Lɛ wi lan ɔltin bɔt bon ɔpreshɔn (Osteotomy) insay wan simpul we!

Sɔntɛnde yu kin wɔnda if di pen we yu kin fil na sɔm pat dɛn na yu bɔdi, mɔ yu ni, hip, ɔ spayna, na bikɔs yu bon nɔ de alaynɛd ​​fayn ɔ yu brok? Yu dɔktɔ go dɔn tɛl yu bɔt wan ɔpreshɔn we dɛn kɔl ɔsteotomy. I kin mek yu fred smɔl fɔ yɛri bɔt dis. Bɔt we yu no di ditel dɛn, da fred de kin ridyus bad bad wan. So, tide, wi tink se wi go tɔk bɔt dis ɔpreshɔn jɔs?

Fɔ tɔk am simpul wan, wetin na dis (Osteotomy)?

Okay, fɔ tɔk am simpul wan, ɔsteotomy na ɔpreshɔn. I min se dɛn kin kɔt bon, sɔntɛnde dɛn kin ad nyu bon, dɔn dɛn kin shep di bon bak ɔ muv am bak usay i de. Tink bɔt am lɛk se kapɛnta de kɔt wud, shep am bak, ɛn gi am nyu shep, bɔt dɛn kin du dis pan di bon dɛn na wi bɔdi.

Yu dɔktɔ kin du ɔsteotomy pan ɛni bon na yu bɔdi. Fɔ ɛgzampul, na yu jaw, yu ɛlb, yu spayna, yu sholda, yu hip, yu ni, yu leg, yu fut, ɔ yu fut. Bɔku tɛm dɛn kin yuz am fɔ trit prɔblɛm dɛn na yu jɔyn dɛn – usay tu bon dɛn kin mit. Bɔku difrɛn kayn ɔsteotomy ɛn tɛknik dɛn de. Bɔku tɛm, dɛn kin gi dɛn nem to di dɔktɔ we mek di ɔpreshɔn ɔ di we aw dɛn kin kɔt di bon ɛn shep am bak.

Wetin mek dɛn kin du dis (Osteotomy) ɔpreshɔn?

Naw yu go de wɔnda, ‘Wetin mek yu fɔ kɔt di bon dɛn lɛk dis?’ Bɔku rizin dɛn de.

• Kɔrɛkt di angul, di bow, ɔ di rɔtin we di bon dɛn gɛt: Sɔntɛnde di bon dɛn kin kɔmɔt na dɛn ples smɔl. Dis ɔpreshɔn de ɛp fɔ kɔrɛkt dat. Tink bɔt am, sɔm pipul dɛn leg kin shep lɛk di lɛta O (bɔlɛg) ɔ lɛk di lɛta X (knock-knees). Dɛn kin yuz dis fɔ fiks tin dɛn lɛk dat.
• Kɔrɛkt wan jɔyn we nɔ fayn ɔ we nɔ alaynɛd: Sɔm jɔyn dɛn kin bɔn wit smɔl smɔl tin dɛn we nɔ fayn, ɔ dɛn kin pwɛl bikɔs ɔf sɔm prɔblɛm leta na layf.
• Shot ɔ lɔng bon dɛn: Yu nɔ tink se i wɔndaful? Yɛs, sɔm tɛm dɛn kin yuz dis we bak fɔ chenj di lɔng we di bon dɛn lɔng.
• Ripa di jɔyn we dɔn pwɛl: If wan jɔyn dɔn pwɛl bikɔs ɔf aksidɛnt ɔ ɔda rizin.
• Chenj di say we di jɔyn we gɛt wet: Imajin se di katilej we de na wan say na yu ni dɔn west. Na da tɛm de yu kin fil pen. Dis ɔpreshɔn kin chenj di we aw dɛn kin kɛr di wet ɛn ridayrɛkt am to di sayd wit wɛlbɔdi katilej. Dat go mek di pen nɔ bɔku.
• Ridyus di pen we ɔstiɔ-arayt kin kam wit: Dis na fayn sɔlv fɔ ridyus di pen we dis sik we de pwɛl di jɔyn dɛn kin kam wit, mɔ na di ni ɛn hip.
• Postpone joint replacement surgery for young, active people: Fɔ sɔm yɔŋ pipul dɛn, ɔsteotomy kin mek dɛn ebul fɔ yuz dɛn joyn fɔ lɔng tɛm pas fɔ mek dɛn riples dɛn joyn wantɛm wantɛm we di joyn dɔn west.
• Kɔrɛkt ɔda patikyula bon prɔblɛm dɛn.

