A realignment osteotomy realigns the long bones where they are abnormally bowed or knocked to improve the distribution of forces through the joint.

The procedure has the advantage of improving pain and function of the knee without the surgery actually involving the knee joint itself, as the bone cuts are made either above or below the knee joint. A wedge may be opened up ('opening-wedge') or a wedge may be removed ('closing-wedge').

opening-wedge osteotomy laminar spreaders for opening wedge osteotomy opening wedge osteotomy
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Discussion looking at the alternatives to a joint replacement in active patients whose osteoarthritis tends to be limited.

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From the time of onset of osteoarthritis of the knee to aged 65 - the usual age when a surgeon considers it acceptable to do a knee replacement - there are many interventions that may help to slow the progression of the joint destruction. This eBook gives an overview of these interventions.

knee arthritis interventions