Bunion surgery – Osteotomy treatment in Dallas & Plano; Osteoarthritis is a disease that occurs in the joints, such as the knee or the hip. Osteoarthritis is a situation whereby the protective cartilage that cushions the ends of your joints wears down over time.
When this occurs, the bone grows to try to repair the damage. The bone, however, grows abnormally and makes things worse. The bone can become misshapen, and make the joint painful and unstable. This affects your ability to make use of your knee and also affects your physical function.
Osteotomy is a surgery used to treat patients with osteoarthritis.
Osteotomy is surgery whereby the abnormal growing bones are cut and realigned. It changes the alignment of the knee.
It involves cutting or adding a wedge of bone to your shinbone and thigh bone to shift the weight of your body away from the damaged part of your knee joint. The weight of your body will be shifted from the damaged part to a healthy part of the knee.
By taking your body weight off the damaged part of your knee, it helps to reduce pain, improve function, slow knee deterioration and delay the need for a partial or total knee replacement surgery.
Osteotomy is commonly performed on individuals who are not up to 60 years old and are active. After undergoing this procedure, most people may need to undergo partial or total need removal in 10 to 15 years’ time.
Who is eligible for osteotomy?
It is important to ensure that a patient is an ideal candidate for osteotomy to ensure good results.
An ideal candidate who is eligible for osteotomy is an individual that:
- Is relatively young and not very old. An individual who is between the ages of 40-60 years old.
- Have mild to moderate arthritis that affects only one side of his or her knee with little to no damage on the other side of the knee.
- Not overweight
- Have a good knee mobility
- Have significant arthritis pain that is caused by activity or standing for a long period of time.
- Want to stay physically active and is willing to commit to a long post-surgical physical therapy to aid a quicker recovery.
- Will agree to use crutches to limit weight bearing on his or her knee for a period of 6 to 8 weeks after the surgery
How long does it take to recover from an osteotomy?
Depending on the complexity of the surgery and how well you recover, it may take 3 to 6 months to fully recover. You may need to use crutches for about two months for your bone to heal properly. Rehabilitation can take as long as six months.
How is osteotomy done?
During an osteotomy procedure, either your tibia (upper shinbone) or femur (lower thighbone) are cut and reshaped.
You’ll either be given general anesthesia to make you sleep all throughout the procedure or be given spinal anesthesia to numb the area from your waist down.
Your surgeon will clean the knee area and make an incision over the area of bone to be repaired.
The surgery might involve your shinbone or your thighbone depending on the location of the bone damage.
For an opening wedge osteotomy, your surgeon will cut almost across the bone to open a gap. The gap will be filled with bone graft and the bones will be fixed in place with a plate and screws.
For a closing wedge osteotomy, your surgeon will cut the shinbone or thighbone and then remove a wedge of bone. Your surgeon will then bring the cut edges of the bone together and hold the two edges in place with metal hardware.
When the bone is amended, the incision will be stitched together and bandaged.
Osteotomy usually takes one to two hours.
What is an osteotomy of the foot?
A foot osteotomy is a surgical procedure that is done to remove parts of a bone in your foot. The bone is then reshaped to relieve pressure on your foot from deformity or injury. Osteotomy of the foot may be required in conditions such as fracture, bunion, hammertoe, or flat foot.
Is osteotomy surgery painful?
During an osteotomy procedure, you may be given general anesthesia to make you sleep throughout the procedure so you don’t feel any pain. You may also be given spinal anesthesia to numb your waist downwards so you don’t feel pain.
You will feel pain after the effect of the anesthesia has worn off and during your recovery period. You will be given pain medications to help with the pain. Using crutches help to relieve the weight of your body off your knee and also reduce pain.
Does osteotomy hurt?
Yes, you will feel hurt during your recovery period. You will be prescribed pain medications to relieve the hurt. You will need to always use crutches to relieve the weight of your body off your knee during the recovery period.
How long are you on crutches after osteotomy?
After an osteotomy, you will need to use crutches for a period of 6 months or more. Crutches are needed to relieve the weight of your body off your knee to relieve pain and aid quicker healing. You will only need to discontinue using crutches when your knee is healing and when you don’t feel much pain anymore.
How long does the pain last after osteotomy surgery?
You may feel varying levels of pain during your recovery period. The more your knee heals, the more you feel pain relief. You may continue to feel varying levels of pain relief until your knee is completely healed.
It may take 3-6 months for your knee to recover fully and for you to walk normally and regain full motion of your legs.
How much does osteotomy surgery cost?
The cost of osteotomy varies depending on the location, expertise of the surgeon, anesthesia used, and aftercare. The average cost of the osteotomy is $4,500. The actual cost of the procedure may be lower or higher than the average cost depending on the provider and location.