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Consultant- Orthopaedics department

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Dr. Lalit Kumar Lohia

Consultant- Orthopaedics department

Manipal Hospitals, Delhi

Top Things You Need To Know About Osteotomy Procedures (Bone Cutting)

Posted On: Jul 12, 2024

blogs read 3 Min Read

Osteotomy Procedures (Bone Cutting)

The human body is an incredible machine, and our bones are the sturdy framework that keeps it all together. But sometimes, these bones need a little help. Osteotomy, literally meaning "bone cutting," is a surgical procedure where surgeons strategically cut and reshape bones to treat various conditions. This blog is a compilation of all the information about it exploring their uses, different types, and what to expect if you're facing one.​​​​​​​​​​​​​​​​​​​​​

 

Why Cut a Bone? Reasons for Osteotomy

Osteotomy surgery addresses a variety of bone-related problems. Here are some common reasons an osteotomy might be recommended:

  • Arthritis: Osteoarthritis, the "wear and tear" arthritis, can unevenly damage cartilage in joints like the knee. Osteotomy can realign the joint, shifting weight away from the damaged area and reducing pain.

  • Bone Deformities: Bones that heal improperly after fractures or have congenital deformities might benefit from osteotomy to achieve proper alignment and function.

  • Length Discrepancies: Leg length discrepancies can cause gait problems and pain. Osteotomy can lengthen or shorten the leg bone to create a more balanced appearance and improve walking mechanics.

  • Malunions: When a broken bone heals in an improper position, an osteotomy can be used to correct the angulation and restore alignment.

Types of Osteotomy Procedures: A Bone-by-Bone Breakdown

Osteotomy procedures can be performed on various bones throughout the body. Here's a glimpse into some common types:

  • Knee Osteotomy: A wedge of bone is removed from the shinbone (tibia) to realign the knee joint and redistribute weight away from the damaged cartilage.

  • Hip Osteotomy: The femur (thighbone) is cut and reshaped to improve hip joint alignment and function.

  • Jaw Osteotomy: Used in jaw surgery to correct misalignment of the jaw bones for functional or cosmetic purposes.

  • Pelvic Osteotomy: Corrects pelvic bone deformities that might contribute to hip pain or walking abnormalities.

  • Tibial Osteotomy: Focuses on the tibia (shinbone) to address deformities or malunions that affect leg alignment.

What to Expect During and After Osteotomy

Osteotomy is typically an inpatient procedure performed under general anaesthesia. The specifics will vary depending on the type of osteotomy, but here's a general idea of the process:

  • Surgery: The orthopedic surgeon makes an incision to access the bone, performs the osteotomy using specialised tools, and fixes the bone fragments in the desired position using plates, screws, or wires.

  • Recovery: Post-operative pain management is crucial. Depending on the procedure, weight-bearing limitations or supportive devices like crutches might be necessary for some time. Physical therapy plays a vital role in regaining strength, mobility, and proper joint function.

Living After Osteotomy: Rehabilitation and Long-Term Benefits

Recovery from osteotomy takes time and dedication to physical therapy. However, the long-term benefits can be significant:

  • Pain Relief: By correcting bone alignment and relieving pressure on damaged joints, osteotomy can significantly reduce pain and improve mobility.

  • Improved Function: Proper bone alignment allows for better joint mechanics and movement, enhancing daily activities and overall function.

  • Enhanced Quality of Life: Reduced pain and improved function can significantly improve quality of life and allow for greater participation in desired activities.

The Road to Recovery: Is Osteotomy Right for You?

If you're experiencing persistent pain or limitations due to bone misalignment, arthritis, or other conditions, consult Manipal Hospitals in Delhi to discuss if osteotomy could be a viable option for you. Early diagnosis, proper treatment planning, and a commitment to rehabilitation are key factors for a successful outcome. You can also explore our blog page to read the latest healthcare blogs shared by our doctors.

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