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Doctor insights on: Could Fulkerson Osteotomy

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Could fulkerson osteotomy help correct bow legs?

Could fulkerson osteotomy help correct bow legs?

No.: A fulkerson osteotomy involves elevating the patella tendon attachment to the tibia (shin bone) to decrease the force beteeen the femur (thigh bone) and patella. A high tibia osteotomy (or proximal tibia osteotomy) is carried out to re-align bow legs secondary to medial (inner) knee arthritis and decrease medial knee pain. They are 2 different operations. ...Read more

Osteotomy (Definition)

Osteotomy involves the surgical cutting of a bone, followed by realignment in a way to change the alignment of the bone. This can be done for fractures healed in a crooked manner, bone and joint development abnormalities, and to relieve pressure and pain in arthritic joints. The osteotomy site is usually fixed with some type of hardware to hold the site ...Read more


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What's fulkerson osteotomy?

What's fulkerson osteotomy?

Kneecap realignment.: It is a kneecap realignment procedure, usually recommended for individuals who have had recurrent kneecap instability and pain. ...Read more

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Can you explain the fulkerson osteotomy surgery?

Can you explain the  fulkerson osteotomy surgery?

Kneecap realignment.: It is a cut into the bony prominence on the front of your shinbone, where the patella/patellar tendon complex insert. It is then moved and fixed back into the shin bone, in a position where your kneecap will not dislocate or cause pain any longer. ...Read more

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How will my dr determine if I am a candidate for a Fulkerson osteotomy after a failed lateral release?

See your orthopedisi: You need to see an orthopedic specialist who
deals with these problems
You need to review your history, a good physical
exam and mri review
Only then can one determine if you need that procedure ...Read more

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How much pain can I expect after a Fulkerson osteotomy? Which pain medication is most commonly prescribed? When will the nerve block be done?

How much pain can I expect after a Fulkerson osteotomy? Which pain medication is most commonly prescribed? When will the nerve block be done?

Varies: The pain varies some from person to person and surgeon to surgeon. But by definition, an osteotimy does involve a cut in the bone and so the pain is somewhat similar to a fracture. A block can help and is usually given immediately preoperatively. Typical pain medications used are oral narcotics such as hydrocodone or oxycodone. ...Read more

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Outpatient vs inpatient fulkerson osteotomy, what is the difference?

None: The procedure for performing a fulkerson osteotomy is the same whether it is done in an outpatient or inpatient setting. Being a relatively bigger procedure, pain control is probably the main limiting factor of whether successful outpatient management can be safely performed. ...Read more

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Why am I staying overnight in the hospital after my Fulkerson osteotomy?

Why am I staying overnight in the hospital after my Fulkerson osteotomy?

Overnight stay: your doctor may want to make sure you have adequate pain control but you should ask why too ...Read more

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What's the difference between lateral release surgery and a fulkerson osteotomy?

What's the difference between lateral release surgery and a fulkerson osteotomy?

Osteotomy: A fulkerson ostetomy involves cutting the tibial tuberosity, which in the site of attachment of the patellar tendon on the tibia (shin bone). The location of the tuberosity is then adjusted. It is typically performed for arthritis, and patellar instability. A lateral release is a procedure where the soft tissue to the outside of the knee cap is cut. Lr is not typically performed very often. ...Read more

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How long after Fulkerson osteotomy can I have the screws removed? They are becoming painful when I kneel.

How long after Fulkerson osteotomy can I have the screws removed? They are becoming painful when I kneel.

6-12 months after: This is an excellent question I get asked on a semi-routine basis from my patients. In my practice, we confirm with x-rays that the osteotomy healed. If the x-rays show healing, I prefer to leave the screws in for 12 months after surgery prior to removing them. However, I have removed the screws at 6 months after surgery if there is a compelling reason to do so, such as severe kneeling pain. ...Read more

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When getting a nerve block for Fulkerson osteotomy, can you be put to sleep before the nerve block is given?

When getting a nerve block for Fulkerson osteotomy, can you be put to sleep before the nerve block is given?

Discretion of doctor: It is at the discretion of the performing doctor. Anxiety can be abated with preprocedure versed. I personally would like to have my patient awake if I was going to use an ultrasound and nerve stimulator. ...Read more

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Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Reconstructive knee surgery (fulkerson osteotomy), what to expect?

Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more

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Could Nucynta (tapentadol) be prescribed for post op severe pain for Fulkerson osteotomy? If so what dose would be appropriate if comparing to 5-10mg oxycodone?

Could Nucynta (tapentadol) be prescribed for post op severe pain for Fulkerson osteotomy? If so what dose would be appropriate if comparing to 5-10mg oxycodone?

Yes: All narcotic medications bind the same receptor with different affinity making some more efficacious at lower doses. The Oxycodone should be fine and and you shouldn't need it for very long. Get off of it as soon as you can. Why do you want to use Nucynta (tapentadol) instead? ...Read more

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Can a Fulkerson osteotomy help malalignment as well as patellofemoral pain after a failed lateral release?