Wetin a fɔ du bifo dɛn du mi ɔpreshɔn?

Bifo yu du ɔsteotomy, yu ɔpreshɔn dɔktɔ go ɔda fɔ du bɔku tɛst fɔ chɛk yu jenɛral wɛlbɔdi. Bɔku tɛm, dɛn tin ya na:

• Blɔd tɛst: Dɛn tin ya de chɛk di lɛvɛl we difrɛn tin dɛn we de insay yu blɔd de ɛn aw di ɔgan dɛn we de insay yu de wok.
• Yurin tɛst: Dɛn tin ya kin ɛp fɔ no yu jenɛral wɛlbɔdi ɛn fɔ no ɛni kɔndishɔn we kin ambɔg di bon dɛn we de wɛl, lɛk infɛkshɔn ɔ dayabitis.
• ECG (Electrocardiogram) test: I de chɛk aw ilɛktrik de wok na yu at.
• Chɛst X-ray: Fɔ mek shɔ se yu lɔng dɛn de wok fayn bifo dɛn du yu ɔpreshɔn.
• X-ray ɔ CT skan: Dɛn kin yuz dɛn tin ya fɔ plan di ɔpreshɔn bay we dɛn de luk yu bon/jɔyn dɛn klia wan. Di dɔktɔ we de du di ɔpreshɔn nid fɔ no di rayt sayz, lɔng, wayd, ɛn angul fɔ di bon we dɛn fɔ pul. Sɔntɛnde, dɛn kin yuz kɔmpyuta fɔ mek wan 3D mɔdel fɔ plan di ɔpreshɔn.

Wetin kin apin we dɛn de du Osteotomy ɔpreshɔn?

Fɔs, dɛn go gi yu anestezi. Dɛn kin du dis difrɛn we dɛn:

• Rijinal anestezi na di numbing fɔ di say nɔmɔ we dɛn go du di ɔpreshɔn.
• Spinal anestezi we dɛn kin yuz.
• Put yu komplit to slip (jɛnɛral anestezi).
• Dɛn kin yuz lokal anestezi fɔ mek di say nɔmɔ we dɛn go du di ɔpreshɔn nɔ gɛt bɛtɛ trɛnk.

Di dɔktɔ go pik di we we go fayn fɔ yu.

Neks, di ɔspitul tim kin klin di say we de rawnd di ɔpreshɔn wit wan antibacterial solution. Dɔn, dɛn kin kɔba di say wit klos fɔ ɔpreshɔn.

Di dɔktɔ we de du di ɔpreshɔn kin kɔt yu skin. Dɛn kin yuz gayd waya fɔ mak di say we dɛn fɔ pul di bon (bɔku tɛm i kin tan lɛk wed, bɔt dis kin difrɛn difrɛn wan bay di ɔpreshɔn). Dɛn kin yuz spɛshal ɔspitul saw fɔ pul dis say we dɛn dɔn mak na di bon.

Afta dɛn dɔn pul di bon we sik ɔ we dɔn pwɛl, dɛn kin lɔk di gap bay we dɛn jɔyn di ɔda pat dɛn na di bon na di tu say dɛn. Dipen pan di kayn ɔsteotomy we yu dɔn du, dɛn kin put bon graft na di say we dɛn pul di bon. Dɔn, dɛn kin yuz pin, skru, step, plet, ɔ stik fɔ ol di bon na in ples te i wɛl. Sɔm pan dɛn mɛtal dɛn ya kin de fɔ shɔt tɛm, ɛn ɔda wan dɛn kin de fɔ ɔltɛm.

Wetin na di men kayn ɔpreshɔn we dɛn kin du fɔ pul di ɔstiɔtɔm?

