The shoulder osteotomy surgery procedure that cuts and reshapes bones
can be performed to fix problems
in many different bones and for damaged joints.  Osteotomy involves cutting of the bone and
hence this is ideal to shorten or lengthen a deformed bone that does not align with
a joint as required.  Osteotomy these
days is not just performed on old people as many young, healthy people are
opting for osteotomy as a way to postpone total shoulder replacement for many
years. Eligible
candidates for shoulder osteotomy need to have uneven joint damage, or a
deformity that is correctable and also there should not be any signs of
inflammation. Earlier
osteotomy was done for older children with dislocated shoulders.

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In osteoarthritis of the shoulder, the osteotomy procedure can help to
remove a portion of bone near the joint that is affected by arthritis to shift
the weight away from the deteriorated cartilage to a more normal or healthy cartilage. The
effect of osteotomy on the glenohumeral joint is that it can increase the
posterior dislocation of the humeral head as this is where the head of the
humerus is located. When the pain arising in the glenohumeral joint in
osteoarthritis or rheumatoid arthritis is much prolonged and affecting sleep
then a double osteotomy may help relieve it.

Osteotomy has found to provide a feasible treatment option for patients
with brachial plexus birth palsy who may have advanced glenohumeral dysplasia
that prevents soft-tissue releases and tendon transfers. In this case a de-rotational
humeral osteotomy improves shoulder function. Even shoulder internal rotation
deformity can be successfully treated by an osteotomy surgery. Such deformity
should be secondary to malunion of fracture and for stabilization of anterior
like in the Hill-Sachs defect. In other types of dislocation an external
rotation osteotomy may be used as a stabilization technique. In the case of coracoid
impingement syndrome which is a rare cause of anterior shoulder pain, coracoid
osteotomy has been found to be favorable. Coracoid osteotomy with internal
fixation can allow good stability with a reliable direct bone-to-bone healing.

The journey towards osteotomy surgery begins with a detailed assessment
to discover if the damage to your shoulder is treatable using this technique. In
the recent years the imaging of the skeleton has become highly accurate and because
of that osteotomy surgery can be planned accurately to within a fraction of a millimeter.
Computer assisted surgery that has been planned using accurate CT scans helps
the surgeon to operate according to the individual need of each patient. The
advances in surgical instruments ensure that the accurate measurements obtained
in the planning stage are translated into accurate bone fixation using much
improved metal plates and pins. Osteotomy surgery itself may take from 1-2
hours depending on the complexity and you can expect to stay in hospital for
2-3 days afterwards. An osteotomy is basically a surgically induced fracture.
Like other fractures, they can take about 6 weeks to heal. The discomfort will
get better after the first two weeks following surgery.

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