Osteotomy and Paget's disease

Osteotomy ("bone cutting") is a procedure in which a surgeon removes a wedge of bone near a damaged joint. This shifts weight from an area where there is deformed or damaged bone to an area where there is more or healthier bone. In Paget's disease, bone tissue breakdown and rebuilding frequently occurs in the long bones—such as legs—often resulting in a bowlegged appearance. However, this procedure is not commonly used for these bones.

Osteotomy may be effective for hip and knee joints. An osteotomy is often done to correct bow legsClick here to see an illustration. (varus) and knock-knee (valgus) deformities of the knees. Hip osteotomy involves removing bone from the upper thigh bone (femurClick here to see an illustration.). Osteotomy may allow an active person to postpone a total joint replacement for a few years and usually is reserved for younger people.

After an osteotomy, you may need to undergo physiotherapy. It may take up to one year for the joint to fully adjust to its corrected position.



Author: Shannon Erstad, MBA/MPH
Maureen Shea
Last Updated: November 8, 2007
Medical Review: Caroline S. Rhoads, MD - Internal Medicine
Matthew I. Kim, MD - Endocrinology & Metabolism
Anne C. Poinier, MD - Internal Medicine

© 1995-2008 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.
This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. How this information was developed to help you make better health decisions.

Click here to learn about Healthwise
Click here to learn about Healthwise