Osteotomy ɔpreshɔn kin trit bɔku difrɛn prɔblɛm dɛn we kin apin to pɔsin we gɛt bon ɛn jɔyn. Lɛ wi luk sɔm pan di men kayn dɛn.

Jaw osteotomy we dɛn kin du

dis involv fכ alayne di bon dεm na yu lכw jaw (mandibul) כ כp jaw (maksila) wit di rεst כf yu ed εn/כ tit dεm. Dis kin kɔrɛkt prɔblɛm dɛn lɛk we pɔsin de bit am opin, i nɔ izi fɔ it ɔ swɛla, we yu tit west pasmak, we yu chin de go bak, we yu it pasmak, ɔ we yu nɔ bayt. Yu kin nid bak fɔ gɛt bres bifo ɔ afta di ɔpreshɔn fɔ mek yu tit dɛn alaynɛd ​​wit yu jaw.

• Dɛn kɔl ɔpreshɔn we dɛn kin du pan di ɔnda jaw mandibular osteotomy .
• di ɔpreshɔn we dɛn kin du pan di ɔpa jaw dɛn kin kɔl am bak maksila ɔstiɔtɔmi .
• sכm spεshal prosidכs dεm de, fכ egzampl, LeFort osteotomy na כpεrayshכn fכ rεpair wan frakshכn na di midul fכ di fes usay di כp jaw mit di jawbone. sagittal split osteotomy na wan kayn jaw opareshכn fכ muv di lכw jaw fכ bεtε alayne wit di tit dεm.

Chin osteotomy we dɛn kin du

Dɛn kin du dis ɔpreshɔn fɔ chenj di shep we di chin gɛt. Dɛn kin du am fɔ mek di chin lɔng if i tu smɔl, ɔ fɔ mek wan smɔl chin shɔt. Dis kin mek di chin go bifo ɔ go na difrɛn say. Sɔntɛnde dis kin bɛtɛ pas fɔ put chin insay. We dɛn de du dis ɔpreshɔn, dɛn kin kɔt yu jawbon ɛn muf am. Di dɔktɔ we de du di ɔpreshɔn kin kɔt insay di mɔt. Yu kin lɔs filin na yu lip fɔ sɔm mɔnt.

Ɛlbo ɔstiɔtɔmi

If prɔblɛm wit di ɛlbo jɔyn de mek prɔblɛm wit di pozishɔn we yu lɔwa an de, lɛk if di an de hang tumɔs nia di bɔdi (cubitus varus) ɔ tu fa frɔm di bɔdi (cubitus valgus), dɛn kin du dis ɔpreshɔn fɔ kɔrɛkt dɛn kayn prɔblɛm dɛn de. Difrɛn kayn ɔsteotomy de dipen pan di prɔblɛm.

Spinal osteotomy we dɛn kin du

Dɛn kin du dis ɔpreshɔn fɔ kɔrɛkt di kɔba dɛn na di spayna. di nεchכral kכv dεm na wi spayna de εp fכ kip di bכdi in sεntrכm fכ graviti oba di bכdi. if di kכv na wan כ mכr pat dεm na di spayna inkrεs כ dכn, di spayna nכ de strεt. Dis kin mek pɔsin fil pen, taya, ɛn prɛshɔ pan di pat dɛn we de insay di bɔdi. Di gol fɔ dis ɔpreshɔn na fɔ mek di spayna balans bak, fɔ mek di pen nɔ bɔku, ɛn fɔ mek di sik nɔ kam bak ɔ i nɔ go wɔs.

