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Surgical treatments are closing wedge osteotomy, opening wedge osteotomy, and reversed wedge osteotomy. [1] Radiographs of the fingers are useful in planning the surgical procedure. Severe clinodactyly may require soft tissue alterations to the digit such as release of skin, extensor tendon relocation, and collateral ligament advancement.
Illustration showing Akin osteotomy correction of the big toe. Akin osteotomy is a surgical procedure often used in the treatment of hallux valgus deformity, more commonly known as a bunion. [1] A bunion is a bony bump that forms on the joint at the base of the big toe, often resulting in the toe pointing abnormally toward the second toe.
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. [9]
Jones and colleagues (2023) conducted a retrospective analysis of surgical outcomes, comparing dorsal closing wedge osteotomy with joint debridement. Their findings suggest that osteotomy may provide better long-term results in younger patients with earlier stage disease, while joint debridement may be more suitable for older patients or those ...
Some use "lateral onychoplasty," or "wedge resection," as the method of choice for ingrown toenails. A wide wedge resection, with a total cleaning (removal) of nail matrix, has a nearly 100% success rate. [citation needed] Some physicians will not perform a complete nail avulsion (removal) except under extreme circumstances. In most cases ...
During osteotomy, the metacarpal is cut and a wedge shape bone fragment is removed to move the bone away from the hand. [35] Postoperative, the thumb of the patient is immobilized using a thumb-cast. Possible complications are non-union of the bone, persistent pain related to unrecognized CMC or pantrapezial disease and radial sensory nerve injury.
High tibial osteotomy is an orthopaedic surgical procedure which aims to correct a varus deformation with compartmental osteoarthritis.Since the inception of the procedure, advancements to technique, fixation devices, and a better understanding of patient selection has allowed HTO to become more popular in younger, more active patients hoping to combat arthritis. [1]
Dorsal carpal wedge osteotomy is indicated for wrists with excessive flexion contracture deformity when non-surgical interventions such as occupational therapy and splinting have failed to improve function. On the dorsal side, at the level of the midcarpus, a wedge osteotomy is made. Sufficient bone is resected to at least be able to put the ...