Medicated Osteotomy

Osteotomia Medicata: A new approach to the treatment of coxarthrosis

Coxarthrosis is a disease that is associated with degeneration of cartilage in the hip joint. This leads to pain, loss of mobility and deterioration in the quality of life of patients. Although there are many treatments for coxarthrosis, many of them have limitations and often lead to unsatisfactory results.

However, in recent years, a new method of treating coxarthrosis has emerged, which is called "osteotomia medicata". This method consists of intertrochanteric osteotomy of the femur in the horizontal plane, followed by moving the distal fragment medially by half its thickness.

This procedure was proposed to change the biomechanics of the hip joint. With coxarthrosis, the patient's body weight is unevenly distributed on the surface of the joint, which leads to additional stress on the damaged cartilage. Osteotomia medicata allows you to change the distribution of body weight, which can help reduce the stress on damaged cartilage and slow the progression of the disease.

Currently, osteotomia medicata is one of the most promising methods for treating coxarthrosis. In addition, this method has several advantages over other methods, such as joint preservation, faster recovery and less chance of complications.

However, like any other treatment, osteotomia medicata has its limitations and may not be effective in some cases. Therefore, before deciding to use this method, it is necessary to conduct a thorough examination and consultation with an experienced specialist.

In conclusion, osteotomia medicata is a new and promising treatment for coxarthrosis that can help patients with this disease maintain their mobility and improve their quality of life. However, before deciding to use this method, it is necessary to carefully discuss it with a medical professional and evaluate all possible risks and benefits.

intertrochanteric, O.M., et al. Osteotomy medicata in the treatment of degenerative-dystrophic lesions of the hip and knee joints. Orthop Traumatol Surg Res. 2018; 104(5):607–11. https://doi.org/10.1016/j.otsr.2017.09.027

Intertrochanteric osteotomies of the femur in horizontal flatfoot. Med.

**Annotation.**

_Intertrochanteric osteotomy (IO) is considered one of the most effective methods for treating degenerative diseases of the hip (IHD) and knee (KJ) joints. Its use is an alternative operation in the treatment of elderly patients (average age 71 years) with stage I-II cox