• fכ egzampl, insay wan kכndyushכn lεk Ankylosing Spondylitis , di spayna kin bכn fכ tεm fכ go bifo εn di chin kin tכch di chεst. Dɛn kin tink bɔt dis ɔpreshɔn fɔ kɔrɛkt dɛn kayn angul prɔblɛm dɛn de.
• Bɔku men kayn dɛn de:
• di posita kכlכm כsteotomy: dis de mek wan lordosis na di lכw bכk εn wan kyphosis na di כp bak. Ponte osteotomy na spεshal tεknik we dεn kin yuz fכ kכrekt kayfosis.
• (Smit-Pitasin ɔstiɔtɔmi): .Dis na spɛshal we aw dɛn kin yuz fɔ kɔrɛkt di sik we dɛn kɔl lordosis. Dɛn kin pul wan pat pan di bon na di bak pat pan di spayna fɔ mek di spayna go bak.
• di pedicle subtraction osteotomy: dis de mek wan strכng inward kכv (lordosis) na di lכw bכk.
• (Bone-disk-bone osteotomy): dis involv fכ mek wan bon oba εn dכn di disk bitwin di vεrbra dεm. We dɛn de du di ɔpreshɔn, dɛn kin pul di disk ɛn di ɛndplet dɛn we de nia am.
• (Vεrbral kכlכm rεsεkshכn): insay dis, dεn kin pul wan כ mכr vεrbral dεm kכmplit wan. Dis kin mek di kɔrɛkshɔn we impɔtant pas ɔl. Bikɔs dɛn kin pul bɔku bɔku bon, di dɔktɔ kin ful-ɔp dis say wit bon graft ɔ mɛtal kech.

Hip osteotomy we dɛn kin du

dis involv fכ shep yu asetabulum כ fεmur ed bak. Dis na di bol-ɛn-sɔkɛt hip jɔyn na yu hip. Di dɔktɔ we de du di ɔpreshɔn kin kɔt, shep, ɔ pul sɔm pat pan di bon fɔ mek di say dɛn we de na di jɔyn we gɛt wet, alaynɛd ​​bak.

• Men kayn dɛn:
• Periacetabular osteotomy: dεn kin du dis fכ kכrekt di hip dysplasia, we na wan kכndyushכn we di hip sכkεt nכ de kכba di bכl fכ di thigh bon kכmplit wan. We dɛn de du di ɔpreshɔn, dɛn kin kɔt wan pat pan di hip bon, put am bak, ɛn tay am wit skru.
• di fimoral osteotomy: dis involv fכ kכt εn shep di כp pat pan di tכŋ bon (femur) fכ εp fכ mek di hip wok bak.

Di ɔsteotomy fɔ di ni

כsteotomy involv fכ kכt εn shep wan pan di tu bon dεm we dεn fכnshכn כnda di kכp – di tibia כ di fεmur. Bɔku tɛm dɛn kin du dis fɔ mek dɛn ebul fɔ mek di tin dɛn we dɔn pwɛl bikɔs ɔf at at sik. Dis ɔpreshɔn de mek di ni jɔyn bak, i de chenj di wet ɛn prɛshɔn frɔm di say we dɔn pwɛl na di ni to di say we gɛt wɛlbɔdi. Dɛn kin du di ɔstiɔtomi fɔ di ni na di fɔs tɛm we di ɔstiɔ-arayt de, we di damej de na wan say nɔmɔ na di ni.

• di say we di osteotomy de dipכnt pan di say we di damej de. fכ egzampl, we dεn de du di hכy tibial osteotomy , if di kכtilaj dεm we dεn dכn pwεl de insay di kכn, dεn kin pul wan bon we shep lεk we dεn kכmכt frכm di כdasay na di kכn, כ dεn kin opin di bon we tan lεk wed na di insay pat pan di kכn. Dis kin mek di leg stret ɛn mek di at nɔr de wɔs.
• Sɔm kayn ni (Osteotomy):
• tibial osteotomy: dis de mek di bowlegged alignment we de put pasmak prεshכn pan di insay pat pan di kכn.
• High tibial osteotomy: Dɛn kin yuz dis fɔ rialayn di knee joint pan pipul dɛm we gɛt knee arthritis. Dis ɔpreshɔn kin mek dɛn nɔ nid ɔ delay fɔ mek dɛn chenj sɔm pat ɔ ɔl di ni.
• (Fulkerson ɔstiɔtɔmi): .Dis na spɛshal we fɔ du tin. wan pat pan wan spεsifi k εria na di tibia (tibial tubercle) dεn kin pul am. dis de chenj di posishכn usay di kכp tεndon de atak di tibia, we de ridyus di prεshכn pan di kכp εn i de mek i nכ kכl.

