Doctor insights on:
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 moreSee 1 more doctor answer
Bowlegs is a condition in which the knees remain wide apart when a person stands with the feet and ankles together. Infants are born bowlegged because of their folded position in the uterus. The infant's bowed legs begin to straighten once the child starts to walk and the legs begin to bear weight (about 12 to 18 months old). Normal appearance is usually attained by the time the child is 3 years old. At this time, a child can usually stand with the ankles together and the knees just touch. If the bowed legs persist into this period, the ...Read more
It is posssible.: I am a pediatrician and I have had a patient who had bilateral osteotomies who was very successful playing football at the high school level. I am unsure if he pursued this in college as well. The orthopedist who does the procedure should have more experience and should be able to give you a more specific answer based on your specific surgery and outcome. ...Read moreSee 1 more doctor answer
Yes: Usually an osteotomy at your age is geared toward straightening out a deformity that is contributing to progressive arthritis on one side of the knee. The most common deformity is a bowed leg, also called genu varum. In 60% of patients at 10 years after the procedure, the knee is still feeling good enough to avoid knee replacement. ...Read more
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
Could Nucynta be prescribed for post op severe pain for Fulkerson osteotomy? If so what dose would be appropriate if comparing to 5-10mg oxycodone?
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 moreSee 1 more doctor answer
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
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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