An osteotomy is a surgical operation whereby a bone is cut to shorten or lengthen it or to change its alignment. It is sometimes performed to correct a hallux valgus, or to straighten a bone that has healed crookedly following a fracture.
Why it is done?
Osteotomy is one method to relieve pain of arthritis, especially of the hip and knee. It is being replaced by joint replacement in the older patient. Due to the serious nature of this procedure, recovery may be extensive.
Osteotomy of the Knee
Knee osteotomy is commonly used to realign arthritic damage on one side of the knee. The goal is to shift the patient's body weight off the damaged area to the other side of the knee, where the cartilage is still healthy. Surgeons remove a wedge of the tibia from underneath the healthy side of the knee, which allows the tibia and femur to bend away from the damaged cartilage. A model for this is the hinges on a door. When the door is shut, the hinges are flush against the wall. As the door swings open, one side of the door remains pressed against the wall as space opens up on the other side. Removing just a small wedge of bone can "swing" the knee open, pressing the healthy tissue together as space opens up between the femur and tibia on the damaged side so that the arthritic surfaces do not rub against each other. Osteotomy is also used as an alternative treatment to total knee replacement in younger and active patients. Because prosthetic knees may wear out over time, an osteotomy procedure can enable younger, active osteoarthritis patients to continue using the healthy portion of their knee. The procedure can delay the need for a total knee replacement for up to ten years.
The location of the removed wedge of bone depends on where osteoarthritis has damaged the knee cartilage. The most common type of osteotomy performed on arthritic knees is a high tibial osteotomy, which addresses cartilage damage on the inside (medial) portion of the knee. The procedure usually takes 60 to 90 minutes to perform. During a high tibial osteotomy, surgeons remove a wedge of bone from the outside of the knee, which causes the leg to bend slightly inward. This resembles the realigning of a bowlegged knee to a knock-kneed position. The patient's weight is transferred to the outside (lateral) portion of the knee, where the cartilage is still healthy.
After regional or general anesthesia is administered, the surgical team sterilizes the leg with antibacterial solution. Surgeons map out the exact size of the bone wedge they will remove, using an X-ray, CT scan, or 3D computer modeling. A four- to five-inch incision is made down the front and outside of the knee, starting below the kneecap and extending below the top of the shinbone. Guide wires are drilled into the top of the shinbone (tibia plateau) from the outside (lateral side) of the knee. The wires usually outline a triangle form in the shinbone. The cartilage surface on the top of the outside (lateral side) of the shinbone is left intact. The top of the shinbone is then lowered on the outside and attached with surgical staples or screws, depending on the size of the wedge that was removed. The layers of tissue in the knee are stitched together, usually with absorbable sutures.
After the Surgery
A fall or torque to the leg during the first two months after surgery may jeopardize healing. Patients must exercise extreme caution during all activities, including walking, until healing is complete. After rehabilitation, preventing osteoarthritis involves slowing the progression and spread of the disease. Maintaining aerobic cardiovascular fitness has been an effective method for preventing the progression of osteoarthritis. Light, daily exercise is much better for an arthritic knee than occasional, heavy exercise. It is especially important to avoid any serious knee injuries, such as torn ligaments or fractured bones, because arthritis can complicate knee injury treatment. High-impact or repetitive stress sports, like football and distance running, should be avoided. Because osteoarthritis has multiple causes and may be related to genetic factors, no universal prevention tactic exists.
General recommendations include:
Keeping a slight bend in the knees will take the pressure off during standing.
Avoid an activity that causes pain which lasts over an hour.
Perform controlled range of motion activities that do not overload the joint.
Avoid heavy impact on the knees during every day and athletic activities.
Gently strengthen thigh and lower leg muscles to help protect the bones and cartilage in the knee.
Non-contact activities keep joints and bones healthy and maintain fitness over time. Exercise also helps promote weight loss, which can take stress off knees.
If you have any related query, you can send us your report on below mention email address or you can call us or whatsApp for any second opinion.
An osteotomy is any surgery that cuts and reshapes your bones. You may need this type of procedure to repair a damaged joint. It's also used to shorten or lengthen a deformed bone that doesn't line up with a joint like it should.
Most patients will still be using crutches and performing leg-straightening exercises at 8 weeks. It may take 3 to 6 months for osteotomy patients to walk normally and regain full range of motion. It may be 12 months or more before patients can participate in high impact activities, such as jogging.
Depending on how much meniscus was removed and the appearance of your articular cartilage (degree of arthritic change) impact activities, such as running may not be advisable. A high tibial osteotomy is a procedure in which a wedge of bone is removed from the tibia (the big shin bone) to re-align the knee.
