Doctor insights on:
Could Fulkerson Osteotomy
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 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
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
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
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
Overnight stay: your doctor may want to make sure you have adequate pain control but you should ask why too ...Read more
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
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
When getting a nerve block for Fulkerson osteotomy, can you be put to sleep before the nerve block is given?
Be patient.: takes awhile for bone healing, then PT over the course of time. some pain and swelling to be expected. ...Read more
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?
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
Is a PCA pump indicated after a Fulkerson osteotomy? I will only be in the hospital for about 1 day. Will I be sent home with painmed? If so which one
Pain: It is up to the surgeon which pain meds are best for you talk to your MD ...Read more
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
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
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
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
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
Typically there are also muscles lengthened in the
groin when these procedures are done. ...Read more
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
Maybe never: In the us, we generally do not remove the bone plates unless they are causing problems. ...Read more
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
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
How long is the recovery from osteotomy? How long can I expect the recovery to last after my osteotomy?
Talk to doctor: Talk to your doctor. It depends on the osteotomy. ...Read more