And corrective rotational osteotomy: the operation, complications
Osteotomy: current opportunities and results
Modern medicine has reached a new level, and now surgery to eliminate the defect or disease of the bones would not lead to such dangerous consequences than a few decades ago.
One of the most popular procedures today is osteotomy.
This operation can significantly improve the life of the ill person, so specialists her without any fear.
What is the operation?
Osteotomy is a surgery which aims to repair the defect in the form of deformation of the bone, and substantially improve the functions of musculoskeletal system by artificial fracture.
Operation at first glance looks pretty terrible, but on its results to man is much easier to stand if the procedure was carried out on the feet, or on your own to carry out simple actions and movements of the hands, in the case of surgery on the hand.
The operation is carried out in several ways: through cuts in the skin or openings g.
Fixing a broken bone is carried out with the use of plates, screws, needles and other apparatus.
Casts are not used, as such is fraught with displacement of bone and repeated surgical intervention.
Types of intervention
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As has been stated above, the operation can be done by incision or puncture, causing the osteotomy is divided into outdoor and indoor.
Closed intervention is rarely used.
Osteotomy, depending on the target destination is subdivided:
- Corrective surgery is used due to incorrectly fused fracture of the bone.
- Derotation operation is aimed to save people from abnormal rotation of the bones.
- Lengthening or shortening of the limbs – sometimes it is a cosmetic implication.
- The operation aims to improve the support function.
Each species has its own characteristics and reasons to hold.
Sometimes fractures have a cosmetic background. For example, to hold a cosmetic surgery to lengthen the legs using osteotomy – an artificially break bones for their further elongation.
Shows a view of an osteotomy is used every time there is a significant deformation of the bones in the human body.
For example, this type of surgical intervention used in the following cases:
- improperly fused bones after a fracture;
- the presence of ankylosis of the joint in a vicious position;
- the presence of the curvature of the bones due to rickets, and in other situations.
Corrective osteotomy is sometimes performed by a method of lengthening or shortening of the bone, if such actions will lead to positive results and significant relief to the person.
The operation is carried out in three ways:
- Linear with the introduction of bone graft – a bone incision with a view to its alignment due to the introduction of bone graft.
- Wedge-shaped with the removal of the bone wedge of bone is removed, the part to align.
- The angular bone is cut at an angle on two sides and is set in the correct position by carrying out the necessary correction.
In most cases, corrective osteotomy is applied after improper fusion of the bones due to fracture. The surgery is performed under General anesthesia and takes a long recovery.
Leg lengthening is the most common operation, which uses oblique osteotomy with the imposition of skeletal traction for the distal end.
Such operation can increase the operated bone 2-7 see
The main condition is the selection of the correct quantity of goods. The presented method not only helps to «level the curved» bone and significantly increase its length.
When using a compression-distraction apparatus can achieve the result of the increase in length of the bone is almost 20 cm.
This method increases the limb daily for 1 mm, with mobility and joint function is preserved.
It is applied frequently after dislocations. Improper plaster or tight bandage is a kind of reversal of the bone relative to the joint.
This «contact» brings the pain and can lead to dysfunction of the joints — people can’t do simple actions hand, in the case of lesions of the lower extremities, the patient can not move.
Derotation osteotomy involves the intersection of the bones in the transverse direction. Further, the Central part of the bone deploy in the desired direction at a certain angle reversal.
All involved bone fragments were recorded until recovery with a special metal construction. In some cases the stitching of the joint capsule and shortening or lengthening the tendon.
If necessary, diagnostic x-ray subsequently, the rotation angles can be adjusted. Recovery after carrying out such surgery may take several months.
Recovery support function
If the patient is required to restore basic function, osteotomy is performed on the hip joints. Here, they often have the space to support the hip bones.
Subject to incision in the pelvis and the thigh. Such surgical intervention is performed in the following cases:
- the presence of congenital subluxation of the hip;
- in the diagnosis of pseudoarthrosis of the femoral neck;
- various deformities – valgus or varus.
Here also apply several ways of dissecting bone depending on the reconstruction of the support function. The operation is performed exclusively under General anesthesia and requires several months of recovery.
The video clearly shows, how it’s performed osteotomy:
Features of the operation and its consequences
Osteotomy is a bone cut to improve human life.
But such improvements can be noticed soon, especially because sometimes surgery though, and leads to the elimination of pain with the implementation of simple actions, but from the point of view of the cosmetic aspect, you can see major defects.
For example, the joints of the extremities look asymmetric, which may be operated man some discomfort.
In addition, immediately after surgery in most cases require continued use of crutches (one to three) months.
Despite the uncomfortable position the patient, the patient needs to take a daily walk to restore the function of the operated bone.
Post time is also accompanied by a course of physical therapy depending on the nature of the osteotomy. Full recovery may take about a year.
Osteotomy may lead to certain complications, among which is:
- Began the process of festering wounds – the special role in the presented situations is the immune system of the operated patient.
- The displacement of the fragments is due to poor or improper fixation, leading to re-operation.
- Slow fusion of dice – based individual characteristics of the human body.
- Formed a false joint – a violation of the mobility of the operated bone or joint. Required reoperation.
In connection with the foregoing, the osteotomy is best done only after the immunity and also have a professional surgeon who will not allow bias or festering wounds.
The osteotomy has one serious drawback. If necessary, re-operation related to joint replacement, to conduct such an action would be much more difficult if there was dissection of the bone.
But in some cases, osteotomy is the only true, possible and reliable solution to eliminate the existing disease.