**Osteotomy** literally means "cutting the bone".. In knee osteotomy, the tibia or femur bone is cut and then reshaped to reduce the pressure on one part of the knee joint.. Knee osteotomy is used when the patient is in the early stages of osteoarthritis and only one side of the knee joint is damaged.. Knee .... Description of knee osteotomy Knee osteoarthritis occurs when the bones of the knee and leg do not meet. This can put more pressure on the inside (medial) or outside (lateral) of the knee. Knee osteotomy has three purposes: - Weight transfer from the arthritic part of the knee to a healthier area - Correction of improper knee position - Increasing the lifespan of the knee joint ### **Among the advantages of this method, the following can be mentioned:** By preserving the anatomy of the knee, a successful osteotomy can delay the need for a knee replacement for several years. After the osteotomy heals, there are no restrictions on physical activity - you can participate in your favorite activities, even vigorous sports. However, osteotomy has disadvantages: - Pain relief after osteotomy is not as predictable as partial or total knee replacement.... - Recovery after osteotomy is usually longer and more difficult because you may not be able to put your weight on the operated knee immediately after the operation.... Osteotomy requires time to heal, which lasts about 6 weeks.... - In some cases, performing total knee replacement surgery k.... Partial and total replacement has been very successful, knee osteotomy has become less common.. However, this procedure is still an option for many patients... the knee osteotomy procedure Most osteotomies for osteoarthritis of the knee are performed on the tibia to correct misalignment of the legs that puts too much pressure on the medial (middle) side of the knee.. Tibial osteotomies were first performed in Europe in the late 1950s and brought to the United States in the 1960s. The tibia is removed .... - When the surgeon Opens the inner part or closes the outer part, the leg is straightened.. It can bear weight evenly and bear pressure on the side and the pain is reduced to the side.. It is usually used to correct the misalignment of crossed knees.. The orthopedic surgeon will discuss with you the technique he will use for your operation. Knee osteotomy is more effective for thin and active patients under 60 years old. Suitable candidates have the following conditions: - Pain only on one side of the knee - Absence of pain under the kneecap - Knee pain from prolonged activity or standing.... - Candidates must be able to fully straighten the knee and bend it to at least 90 degrees.... Rheumatoid arthritis patients are not good candidates for osteotomy.... An orthopedic surgeon will help you determine if knee osteotomy surgery is right for you.... ### Before Osteotomy You will most likely be hospitalized on the day of the operation.. Before the operation, a doctor from the anesthesia department will evaluate you.. They will review your medical history and discuss anesthesia options with you.. Anesthesia can be general (you will fall asleep) or spinal (you will wake up, but your body will be numb from the waist down)... Your surgeon will also meet with you before the operation and mark your knee with a marker to confirm the operation site. slow.... ### knee osteotomy surgery method A knee osteotomy usually takes 1 to 2 hours.... - Your surgeon makes an incision in the front of your knee, below the patella.... - Plans the correct size of the bone piece using guide wires.... - Using an oscillating saw, your surgeon cuts along the guide wires and then places or removes a piece of bone depending on the method used on the plate.. in place for Osteotomy to heal .... after the operation to the room You will be transferred to the recovery room and you will be carefully monitored while recovering from anesthesia.... ### Complications of knee osteotomy As with any surgery, an osteotomy has risks. Your surgeon will discuss each of these risks with you and take specific steps to help prevent potential complications. Although the risks are low, the most common complications are: - Infection - Blood clotting - Stiffness of the knee joint - Damage to blood vessels and nerves - Failure to improve the osteotomy - In some cases, a second surgery may be needed, especially if the osteotomy does not heal.. Discharge from the hospital... In most cases, patients go home 1-2 days after the osteotomy... Pain management... After the operation, you will feel some pain, but your surgeon and nurses will do their best to keep you as comfortable as possible... A variety of pain medications, including non-steroidal anti-inflammatory drugs, are available to help with control. (NSAIDs), and local anesthetics... Treating pain with medications can help you feel more comfortable, which helps your body heal faster and heal faster after surgery.. Opioids can provide excellent pain relief. However, they are narcotics and can be addictive... It's important to use them only as directed by your doctor and stop taking them as soon as the pain improves... Weight bearing... After surgery, you will most likely need to use crutches for a few weeks... Your surgeon may put your knee in a brace or cast to protect it until the bone heals using x-rays, as directed by you. It's done so the surgeon can check how well the osteotomy has healed... After the follow-up, your surgeon will tell you when you can put weight on your leg and when you can start rehab... Rehab exercises... During rehab, your physical therapist will give you exercises to help maintain knee range of motion and regain strength... You may be able to regain full head function from #3 to #3 to #6 months later. take your head For most patients, an osteotomy is successful in relieving pain and delaying the progression of osteoarthritis in the knee. This procedure can allow a young patient to live a more active lifestyle for years.