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Osteotomy in Bhubaneswar

Osteotomy

Osteotomy in Bhubaneswar

Osteotomy focuses on correcting skeletal misalignments, where one bone is either longer or shorter than its counterpart. The surgery also helps in repairing a damaged joint. Common sites for Osteotomies include the jaw, shoulder, elbow, spine, legs, hips, knees, toes, and feet.

  • Pre-procedure: General and routine tests are conducted, such as blood and urine tests, electrocardiogram (ECG), and chest X-rays. Diagnostic imaging scans, which include X-ray or computed tomography (CT) scans, are done to establish the dimensions of the bone to be removed.

  • During the procedure: Anaesthesia is administered and can be local, regional, spinal, or general. The incision site is sterilised, and a cut is made in the skin. The surgeon then outlines the bone to be removed using guide wires and separates it with a surgical saw. The bone edges are then joined together, sometimes by inserting a bone graft. The bone is stabilised using metal pins, screws, or plates.

  • Post-procedure: You will be shifted to the recovery room, where further observation will be done. You may have to support yourself to move with a brace or crutches. A complete recovery usually takes several months to a year.

FAQ's

Several types of Osteotomy procedures fix different types of bone and joint-related ailments, such as:

  • Jaw Osteotomy: This involves realignment of the upper or lower jaw to correct certain jaw deformities. Types of Jaw Osteotomy include Mandibular Osteotomy, Maxillary Osteotomy, LeFort Osteotomy, and Sagittal Split Osteotomy.

  • Chin Osteotomy: This type of procedure focuses on the alignment of the chin.

  • Elbow Osteotomy: The procedure involves fixing abnormal elbow joints.

  • Spinal Osteotomy: The procedure involves correcting the alignment of spine curves. Types of Spinal Osteomies are Posterior Column Osteotomy, Smith-Peterson Osteotomy, Pedicle Subtraction Osteotomy, Bone-Disk-Bone Osteotomy, and Vertebral Column Resection.

  • Hip Osteotomy: This involves correction of the ball and socket hip joint, mainly the hip socket, called the acetabulum, and/or the head of the thighbone, called the femur head. Common Hip Osteotomy procedures are Periacetabular Osteotomy and Femoral Osteotomy.

  • Knee Osteotomy: This involves cutting and reshaping the bones around the knee joint. Types of Knee Osteomies are Tibial Osteotomy, High Tibial Osteotomy, and Fulkerson Osteotomy.

  • Big Toe and Foot Osteomies: This involves correction and realignment of the big toe (hallux) and heel (calcaneus). Types of Big Toe and Foot Osteotomies include Chevron and Akin Osteotomies, Dwyer Osteotomy, Weil Osteotomy, and Cotton Osteotomy.

Osteotomy procedures are usually done to address and treat the following reasons:

  • To correct and rectify excessive bending, bowing, or twisting of long bones.

  • To fix alignment in joints due to improper healing or deformities.

  • Enable lengthening or shortening of bone in cases of differences in leg length.

  • Alleviate arthritis-related pain, particularly in the hip and knee.

Addressing specific circumstances where Osteotomy is performed for purposes other than those mentioned above, such as McMurray’s Osteotomy. 

Possible risks that could arise if undergoing an Osteotomy procedure include:

  • Allergies caused by anaesthesia medications

  • Infections or blood clots

  • Injury to the nerve or artery

  • Failure of bones to heal or proper realignment during the healing process

  • Inflammation in joints and stiffness

  • Long-term pain

  • Scar tissue

You may need to wear a cast or brace after an Osteotomy procedure. The necessity of wearing a supportive device depends on the region where the surgery was performed. Additionally, if the surgery was done on the hip or knee region, you may also require a splint or crutches to restrict bone and joint movement, reduce weight-bearing on the operated bone, and facilitate proper healing of the bones for correct alignment. Your specialist will assess your condition and suggest various supporting devices you can depend on during your recovery period.

Recovery time is different for people and is based on the extent of the surgery and your healing ability. Patients undergoing Jaw Osteotomy will be on a liquid diet for 6 weeks. Patients subjected to a Big Toe Osteotomy would not be able to wear shoes or drive for a period ranging from 2 to 6 weeks. Additionally, if the surgery was targeted at the regions of the knee or hip, patients may require support with crutches for an extended period, possibly several months.

The factors to be considered when taking off from work should be based on parameters such as the type of Osteotomy procedure done, your job requirements, and your healing process. For desk-based jobs, you might be able to return to work in around 6 weeks, compared to manual-based jobs, which could span up to 12 weeks. Your specialist will provide instructions on post-operative care and advice on when you can safely return to work.

Your specialist may restrict you from bathing or showering, depending on the type of Osteotomy done. While some patients may be permitted to shower, it is important to be cautious and avoid getting wet in specified areas, particularly those regions where surgery was conducted, as instructed.

You can enhance your healing process after an Osteostomy procedure by doing the following:

  • Abstain from smoking, as nicotine can hinder your healing process and prevent proper bone and joint fusion.

  • Adopting a healthy and nutritious diet, mostly diets that are plant-based.

  • Adhering to the guidelines provided by your healthcare provider.

  • Maintaining a healthy body weight.