Understanding osteotomy: A surgical solution for joint problems

Osteotomy is a surgical procedure that may be recommended to patients experiencing joint problems, particularly those related to misalignment or deformity. Leading consultant orthopaedic surgeon Mr Ronald van Heerwaarden and specialist knee surgeon explores what osteotomy entails, why it may be necessary, and what patients can expect from the procedure.

What is osteotomy?

Osteotomy is a surgical procedure that involves cutting and reshaping bones. It's commonly performed to correct misalignment or deformity in joints, such as the knee or hip. By altering the alignment of the bones, osteotomy aims to relieve pain, improve function, and delay or prevent the need for joint replacement surgery.

When is osteotomy necessary?

Osteotomy is typically recommended for patients with conditions such as osteoarthritis, where the cartilage within a joint wears down over time, leading to pain and stiffness. In some cases, the bones around the affected joint may become misaligned, exacerbating symptoms and limiting mobility. Osteotomy may also be considered for individuals with certain congenital or developmental abnormalities affecting joint alignment.

The procedure

Before undergoing osteotomy, patients will undergo a thorough evaluation, including imaging studies such as X-rays or MRI scans, to assess the extent of joint damage and determine the most appropriate course of treatment. During the procedure, the surgeon makes precise cuts in the bone, carefully realigning it to relieve pressure on the damaged area. Small plates, screws, or other fixation devices may be used to stabilise the bone during healing.

Recovery and rehabilitation

Following osteotomy, patients can expect a period of recovery and rehabilitation. This may involve a combination of pain management, physical therapy, and activity modification to promote healing and restore function. While recovery times can vary depending on the extent of the surgery and individual factors, most patients can gradually return to their normal activities within a few months.

Benefits and risks

Osteotomy offers several potential benefits for patients with joint problems, including pain relief, improved mobility, and a reduced risk of progression to more severe joint damage. However, like any surgical procedure, osteotomy carries some risks, including infection, blood clots, and nerve or blood vessel injury. Your surgeon will discuss these risks with you in detail and help you weigh the potential benefits against the possible complications.

Osteotomy is a surgical option that may be considered for patients experiencing joint problems, particularly those related to misalignment or deformity. By carefully realigning the bones, osteotomy aims to alleviate pain, improve function, and delay or prevent the need for more extensive surgery. If you're experiencing functional problems caused by abnormal leg alignments, consult with a qualified surgeon to determine the most appropriate treatment approach for your specific condition.

If you require an osteotomy and would like to book a consultation with Mr Ronald van Heerwaarden, do not hesitate to do so by visiting his Top Doctors profile today.