Osteotomy for Osteoarthritis
Osteotomy for Osteoarthritis
Osteotomy ("bone cutting") is a procedure in which a cartilage to an area where there is more or healthier .removes, or sometimes adds, a wedge of near a damaged . This shifts weight from an area where there is damaged
In osteoarthritis, cartilage breakdown in the often is much greater in the inner part of the joint, often resulting in a bowlegged appearance. Surgery to shift the weight away from the inner is one of the most common uses of . The idea is to tilt your body weight toward the outer, healthier part of the knee cartilage and away from the inner, damaged . Weight is then spread more evenly across the joint . The surgery may be done in one of several ways. It may be done on the thighbone (femur) or the large lower leg bone (tibia).
The most common way to useof the inner is to remove a wedge of from the outer side of the large lower leg bone (tibia) near the . After removing the bone wedge, your will bring together the remaining bones and secure them, most often with either pins or staples.
of the inner could also include adding a wedge of to the inner tibia, or adding or removing from the femur. of the outer is treated in just the opposite way. For example, your may remove from the inner side of the lower leg to shift the weight toward the inner .
Osteotomy may be effective for hip and knee joints. Doctors often do an osteotomy to correct certain knee deformities such as bowleg (varus) and knock-knee (valgus) deformities of the knees. Hip osteotomy involves removingfrom the upper thighbone (femur). Osteotomy may allow an active person to postpone a total joint replacement for a few years and is usually reserved for younger people.
What To Expect
depends on the surgical technique as well as the strength and motivation of the person having surgery. A cast or splint may limit movement of the for 4 to 8 weeks.
You will startimmediately, even if you are in a cast or splint. When the cast is removed, you can put your full weight on the joint 10 to 12 weeks after the surgery. It may take up to a year for the to fully adjust to its corrected position.
Why It Is Done
Doctors use osteotomy if destruction of the knee cartilage mainly affects a single disc of : the disc (meniscus) either on the inner part or on the outer part of the knee joint.
Osteotomy is an appropriate treatment for younger, active people withwho are able to delay a total joint replacement.
How Well It Works
Osteotomy is most often done in younger people. It can help relieve pain and delay the need for joint replacement.footnote 1
- A failure of the to heal
- that don't align as they heal
- Blood clotting
- Bleeding in the joint
- of joint tissues, nerve damage, or infection
What To Think About
By shifting the weight onto good, osteotomy may "buy time" for younger or more active people before they need a total joint replacement.
ByHealthwise StaffPrimary Medical Reviewer Anne C. Poinier, MD - Internal Medicine Adam Husney, MD - Family Medicine E. Gregory Thompson, MD - Internal Medicine Kathleen Romito, MD - Family Medicine Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma David Bardana, MD, FRCSC - Orthopedic Surgery, Sports Medicine
Current as ofNovember 29, 2017
Current as of:
November 29, 2017
Anne C. Poinier, MD - Internal Medicine & Adam Husney, MD - Family Medicine & E. Gregory Thompson, MD - Internal Medicine & Kathleen Romito, MD - Family Medicine & Kenneth J. Koval, MD - Orthopedic Surgery, Orthopedic Trauma & David Bardana, MD, FRCSC - Orthopedic Surgery, Sports Medicine