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Our Orthopaedic Department at Manipal Hospitals, Dhakuria, West Bengal, specialises in cutting-edge Osteotomy operations to enable you to lead an active, pain-free life. Osteotomy is a surgical procedure used to address problems such as arthritis, misaligned knees, hip dysplasia, and fractures that have not healed properly. It also improves joint function by correcting bone abnormalities. If neglected, these problems may impair your mobility and result in chronic discomfort, which will lower your quality of life overall. Our skilled staff creates individualised treatment regimens to reduce pain and improve mobility using the most recent imaging and surgical procedures. To guarantee your complete and speedy recovery following surgery, we also offer comprehensive treatment, which includes Physical Therapy and Rehabilitation. With our state-of-the-art facilities and patient-focused approach, we're here to support you every step of the way, from diagnosis to full recovery.
An Osteotomy is a surgical operation used to improve function, ease pain, and rectify abnormalities of the bone by cutting and reshaping it. Osteoarthritis, bone deformities, and trauma are among the disorders that are frequently treated with this technique since they impact the stability and alignment of bones and joints. Although they can also be done on other bones, such as the jaw or shoulder, osteotomies are most frequently performed on the knees, hips, and spine. It is designed to realign bones to their proper position, distribute weight more evenly across a joint, and alleviate pressure on damaged areas.
Types of Osteotomy:
Knee Osteotomy: This procedure involves redistributing weight from the injured portion of the knee joint to treat knee arthritis.
Hip Osteotomy: Helps to enhance joint function, treat hip abnormalities, and postpone the need for Hip Replacement Surgery.
Spine Osteotomy: It is used to restore mobility and posture while treating severe spine deformities like kyphosis or scoliosis.
Maxillofacial (jaw) Osteotomy: Corrects misaligned jaws that impair speech, eating, and appearance.
An Osteotomy might be necessary to:
Correct bone deformities
Reduce arthritic discomfort
Enhance joint function
Postpone the need for Joint Replacement Surgery
Realigns bones to improve structure
Treats osteoarthritis by shifting weight from damaged parts of the joint to healthier areas
Fixes improperly healed fractures
Helps patients move more comfortably
Prevents further joint and tissue damage
During your visit to your orthopaedic surgeon, bring along medical records, scans, and a list of your current medications.
Your surgeon may order blood tests, imaging scans (X-rays, MRIs, CT scans), and other diagnostic tests to assess your health and the condition of your bones and joints.
Inform your surgeon about all medications, supplements, and herbs you take, especially blood thinners like aspirin or anticoagulants, as they may need adjusting or stopping before surgery.
Giving up smoking before surgery can promote faster healing and lower the risk of problems. To maximise your general health and level of fitness, stick to a balanced diet and exercise regimen.
You will get detailed instructions from your surgeon to follow in the days following your procedure. This may include fasting before the procedure, showering with a special antibacterial soap, and avoiding certain foods or drinks.
Arrange for a companion to take you to and from the hospital on the day of surgery, as driving may not be possible postoperatively.
During an Osteotomy procedure:
You will be given anaesthesia to ensure you are comfortable and pain-free during the procedure. Your vital signs will be monitored throughout.
Once you are sedated, your surgeon makes an incision over the area of the bone requiring correction. Usually, this incision is done on the side of the bone that requires correction.
Using specialised surgical instruments such as saws or osteotomes, your surgeon carefully cuts the bone. The precision of this cut is crucial, as it determines the final alignment of the bone.
Your surgeon will rectify the bone's position by adjusting its position after it has been cut. This may involve removing a wedge of bone to change the angle or shifting the bone to correct deformities.
After realigning, the bone must be stabilised to hold its new alignment while it heals. Your surgeon may use metal plates, screws, rods, or external fixation devices to hold the bone in place.
Sutures, or surgical staples, are used to close the incision once the bone has been fixed. To keep the wound safe, a sterile dressing is applied.
You will be moved to a recovery area where you'll be closely monitored as you wake up from anaesthesia.
During recovery, you can expect:
Most likely, you will spend a few days in the hospital.
To make you comfortable during the early stages of recuperation, pain medication could be given.
To restore mobility and strength, physical therapy will be required.
Routine examinations to monitor your progress.
You will need to follow your doctor's advice on activities to avoid during recovery.
The exact bone and difficulty of the operation will determine how long the surgery takes, although it usually takes one to two hours.
Since you will be under anaesthesia, you won't experience any pain during the procedure. After the surgery, it is normal to experience some pain and discomfort, but your medical team will provide pain relief medications to help manage it. Pain typically decreases significantly as you heal over the following weeks.
Like any surgery, Osteotomy has some risks, including:
Infection
Blood clots
Nerve or blood vessel damage
Delayed bone healing
Possibility of needing more surgery
Driving is usually not recommended for at least a few weeks after surgery, depending on which bone was operated on and how quickly you heal. Based on your rehabilitation progress, your doctor will give you specific advice, but before you resume driving, be sure you can do so safely and comfortably.
Until your doctor gives you all-clear to start running and other high-impact activities, which may take several months, you should avoid them. To safely help you return to your regular activities, your recovery plan will include physical therapy and progressive strengthening exercises.
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