askvity

What is Osteotomy Surgery?

Published in Orthopedic Surgery 3 mins read

Osteotomy surgery is a procedure that involves cutting and reshaping a bone. This is often done near a damaged joint to lessen the stress on the affected area.

Understanding Osteotomy

Osteotomy, derived from the Greek words "osteon" (bone) and "tome" (cutting), is a surgical procedure that's not just about cutting bone. It's about precise realignment to improve joint function and reduce pain. The primary goal is to shift weight-bearing from a damaged area of a joint to a healthier area.

Key Aspects of Osteotomy

Here's a closer look at the important aspects of osteotomy:

  • Purpose: To redistribute pressure on a joint, relieving stress on damaged areas. As stated in the reference, it is about "cutting and reshaping a bone near a damaged joint to minimize stress on the affected area."

  • Target Areas: Often performed around weight-bearing joints like the knee and hip.

  • Procedure: The surgeon will cut a part of the bone, reshape it, and then secure it into its new position using plates, screws, or other fixation devices.

  • Recovery: The recovery time is crucial, with physical therapy playing a vital role in regaining strength and mobility.

  • Conditions Treated: Osteotomy can be a treatment option for various conditions, including:

    • Osteoarthritis: As highlighted by the reference, osteotomy "may be recommended for patients as a part of osteoarthritis therapy."
    • Bone deformities: Correcting misalignments in bones.
    • Uneven leg lengths: To equalize leg length differences.

Example of Osteotomy for Knee Osteoarthritis

For instance, if a person has osteoarthritis affecting the inner (medial) side of their knee, a high tibial osteotomy might be performed. In this procedure:

  1. The surgeon will cut the tibia (shinbone) below the knee.
  2. A wedge of bone is either removed or added.
  3. The tibia is then realigned so that weight is transferred to the healthier outer (lateral) side of the knee joint.
  4. The bone is fixed in place to heal properly.

Benefits of Osteotomy

  • Pain Reduction: Shifting the weight away from the affected part of the joint.
  • Improved Joint Function: Better range of motion and reduced limitations.
  • Delaying or Avoiding Joint Replacement: Osteotomy can be a less invasive alternative to total joint replacement.

Is Osteotomy Right for Me?

Deciding on osteotomy surgery depends on individual circumstances. It is important to discuss treatment options with an orthopedic surgeon to decide if osteotomy is the right choice for your specific situation.

Related Articles