Osteotomy for Orthopedic Conditions at Raleigh Orthopedic
What is Osteotomy?
Osteotomy is a surgical procedure that involves cutting and reshaping bones to correct deformities, redistribute weight, and relieve joint pain. It is usually performed on weight-bearing joints like the knee, hip, and ankle, but can also address issues in other areas, including the shoulder and elbow. During an osteotomy, a surgeon removes or adds a wedge of bone to realign the joint, improve function, and reduce stress on damaged cartilage. This procedure is often used as a joint-preserving alternative to total joint replacement, especially in younger and more active patients. At our Raleigh Orthopedic Surgery Centers in Raleigh and Panther Creek, our experienced orthopedic surgeons perform osteotomy procedures using advanced techniques to improve joint alignment, lessen pain, and help patients get back to doing what they love.
When is Osteotomy Needed?
Osteotomy is recommended for patients with joint misalignment, early-stage arthritis, or bone deformities that cause pain and limit movement. Some common conditions that may prompt your orthopedic specialist to recommend osteotomy include:
- Knee Osteoarthritis: When arthritis affects one side of the knee more than the other, a high tibial osteotomy can redistribute weight to the healthier side.
- Hip Dysplasia: A periacetabular osteotomy (PAO) can realign the hip socket to better support the femoral head.
- Ankle Instability: For patients with ankle arthritis or instability, an ankle osteotomy can improve joint function.
- Fracture Nonunion or Malunion: If a fracture heals improperly, an osteotomy can restore proper bone alignment.
What are the Benefits of Osteotomy for Orthopedic Patients?
Osteotomy offers several advantages for patients who want to improve mobility and potentially avoid a joint replacement in the future. The key benefits of this procedure for orthopedic patients in Wake County include:
- Joint Preservation: Unlike total joint replacement, osteotomy maintains the natural joint, which can be beneficial for younger or highly active patients, including athletes.
- Pain Relief: By correcting joint alignment and reducing stress on damaged cartilage, osteotomy can significantly reduce pain.
- Improved Function and Mobility: Osteotomy leads to better joint movement and stability, allowing patients to stay active.
- Delayed Need for Joint Replacement: Osteotomy can extend the lifespan of the natural joint, postponing or even preventing the need for a total joint replacement in the future.
- Minimally Invasive Options Available: Many osteotomy procedures can be performed with advanced, minimally invasive surgical techniques, providing patients with a faster recovery time.
Osteotomy at Raleigh Orthopaedic Surgery Center
At Raleigh Orthopedic Surgery Center, our board-certified surgeons specialize in outpatient osteotomy procedures using the latest surgical technology, aiming to return each patient to a healthy, active lifestyle quickly and safely. No matter which procedure you are scheduled for, your care team will take the time to ensure that you are comfortable and answer any questions you have throughout the process. Here’s what patients can expect before, during, and after surgery at Raleigh Orthopaedic.
Before undergoing an osteotomy, you and your surgeon will discuss your surgical options, expected outcome, and recovery timeline. You will be provided with pre-surgical instructions, including guidance on medications, fasting before surgery, and setting up post-operative care. You will also receive a comprehensive physical examination before surgery, which includes:
- Medical History Review: To assess your overall health and eligibility for surgery.
- Physical Examination: To determine joint function and mobility.
- Imaging Tests: X-Ray, CT scan, or MRI (if needed) to evaluate bone alignment and joint condition.
Osteotomy is typically performed under general or regional anesthesia. The exact way the procedure is performed will vary depending on the joint being treated and the reason for the surgery. In general, osteotomy procedures include:
- Incision and Bone Cutting: The surgeon makes a small incision and carefully reshapes the bone to correct alignment.Â
- Bone Wedge Removal or Addition: A wedge of bone may be removed or added to redistribute weight on the joint.
- Fixation with Plates or Screws: The bone is stabilized using metal plates, screws, or pins to ensure proper healing.
- Closure and Dressing: The incision is closed, and a bandage or brace is applied to protect the surgical site.
Many patients can return home the same day or within 24 hours of their osteotomy, depending on the complexity of the procedure. You will receive detailed recovery instructions from your care team, which should be followed closely to support a smooth recovery. General post-operative care includes:
- Pain Management: With prescribed medications.
- Weight-Bearing Restrictions: Requiring crutches or a brace.
- Physical Therapy: To restore strength and mobility. Our Raleigh Orthopaedic physical therapists work closely with our physicians to design treatment plans tailored to the post-surgical needs of each patient.Â
- Follow-Up Appointments: To monitor healing and remove sutures or hardware if needed.
How Long Does Recovery from Osteotomy Take?
The recovery timeline for osteotomy varies based on the details of the procedure, the joint that was operated on, and the patient’s overall health. During the healing process, weight-bearing restrictions and rehabilitation are essential to achieving the best results. Your surgeon will provide a personalized recovery plan to help you regain function safely. Generally, patients can expect the following recovery benchmarks.
- 6 to 8 weeks for initial bone healing
- 3 to 6 months to regain mobility and strength through physical therapy.Â
- Up to a year for a full recovery and return to high-impact activities.
Orthopedic Surgeons at Raleigh Orthopaedic
Raleigh Orthopedic is home to a team of board-certified, fellowship-trained orthopedic surgeons who specialize in osteotomy and joint preservation techniques. Our surgeons have extensive experience treating complex musculoskeletal conditions, using state-of-the-art technology to ensure optimal outcomes. Whether you need an osteotomy for knee arthritis, hip dysplasia, or another orthopedic condition, our team will provide personalized care to help you improve your mobility and achieve long-term relief.
Outpatient Orthopedic Surgery in Wake County
Raleigh Orthopedic Surgery Center is your premier outpatient orthopedic facility in Wake County, offering same-day surgery options and comprehensive care. Our centers are equipped with advanced surgical suites and a dedicated medical team, ensuring a safe, efficient, and comfortable experience. If you are experiencing joint pain, misalignment, or difficulty with movement, osteotomy may be the right next step for you. We are here to help you get back to an active lifestyle – contact us today to schedule an appointment with one of our orthopedic specialists and learn more about how osteotomy can restore your joint health.