Big tɔ ɛn fut ɔsteotomi

Hallux osteotomy na wan tin we dɛn kin du we dɛn kin pul wan bon na di big fut ɛn stret am. Calcaneus osteotomy na we dεn de shep di fut bak fכ kכrekt flat fut כ fut wit ay arch pas nכmal.

• Bɔku patikyula (Osteotomy) we dɛn fɔ trit prɔblɛm wit fut:
• Chevron εn Akin osteotomies: dεn כpεrayshכn dεm ya de kכrekt mild to mכdarεt difכmiti dεm na di big tכ we di bunions (hallux valgus) kכz.
• (Dwyer osteotomy): Dis de shep di fut bak fɔ ridyus wan abnɔmal ay arch.
• (Weil osteotomy): Dis kin kɔrɛkt di klo fut ɛn pen ɔnda di bɔl na yu fut.
• (Cotton osteotomy): Dis kin ɛp fɔ mek wan arch na di fut.

Wetin na di prɔblɛm dɛn we kin apin we dɛn du dis ɔpreshɔn?

Lɛk ɛni ɔpreshɔn, we dɛn pul di ɔstiɔt kin gɛt sɔm prɔblɛm dɛn. Bɔt nɔ wɔri, dɔktɔ dɛn kin du dɛn bɛst fɔ mek dɛn nɔ gɛt bɔku prɔblɛm dɛn. Di men tin dɛn we kin mek pɔsin gɛt prɔblɛm na:

• Prɔblɛm dɛn we de wit anestezi.
• Sik we de prɛd.
• Blɔd we de klɔt.
• Nav ɔ at injury.
• I fayn fɔ mek bon dɛn nɔ sɛt fayn ɔ nɔ wɛl fayn we dɛn wɛl.
• Joint inflameshn ɛn stiffness.
• Pen we kin de fɔ lɔng tɛm.
• Fɔmeshɔn fɔ di ska tisu.

I rili impɔtant fɔ tɔk to yu dɔktɔ bɔt dɛn prɔblɛm ya ɛn aks ɔl di kwɛstyɔn dɛn we yu gɛt.

Aw lɔng i go tek fɔ mek i wɛl? Wetin a fɔ du?

Di tɛm fɔ wɛl kin difrɛn frɔm wan pɔsin to ɔda pɔsin. I dipen pan bɔku tin dɛn, lɛk di kayn ɔsteotomy we yu bin gɛt, di we aw dɛn du di ɔpreshɔn, di kayn we aw yu bon dɛn dɔn pwɛl ɛn aw i bad, yu trɛnk, ɛn aw yu rɛdi fɔ wɛl.

I kin tek tɛm fɔ mek bon wɛl. Pen go de na di say we dɛn du di ɔpreshɔn, ɛn pen go de te di wund wɛl.

• Yu go nid fɔ wɛr kas, splint, ɔ kruk. Dɛn tin ya go ɛp fɔ mek di bon dɛn ɛn di jɔyn dɛn nɔ muv, i go mek di bon we dɛn de ɔpreshɔn nɔ gɛt bɛtɛ wet, ɛn mek di bon dɛn wɛl fayn fayn wan. Bɔku tɛm, dɛn tin ya go las frɔm sɔm wiks to lɛk tu mɔnt so.
• Ivin if yu de insay kast ɔ splint, yu go nid fɔ gɛt fizik tritmɛnt insay sɔm dez afta dɛn dɔn du di ɔpreshɔn.Fyzikal tritmɛnt de mek yu jɔyn dɛn gɛt mɔ trɛnk ɛn ebul fɔ muv.
• If dɛn bin du ɔpreshɔn pan yu ni ɔ hip, yu go nid fɔ yuz stik fɔ sɔm mɔnt. Yu go nid fɔ kɔntinyu fɔ gɛt fizik tritmɛnt fɔ mek yu gɛt trɛnk ɛn balans bak.
• If yu dɔn du ɔpreshɔn pan yu jaw (jaw osteotomy), dɛn go waya yu jaw ɛn yu go de pan likwid it fɔ lɛk siks wiks. If dɛn dɔn du ɔpreshɔn pan yu big fut, yu nɔ go ebul fɔ wɛr sus ɔ drayv fɔ lɛk tu to siks wiks so.

