Osteotomy Corrective Intertrochanteric

Corrective Intertrochanteric Osteotomy: Procedure for Correction of Deformities

In the field of orthopedic surgery, there are many methods and procedures aimed at restoring the functions of the musculoskeletal system. One such procedure is corrective intertrochanteric osteotomy, or intertrochanterica osteotomy. This is a surgical intervention that is used to correct hip deformities and restore its anatomical axis.

Corrective intertrochanteric osteotomy is the removal and subsequent reconstruction of bones in the trochanter and femur area. The procedure is performed to correct abnormalities in the axial position of the hip, such as varus or valgus deformity. Varus deformity is characterized by an inward tilt of the hip, while valgus deformity is characterized by an outward tilt of the hip.

Corrective intertrochanteric osteotomy is performed by creating an incision on the lateral side of the trochanter. The surgeon then realigns the bones to change the axis of the hip and achieve the desired position. Special metal plates or screws may be used to hold the bones in their new position. After the procedure, the patient is prescribed a rehabilitation program, including physical therapy and exercises to restore the function of the lower extremities.

Corrective intertrochanteric osteotomy has several advantages. First, it allows you to change the position of the hip, improving its functionality and reducing pain. Second, the procedure can be an effective alternative to total joint replacement, especially in cases where preserving your own joint is the preferred option. In addition, corrective intertrochanteric osteotomy usually has a shorter recovery period and lower risk of complications compared to total joint replacement.

However, like any surgical procedure, corrective intertrochanteric osteotomy is not without some risks. Complications such as infection, bleeding, thrombosis, or bone nonunion may occur. Therefore, before the procedure is performed, a thorough examination and evaluation of the patient is necessary to determine his suitability for this operation.

In conclusion, corrective intertrochanteric osteotomy is an effective method for correcting hip deformities and restoring its functionality. It allows you to change the axial position of the hip, improving the patient's quality of life. However, before carrying out the procedure, it is necessary to conduct a thorough examination and consider all possible risks and benefits for each individual patient. Discuss with your orthopedic surgeon the possibility of corrective intertrochanteric osteotomy and the applicability of this procedure in your case.

Osteotomy is an operation to separate the affected bone - fusion using a pin or dynamically changing it to give the desired growth vector. With a concomitant operation of partial amputation of the bone fragment itself, ridding the patient of the pathological focus is called primary corrective osteotomy. While maintaining integrity, the fragment of the area preserved during radical osteotomy should be clearly stronger than the reconstructed part of the skeletal organ. **Correction is a correction according to the mechanism of action**; surgery for an underdeveloped cortical layer as opposed to callus always leads to the destruction of the fibrovascular matrix and adjacent metaphysis. Thus, **the procedure has two goals**: - increasing the distance from the upper border of the trochanter of the femur to the inner edge of the greater trochanter of the pelvic bone; - return or approach of the greater trochanter of the femur to the center of the pelvis.

As a result, **reconstruction** helps to **normalize the displacement of the center** of the gravity of the pelvis and, consequently, maintain the intergluteal line in a position convenient for the patient.