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Adult And Paediatric Deformity Correction


A deformity is a variation in shape of a structure of the body when compared to the typical shape of that structure. Osteotomy is the surgical modification of the bone that grows incorrectly as a result of a disease. It is usually performed when the deformity of high magnitude curvature may interfere with organ function and tend to continue to progress if not surgically corrected. Osteotomy not only cuts and reshapes the bone. It is also used to repair a damaged joint, lengthen or shorten the deformed bone and helps to line up with a joint like it should be.

How is Osteotomy Done?

During the procedure the surgeon will make a small cut in your skin and inserts a special guide wire to measure the bone and also will take out a section of the bone using a surgical saw.

After that the surgeon will fill the new open space and hold the bones in place by using tiny screws and metal plate. Some of them may be permanent and others may be taken out after the bones heal together. <>The surgeon may sometimes do a bone graft to fill the open space. For that he will take a wedge of bone your own body or use one from a bone bank.

Types of Osteotomy

Osteotomy is a procedure which can fix problems of many different bones and joints. Some of them are the following:

  • Jaw: For bite correction, a mandibular osteotomy to move the lower jaw into a new position will be done to line up with the bite of the teeth.
  • Chin: To narrow a broad or square the chin, the plastic surgeon will make use of osteotomy
  • Spine: To reduce a hunchback or to correct a swayback, using osteotomy a wedge shaped piece of bone from the section of the spine will be removed
  • Hip: Osteotomy is done to reshape the hip socket, in order to make it cover the ball of the hip joint better.
  • Knee: To take off the pressure of the damaged size of the knee joint, knee osteotomy is done to cut and reshape the upper shinbone and lower thighbone.
  • Big Toe: A bone segment will be removed from the toes to straighten it.

Pros and Cons of Osteotomy

Pros

  • Relieves pain
  • Helps to prolong the life span of the joints
  • It may delay the progression of osteoarthritis
  • Increase the balance of the body

Cons:

  • Stiffness in the joint
  • Failure of Osteotomy to heal
  • Injuries to blood vessels and nerves
  • Infection and Blood clots

Authored By: Dr. S. V. Santpure

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