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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]
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.
Keck and Kelly Wedge Osteotomy [5] Excision of the retrocalcaneal bursa. [6] Calcaneal osteotomy. [6] Osseous debridement from the Achilles tendon. [6] Retrocalcaneal enthesophyte resection with functional Achilles tendon lengthening and buried knots. [6]
The triple tibial osteotomy is a surgical procedure used to treat dogs that have completely or partially ruptured the cranial cruciate ligament in one or both of their stifles. [1] The cranial cruciate ligament connects the femur with the tibia , which functions to stabilise the canine stifle joint from the forces put on it during exercise and ...
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]
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.
This allows the mandible osteotomy to be done safely by avoiding damaging the adjacent nerves. [16] The bony cut is made from the sigmoid notch to the mandibular angle with an osteotome. The bony fragment at the proximal end is rearranged and stabilized using screws, plates, or wires. The closure of the wound is done layer by layer.