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Health and Fitness

How osteotomy is conducted by an orthopedic surgeon in Pakistan

Evolution in medical sciences tremendously provides quick and effective ways to cure health issues once deliberated incurable or tough to handle. Especially in the field of orthopedics modern methods changed the scenario, disabled people are hoping to regain lost motion through orthopedic surgery. Moreover, it is easy to access an orthopedic surgeon in Pakistan who observe international standards of surgery.

Bone malunions, misalignment, deformity and severe breakages are not an issue nowadays. A procedure known as osteotomy helps to realign, cut, reshape and remove infected bone through surgery. Sternly damaged bone or joint due to fracture, diseases like arthritis or infection can be repaired efficaciously. Moreover, bone can be cut short or extended to lengthen for a perfect alignment. Osteotomy gives a helping hand to delay replacement surgeries for longer periods.

People don’t have to comprise their quality of life or cease certain beloved activities like sports and other routine chores as osteotomy was found to be a successful procedure in adjourning the advancement of arthritis and relieving pain that hinders joint motion. Whether young or old people of any age can be benefitted from miraculous outcomes of the bone osteotomy. This article elaborates on the types of osteotomy and the way it is conducted by an orthopedic surgeon in Pakistan.

Dislocation

As the shoulder is a ball and socket joint this ensures its extraordinary mobility thus making it more prone to dislocation. When the ball of the upper arm bone is displaced from its position within a socket of the shoulder, it is referred to as shoulder dislocation. Joint become painful to move, lose stability and deformity is visible. Certain dislocations could be severe enough to cause fractures and soft tissue damage.

Frozen shoulder

All the shoulder joint components are embedded within the lining or capsule of connective tissue. In some instances, this lining becomes thick and tighten over the shoulder joint making it stiff, inducing pain, and limiting shoulder movement. The exact cause is unknown but found among the patients having a long period of shoulder immobilization or are diabetic.

Impingement syndrome

Acromion is the top of shoulder bone which when rubbed against the rotator cuff cause irritation to this thick band of muscles responsible for shoulder joint rotation and arm lifting. Repetitive use of the shoulder aggravates this condition while the upward and backward movement of arms and shoulder a joint felt unstable and weak. The pain usually causes sleeping discomfort at night.

Loose or foreign bodies

Severe injuries could break cartilage of the shoulder joint dispersing it into small fragments. These loose bodies may stuck into the synovium membrane around the shoulder. Many of the patients don’t experience any symptoms but in a few cases, pain, instability or locking of joint, and restricted movement is seen. Small fragments can be removed arthroscopically while larger pieces are taken out through open surgery. The best orthopedic surgeon prefers to break down large fragments into smaller pieces so they can be removed through arthroscopy.

Bones and are joints generally treated by osteotomy

Variable bones and joints could be treated through osteotomy to resolve concerns.

  • Knee osteotomy

This usually helps to prolong the painless motion of the arthritic knee joint. When a portion of the knee joint is damaged osteotomy could be helpful to get relief for years delaying the need for replacement surgery. Arthritis damages the cartilage between the joining point of leg bones i.e. tibia and femur. The space among these bones gets narrow affecting the knee joint position which either bends outward or inward reliant on which side of the joint is damaged. The addition or subtraction of a portion from either of the two-leg bones shifts weight to the unharmed part of knee bone thus increasing the life span of the joint.

  • Hip osteotomy

The hip joint comprises two bones namely the femur and pelvis which forms a ball and socket joint. Deformity to either of bones could interrupt smooth gliding of joint which in return damages soft tissues around leading to a painful condition. Hip osteotomy helps to reshape the socket of the pelvis bone so it covers the ball at the femoral head properly and could move inside the socket unhindered.

  • Spine osteotomy

Backbone deformities like the hunchback condition are treated through spinal osteotomy to correct the curvature of the spine. A portion of the spine is cut and treated through surgery.

  • Big toe osteotomy

This is usually conceived when bunion, a bony bump at the base of the big toe joint becomes much more painful. Surgeons do osteotomy to cut down bunions for correcting the deformity and permanently fuse the joint.

  • Chin and jaw osteotomy

Square chin is either broaden or make narrower using osteotomy also Jaws can be aligned in the correct position through this procedure.

How the procedure is conducted?

An orthopedic surgeon in Lahore could be of prodigious help if you have to go through such a complex surgical procedure. The surgeon will discuss which sort of anesthesia to induce before surgery. It may be general or localized. General anesthesia keeps a patient asleep during the procedure while localized just numb the part where anesthesia is given but the patient remains conscious throughout the surgery. Localized anesthesia is used when the lower half of the body is to be operated on. Anesthesia is given to the spine to numb a body below the waist. In minor surgeries like that of a toe, only the target site is numbed.

Surgery is instigated by cutting open an affected part to expose the bone beneath. Bone to be removed is measured and cutoff using surgical tools. Small gaps are left to heal on their own but bigger ones are filled using bone graft extracted. A healthy bone in the body. In both cases bones are held together using surgical hardware like metal plates, screws, or pins which ensure the healing in correct alignment. This hardware may or may not be removed later on. Depending on the complexity of the procedure a patient might have to stay in hospital for a few days under observation.

Precautions needed after surgery

The operated area remains sore for many days and healing takes much time. The patient is advised to not put weight on repaired joint right after surgery as this could affect bone alignment, use of crutches is recommended by the surgeon. Patients having knee or hip osteotomy are restricted from walking and asked to take complete rest. Patients must consult a physiotherapist to learn a few exercises to practice at home for muscles’ strength and regain lost motion gradually.

Conclusion

On a visit to an orthopedic surgeon in Lahore discuss every detail regarding osteotomy. It is worthwhile to talk over anticipated hitches adhered to osteotomy. Although every surgical procedure brings about some complications for which surgeons work best to minimize them as much possible as they could but still patients should be aware of such risks so they can tackle them accordingly. These include:

  • Reaction to anesthesia
  • Harm to nerves, blood vessels, or soft tissues
  • Formation of scars
  • Infection
  • Clotting
  • Improper healing or malunion
  • Pain and joint stiffness

Prepare yourself and your house before surgery so you won’t face any difficulty in managing things afterwards.

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