Ruth from kenya who visited india in October 2021 for her Medical Treatment . She shares her true experience of her medical Journey in Artemis Hospitals. This hospital ... Read More
Mr. Ruth from Kenya
Mr. Jimmy Komo from Nairobi , Kenya . He was suffering for 12 years from back pain which could not be diagnosed in his country. Mr. Jimmy decided to travel to india to get himself treated . Mr. Jim ... Read More
Mr.Jimmy Komo from Nairobi , Kenya , He was suffering from 12 years from back
Master. Andrew Maina was diagnosed to have retinoblastoma ( Eye Cancer) in Kenya. Patient's family decided to travel to india with the assistance of satyug healthcare for retinoblastoma t ... Read More
Master. Andrew Maina
Patient's Feedback in his own words
My name is Mirsodik Djuraev and I am from Uzbekistan. I was diagnosed with lower rectal cancer in Uzbekistan. after that, some of ... Read More
Patient Mrs. Caroline Njeri from Kenya, she had a neck tumor (supraglottic mass) due to which she was facing difficulty in swallowing food. she came to India for her surge ... Read More
Patient Mrs. Caroline Njeri |Robotic Neck Tumor Removal Surgery
I am Issa Ahmed Kayed from Yemen and I live in the State of Qatar and I had been suffering from a kidney stone for more than 5 years and then I met one of my friends who had a treatment India ... Read More
Mr. Eissa Ahmed Qaid Saleh Qatar | Dr. H. S. Bhatyal Advisor | Urology & Renal Transplantation
Aslam Walekum Everyone
My name is Meethaq and I am from Taiz city Yemen I was suffering from kidney disease or kidney failure. I had recommended my doctor that i will require a ki ... Read More
Meethaq Abdullah | Yemen | Kidney Transplant| Max Super Specialty Hospital New Delhi |
I am sadallah Ali Ali Almanai Al Radaei from sanaa, Yemen, I was sick and I was looking treatment option in india. I found a medical tourism company called satyug medical tourism.Mr. Vikram from sa ... Read More
Mr. Sadallah Ali Ali Almanai
Patient Mohammed Abdullah Al Khamisi 52 years old man from Yemen underwent for hernia surgery at Blk Super Speciality Hospital by Dr.V.P. Bhalla. Patient wife is also operated for ... Read More
Mohammed Abdullah Al Khamisi | Yemen
I am from Uzbekistan I have been suffering from knee pain for many years and have come to India to seek healing. In 20.01.2020 I came to hospital and 21.01.2020 surgery was done then my condi ... Read More
Mrs. Masudakhan Sharobova | Uzbekistan
Bis I’m Abdurrahman Mohsen ali saeed. I work in Saudi Arabia. I have been suffering from a condition of penile induration and hour glass deformity also known as (Uncontrolled DM and Dys ... Read More
Abdurrahman Mohsen ali saeed | Yemen
A 16 years old male , Mr Jeremy Wanyolke from Kenya get new life in India by successful SCOLIOSIS CORRECTION Surgery . Patient was diagnosed a case of ADOLESCENT IDIOPATHIC SCOLIOSIS( Lateral ... Read More
Mr Jeremy Wanyolke | Kenya
My Name is FLORENCE WAIRIMU NJIHIA , I came to india in november 2019 to brinng my mother here in india for medical treatment. we have been here for 4 months. When I came here , We find a gentlemen ... Read More
Mrs. Agnes Nyambura Njihia | KENYA
Mrs. Mary Popoola 63 years from Nigeria underwent to Total Knee Replacement at BLK Super Specialty Hospital New Delhi undercare of Dr. Bhushan Nariani - Director Centre for Orthopaedics, Join ... Read More
Mrs. Mary Popoola | Nigeria
Earlier my mother weight was around 140KG and she even didn't able to come to the first floor of the house due to her excess weight not able to walk a little bit her day to day activities were affe ... Read More
Mati Mishra from Saharanpur
Mrs. Anne Ngamau ,50 years old lady from Nairobi , Kenya was a patient of leukemia ( Blood Disorder ) underwent successful Bone Marrow Transplant procedure in indie under care of
Mr. Ali Qasem ,56 years old man from Yemen, He came to Dr, kaul with 20% heart function and more than 3 artery blockage gets Better Quality life After Angioplasty in India Mr. patient is havi ... Read More
Mr. Ali Qasem from Yemen
Mr. Abdulelah Saad Ahmed Safwan is attendant of patient who was having Acute myeloid leukemia (AML) disease blood disorder underwent successful bone marrow transplant under care of Dr. Dharma ... Read More
Mr. Abdulelah Saad Ahmed Safwan | BLK Super Specialist Hospital, New Delhi
Make an Appointment
Contact us any suitable way and make an appointment with the doctor whose help you need! Visit us at the scheduled time.