tibia and fermoral bone


Tibia Bone

Most commonly patients wear out the inner or medial side of the knee. Cuts can be made to transfer weight away from the affected side and onto the healthy remaining outer or lateral side of the joint where the cartilage is still healthy.

Fermoral Bone

Osteotomy of the femur is usually indicated in patients with knock-knee deformity or genu valgum. Corrective osteotomy at this level respects the joint line of the knee. In both cases opening or closing varieties are performed according to the specific needs and differences in the anatomy of individual patients.

Plates/screws or other fixation devices can be utilised to hold a new position until the bone heals. Bone may be taken from another part of the body (typically the iliac crest or pelvic area) to graft the sites of opening osteotomies. This can encourage more rapid healing, provide increased stability and preserved bone stock.

Bone can take many months to heal fully and remodel. Patients are usually required to use crutches for several weeks in a generally prolonged recovery. Although invasive with a longer-type rehabilitation, an osteotomy can be extremely hard wearing. It offers patients the opportunity to have significantly fewer limitations with regards the forces that be allowed to place on their knees, when compared to joint replacement-type operations.

It is not uncommon for the fixation devices to require removal once the osteotomy has fully healed.

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