Osteotomies

Abstract

An osteotomy is the division of bone which is carried out for the purpose of axial correction, for shortening, or for lengthening of the bone. We use rigid internal fixation to make absolutely certain that no displacement of the osteotomy fragments takes place, and that no loss of the desired new relationship between the two fragments occurs. Intramedullary nails are used very rarely. Axial compression with the aid of tension band plates, double plates or external compression clamps is used very frequently. The real advantage of rigid internal fixation is two fold. Post-operative plaster fixation is no longer necessary and early mobilization of all joints can be begun. After a few days, most patients can usually begin partial weight bearing.