Aw yu go ɛp di we aw pɔsin de wɛl?

Yusɛf kin ɛp insay dis tɛm we pɔsin kin wɛl.

• Nɔ smok: Nikotin de mek di bɔdi slo ɛn i kin ambɔg bak di bon dɛn we de wɛl fayn fayn wan. So, nɔ smok kpatakpata .
• It gud it we gɛt wɛlbɔdi: It fayn it, lɛk di it we dɛn kin it na Mɛditarenian, wit bɔku vɛjitebul ɛn frut.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we.
• Mek yu gɛt wɛlbɔdi wet.

Us rizulyt wi kin ɛkspɛkt?

Di rizulyt we yu go gɛt go dipen pan tin dɛn lɛk yu jenɛral wɛlbɔdi, aw yu bon prɔblɛm siriɔs, di patikyula ɔpreshɔn we yu bin gɛt, ɛn di skil we yu ɔpreshɔn dɔktɔ gɛt. Yu dɔktɔ go tɔk to yu bɔt di ɔpreshɔn we yu go du ɛn wetin fɔ ɛkspɛkt afta di ɔpreshɔn. Nɔ ɛva shem fɔ aks yu dɔktɔ kwɛstyɔn ɔ sheb ɛnitin we de mɔna yu ɔr de fred.

Bɔku difrɛn kayn ɔstiɔtɔmi ɛn ɔda ɔpreshɔn dɛn de fɔ mek di bon ɛn jɔyn dɛn alaynɛd ​​bak ɛn shep bak. Yu dɔktɔ go tɔk to yu bɔt yu patikyula bon ɔ jɔyn prɔblɛm ɛn di tin dɛn we yu go ebul fɔ du. Dipen pan di kayn we aw yu bon prɔblɛm de, dɛn kin fɔs trit yu wit tritmɛnt dɛn we nɔ gɛt ɔpreshɔn (kɔnsɔvativ tritmɛnt). Dɛn tin ya kin bi fɔ rɛst, ays, mɛrɛsin dɛn we de mek pɔsin nɔ gɛt inflammatory ɛn pen, ɛn injɛkshɔn we dɛn kin gi kɔtikosterɔyd. If dɛn tritmɛnt ya nɔr de kɔntrol yu jɔyn prɔblɛm, ɔr if yu gɛt wan sik wae nɔr kin trit, mɛmba se yu ɔtpidik dɔktɔ de fɔ ɛp yu. Dɛn gɛt ɔpreshɔn fɔ mek yu ebul fɔ muv fayn fayn wan ɛn fɔ mek yu nɔ fil pen ɛn nɔ fil fayn.

Di tin dɛn we impɔtant pas ɔl we wi fɔ mɛmba na dis atikul

So, na nɔmal tin fɔ fil smɔl frayd we yu de tink bɔt ɔsteotomy. Bɔt dis na impɔtant mɛrɛsin we go mek yu layf bɛtɛ, mek yu nɔ fil pen, ɛn gi yu bon ɛn jɔyn dɛn nyu layf.

• Mek yu no gud gud wan: Tɔk to yu dɔktɔ bɔt yu sik, di ɔpreshɔn we yu go du, di gud ɛn bad tin dɛn we i gɛt, ɛn di tɛm we yu go wɛl.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn: I rili impɔtant fɔ mek pɔsin wɛl kwik kwik wan fɔ fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan, bifo ɛn afta di ɔpreshɔn.
• Peshɛnt: I kin tek tɛm fɔ mek di bon dɛn wɛl. Insay da tɛm de, du tin lɛk fɔ trit yu bɔdi fayn fayn wan ɛn kɔntinyu fɔ gɛt trɛnk.
• Nɔ smok: Dis na sɔntin we yu fɔ du fɔ tru.

If yu gɛt ɛni ɔda kwɛstyɔn bɔt dis, nɔ fred fɔ aks yu dɔktɔ. Dɛn de de fɔ ɛp yu.

` Osteotomy, bon ɔpreshɔn, bon ɔpreshɔn, jɔyn ɔpreshɔn, ɔpreshɔn, bon difɔmiti, jɔyn pen