An osteotomy is a surgical procedure to cut bone in order to realign and reshape your bones and joints....jaw, elbow, spine, shoulder, hip, knee, foot, toes, and soles are some common sites for this surgery....there are different surgical procedures and your surgeon will choose the best option for your pain and hat to re-move your pain and hat....an osteotomy?** An osteotomy is a surgical procedure that involves cutting bone (and sometimes adding bone tissue) to change the shape or alignment of your bones. Your surgeon can perform an osteotomy on various bones in the body, including the jaw, elbow, spine, shoulder, thigh, knee, foot, toes, and soles. The surgical method is called according to the way of cutting and Deformation of bone is invented or named.... ### **Why is osteotomy done?** Your surgeon will perform an osteotomy to: - Correcting the angle, curvature, or rotation of bones.... - Correcting the alignment of deformed or unfused joints.... - Shortening or lengthening bones.... - Repairing an injured joint.... - Transferring weight from the damaged area of ​​the joint to an area with healthier cartilage.... - Reducing pain from arthritis of the hip (especially the hip) Replacement surgery in young and active people.... - Repairing or correcting other specific bone problems. **How to prepare for a sinister osteotomy?** Your surgeon may order routine tests to check your overall health. These tests may include: - Blood tests to check levels of certain blood components and organ function.... - Urinalysis to check general health and identify problems that interfere with bone healing, such as infection or diabetes.... - EKG to check the heart's electrical activity.... - Chest X-ray to ensure proper lung function before surgery.... - X-ray or CT scan to view bones/joints and plan for surgery.... Your surgeon will need to know the size, dimensions and angle of the bone to be removed. be determined... Sometimes the surgical plan is done using a computer and creating a 3D model.... ### **What happens during osteotomy surgery?** First, you will be given anesthesia. Your surgeon may choose one of the following methods: - Local anesthesia only in the surgical area .... - Anesthesia from the waist down (with spinal anesthesia) .... - General anesthesia (total sleep) .... - Local anesthesia in the surgical area only .... Then the surgical team uses an antiseptic solution to sterilize the area around the surgical area .... Marked area of ​​the bone .... After the damaged or diseased part of the bone is removed, the bony gap is closed by bringing the edges of the bone together .... depending on the type Osteotomy, sometimes a bone graft is inserted into the gap....a pin, screw, staple, plate, or rod holds the bone in place or aligns it while it heals....These temporary or permanent metals may be osteoarths..An osteotomy can correct many bone and joint problems..These include: ### *jaw osteotomy** Jaw osteotomy aligns the bones of the lower jaw (lower jaw) or upper jaw (upper jaw) with the rest of the head and/or teeth. This procedure corrects problems such as an open jaw, difficulty chewing or swallowing, excessive tooth wear, receding chin, overbite or underbite. Surgery... Jaw osteotomy includes: - **Lower jaw osteotomy:** Lower jaw surgery... - **Upper jaw osteotomy:** Upper jaw surgery... - **Lefour osteotomy:** This special method is used to repair a fracture of the mid-face area that includes the upper jaw.... - **Sagittal split osteotomy:** A type of jaw surgery to move the lower jaw in order to better align with the teeth... ### ** chin** A chin osteotomy changes the shape of your chin. Your surgeon usually performs this procedure to correct a short vertical chin, lift the chin, or shorten a narrow chin. This surgery moves the chin forward or in other directions, and in some cases replaces a chin implant.. Elbow** Elbow osteotomy corrects **elbow joint problems** that cause your underarm to be misaligned.... Your arm is either too close to your body (cubitus varus) or too far away from your body (cubitus valgus). These abnormal positions change the angle that your elbow carries....Depending on the exact problem, there are different methods of osteotomy..Spinal osteotomy corrects the alignment of the curvature of your spine..The natural curvature of your spine helps align your body's center of gravity over your pelvis..If one or more parts of your spine are too or less curved, your spine is out of alignment..This can cause pain, fatigue, and