgery helps in correcting discrepancies in limb length.
Joint Replacement: The procedure involves the removal of the affected part of the joint and replacing it with artificial prosthetics, facilitating normal function and mobility.
Ilizarov: The surgery involves an external fixator called the Iilizarov apparatus and employs external fixation surgery, promoting stabilisation and recovery of the limb.
Clubfoot correction: The procedure employs reconstructive surgeries to address clubfoot, a birth anomaly that is caused by genetics, environment, or both.
Specialists at Manipal Hospitals have expertise in many surgical procedures that address deformities.
The recovery period for deformity correction depends on the type of surgery, the degree of complexity of the surgery, and your recovery progress. Minimal invasive realignment surgeries usually take a few weeks to recover, while invasive surgeries may take 6 months to a year. Your doctor will provide you with post-operative care instructions and certain guidelines to foster effective healing.
Possible risks and complications that may arise for individuals with spine deformity correction include:
Your doctor will inform you of possible risks and complications during your initial consultations, as well as offer you certain medications and follow-up appointments to minimise your risks.
Yes, certain non-surgical treatments, like braces, orthotics, physical therapy, and medications, can be effective for mild deformities. However, more severe deformities often require surgical intervention by an expert surgeon. We at Manipal Hospitals have the best team of orthopaedics proficient in effectively treating deformities using the right treatment approach.
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