Osteotomies of the hip - Two main types of osteotomies are used in the correction of hip dysplasias and deformities. - Acetabular procedures are named after the surgeons who first described them. - Femoral derotation osteotomy corrects version abnormalities of the hip joint. - Stabilization of the osteotomy site can be achieved using a subtrochanteric blade plate or an intramedullary rod.
Osteotomy of the knee - Knee osteotomy is commonly used to realign arthritic damage on one side of the knee. - The goal is to shift the body weight off the damaged area to the other side of the knee. - Surgeons remove a wedge of the tibia from underneath the healthy side of the knee. - Osteotomy can delay the need for a total knee replacement for up to ten years. - The most common type of knee osteotomy is a high tibial osteotomy. - An incision is made down the front and outside of the knee. - The top of the shinbone is lowered and attached with surgical staples or screws.
Rehabilitation and prevention - Patients must exercise extreme caution during all activities until healing is complete. - Maintaining aerobic cardiovascular fitness helps prevent the progression of osteoarthritis. - Light, daily exercise is better for an arthritic knee than occasional, heavy exercise. - Serious knee injuries should be avoided as they can complicate knee injury treatment. - General recommendations include keeping a slight bend in the knees and avoiding activities that cause pain.
Osteotomy of the jaw - Osteotomy of the jaw is also known as dentofacial osteotomy. - It is performed to correct jaw deformities. - The procedure involves cutting and repositioning the jawbone. - Osteotomy of the jaw can improve facial aesthetics and correct functional issues. - It is commonly used in orthodontic and maxillofacial surgery. - Osteotomy of the chin is a subtopic that corrects a vertically short chin, can lengthen, shorten, or narrow the chin, and is done through an incision inside the mouth.
Veterinary osteotomy procedures - Commonly used for canine cranial cruciate ligament rupture. - Tibial plateau leveling osteotomy and tibial tuberosity advancement are common procedures. - Recovery period is typically 6-8 weeks. - Osteotomy can be filled with autologous bone grafts, scaffolds, or ceramics.