Yes: Depends on your unique situation. Follow up with your orthopod who did the lateral release. Fulkerson is a great procedure in the appropriate patient. ...Read more

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Fulkerson Osteotomy/Lateral Release/Medial Reefing on Thursday (5/28) - now having hip & thigh pain ... Is this normal?

Fulkerson Osteotomy/Lateral Release/Medial Reefing on Thursday (5/28) - now having hip & thigh pain ... Is this normal?

UsuallyPostop pain i: If there any surgical procedure there's usually paint on it usually starts improving after a few days of is getting worse or any questions you should call your surgeon they should be able to give you information about how long it takes to heal and what kind of paIny usually have ...Read more

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I'm having a Fulkerson osteotomy January 8th, I know no nail polish on my hands, but can I have it on my toes? If no, why not?

I'm having a Fulkerson osteotomy January 8th, I know no nail polish on my hands, but can I have it on my toes? If no, why not?

Ok on the toes: Make-up and nail polish hinder the surgeon’s ability to monitor your well being during surgery. Since you cannot communicate with the surgeon on how you are feeling, the surgeon will monitor the signs from your body to let them know.

Fingernail Polish – When you’re in surgery, you will have a probe placed on the end of your finger to read the oxygen level ...Read more

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How long does a Fulkerson osteotomy take? Including femoral block, knee arthroscopy? How much longer would it take if add mfpl? How long willIbeunder?

How long does a Fulkerson osteotomy take? Including femoral block, knee arthroscopy? How much longer would it take if add mfpl? How long willIbeunder?

Varies: Varies quite a bit based upon surgeon speed, your size, complexity of the case, etc., usually between one and two hours. ...Read more

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I have a joplin's neuroma could this be linked to a scarf/akin osteotomy i had 2 years ago?

I have a joplin's neuroma could this be linked to a scarf/akin osteotomy i had 2 years ago?

What's Joplin's ---: Neuroma? Never heard of this one.
Maybe someone could educate me.
Maybe our podiatrist/foot ; ankle colleagues could help you. ...Read more

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Had genioplasty (osteotomy) 25 days ago but a little kid knocked my chin today, could it have moved?

Had genioplasty (osteotomy) 25 days ago but a little kid knocked my chin today, could it have moved?

It really depends: on how hard you were hit. If very sore & does not feel as before & still sore after a couple days see your surgeon for eval as well as peace of mind. ...Read more

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What's an osteotomy?

What's an osteotomy?

Controlled fracture: It is surgically cutting bone to change alignment. This "controlled fracture" is then usually fixed with a plate and/or screws. ...Read more

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What is an osteotomy?

Surgical bone cut.: It is a surgical cutting of bone, that needs to be realigned or repositioned, to obtain the desired outcome in surgery. ...Read more

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What is a tibial osteotomy?

Bone realignment.: It is a bony realignment procedure, used to unload the arthritic portion of your knee. It is a salvage procedure, to buy one time, before a knee replacement is needed. ...Read more

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What is involved in a femoral derotation osteotomy?

See below: The surgery involves cutting the thighbone (femur)
and re-positioning the ball of the femur in the hip
socket. Sometimes the socket itself must also be
worked on in order to have it contain the ball better.

the cut femur is held
together in its new position by a metal plate. The
plate(s) is completely inside the body. These plates
are very strong and because they are used, a cast is
rarely necessary.
Typically there are also muscles lengthened in the
groin when these procedures are done. ...Read more

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What is the recovery time for an open wedge tibial osteotomy?

Healing by 6-8 weeks: Newer osteotomy techniques and implants may allow for earlier weight bearing (in a locked hinged brace) than the historical standard of 6 weeks on crutches. Many are done as true outpatient surgery. Rehabilitation 2x weekly for 3 months is expected. Unlimited (nonimpact aerobic activity) usually OK by 3 months. Discuss your specific rehabilitation with your surgeon. ...Read more

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How soon after le fort osteotomy will the plates be removed?

Maybe never: In the us, we generally do not remove the bone plates unless they are causing problems. ...Read more

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How long after osteotomy before i can return to work? How much time off work will I have to take after my osteotomy? .

Depends on type.: If you have an office job, you may return in about 2 weeks, although you will probably still be on crutches. If you have a physical labor job, it could be 3-4 months. ...Read more

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Had ORIF on 2nd mtp to revise failed osteotomy/hardware removal.Have Kwire and am NWB.2 wk. appt. next week.Chance of being FWB after appt.?Thanks!

Depends: It is probably going to be based upon whether the bone is healed at this point. To walk on an unheralded osteotimy with k wire fixation would run the risk of bending or breaking the k wire. ...Read more

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What is the definition or description of: osteotomy?

Bone realignment: Osteotomy involves the surgical cutting of a bone, followed by realignment in a way to change the alignment of the bone. This can be done for fractures healed in a crooked manner, bone and joint development abnormalities, and to relieve pressure and pain in arthritic joints. The osteotomy site is usually fixed with some type of hardware to hold the site together while it heals. ...Read more