pressure on on internal organs Correct an angular problem, such as a constant forward bend that causes your chin to rest on your chest. This is seen in ankylosing spondylitis, which is a type of arthritis that, in severe cases, causes parts of the spine to fuse together. The main types of spinal osteotomies are: - **Posterior osteotomy of the spine:** This surgery corrects the internal arch of the back (lordosis) and the forward curvature of the upper spine (kyphosis).. Pont osteotomy is a special technique to correct kyphosis... - **Smith-Petersen osteotomy:** This special technique corrects lordosis... the lower leg is corrected.. the spine... - **Osteotomy Bone-Disc-Bone:** This surgery corrects your spine at the top and bottom of a **disc**... In this method, the disc and its adjacent end plates are removed.... - **Spine removal:** This surgery involves the complete removal of one or more vertebrae and performs the most correction.... Considering that a large volume of your bone is removed using a metal lesion.. Cage... ### **Osteotomy hip** A hip osteotomy changes the shape of the socket of the hip (acetabulum) or the head of the femur (femoral head). This is the ball-and-socket joint of your hip. Your surgeon cuts, shapes, or removes some bone tissue to align the weight-bearing surfaces of the joint. The main types of hip osteotomy include: - **Periacetabular osteotomy:** Your surgeon performs this osteotomy to correct hip dysplasia (a condition in which the pelvic cavity does not completely cover the head of the femur). In this surgery, part of the hip bone is cut, moved and fixed with screws.. ### **knee osteotomy** A knee osteotomy involves cutting and reshaping one of the bones that meet below the patella, tibia, or femur. This surgery is usually performed to correct damage caused by arthritis of the knee. Cartilage is usually on the inside of the knee... This surgery involves removing a wedge of bone from the outside of the knee or opening a wedge of bone inside the knee to create a flatter leg and prevent the progression of arthritis... Read more: **Knee Replacement** Some types of knee osteotomy are: - **Tibial osteotomy:** This surgery corrects the alignment of the foot bracket, which puts a lot of pressure on the inside of the knee....- **Superior tibial osteotomy:** This surgery realigns the knee joint in people with knee arthritis.... This surgery can delay the need for partial or total knee replacement.. It involves removing part of the tibial tubercle (a special area on the tibia). ### **Toe and sole osteotomy** A big toe (hallux) osteotomy removes the bone from the big toe to flatten it. A heel (calcaneus) osteotomy is a procedure to reshape the sole of the foot to correct flatness or a high arch. Some specific osteotomy techniques that treat foot problems include: - Chiron and Akin osteotomy: these methods correct mild to moderate big toe problems caused by bunions (hallux valgus).. **What are the risks of osteotomy?** Osteotomy risks include: - Problems caused by anesthesia. Recovery depends on the type of osteotomy, the specific surgical technique, the extent and severity of the bone damage, and your strength and motivation. Bone healing takes time. You will feel pain at the surgical site. You may need a cast, splint, or crutch to limit bone and joint movement, take weight off the operated bone, and allow the bones to function properly. Splint, or crutches for a few weeks to a few months..it can even be in a cast or splint...Physical therapy increases joint strength and range of motion...If you've had knee or hip surgery, you may need to use crutches for a few months...You'll have physical therapy to get your strength and balance back...If you've had a jaw osteotomy, your jaw will be wired and you'll be on a fluid diet for six weeks...If you've had a big toe osteotomy ** You cannot wear shoes or drive for six weeks. process?** You can help the healing process by doing the following: - Don't smoke... Nicotine slows the healing process and may prevent bones from fusing properly... - Eat a healthy, mostly plant-based diet like the Mediterranean diet... - Follow your doctor's orders... - Maintain a healthy weight... ### **What results can be expected?** Results depend on your overall health, the severity of the bone problem, the specific surgical procedure, and the expertise of your surgeon. Your surgeon will discuss your specific surgery and what to expect. Don't hesitate to ask questions or express your concerns.