Name of the Procedure:

Osteotomy; Radius and Ulna
Common name(s): Forearm Osteotomy

Summary

An Osteotomy of the radius and ulna involves surgically cutting and realigning one or both of the forearm bones to correct deformities, restore function, or relieve pain.

Purpose

This procedure addresses deformities, fractures, or diseases affecting the forearm bones that hinder arm function. The goal is to improve alignment, restore normal function, and alleviate pain.

Indications

• Congenital or acquired deformities of the radius and/or ulna
• Malunion or nonunion of forearm fractures
• Arthritis affecting the wrist or forearm
• Abnormal growth patterns due to injury or disease

Preparation

• Pre-procedure fasting if under general anesthesia
• Adjustment of medications, especially blood thinners
• Preoperative imaging studies like X-rays or CT scans
• Blood tests to ensure overall health

Procedure Description

1. The patient is placed under general anesthesia.
2. An incision is made over the affected area of the forearm.
3. The surgeon carefully cuts the radius and/or ulna.
4. The bones are realigned to the correct position.
5. Plates, screws, or pins may be used to stabilize the bones.
6. The incision is closed with sutures or staples.
7. A cast or splint is applied to immobilize the arm during healing.

Duration

The procedure typically takes 1 to 2 hours, depending on complexity.

Setting

Performed in a hospital operating room or specialized surgical center.

Personnel

• Orthopedic surgeon
• Anesthesiologist
• Surgical nurse
• Radiology technician (if intraoperative imaging is needed)

Risks and Complications

• Infection at the surgical site
• Bleeding or blood clots
• Nerve or blood vessel damage
• Nonunion or delayed healing of the bones
• Stiffness or reduced range of motion
• Need for additional surgery

Benefits

• Improved alignment of the forearm bones
• Enhanced functional ability and range of motion
• Pain relief
• Correction of deformities

Recovery

• Initial rest and immobilization of the arm
• Pain management with prescribed medications
• Gradual return to normal activities as directed
• Physical therapy may be recommended
• Follow-up appointments to monitor healing
• Expected recovery time is several weeks to a few months

Alternatives

• Non-surgical management with braces or splints
• Physical therapy and exercises
• Medications for pain and inflammation
• Arthroscopy, if primarily joint issues are present

Patient Experience

• The patient will be under anesthesia, so no pain is felt during the procedure.
• Post-procedure discomfort managed with pain medication.
• Temporary restricted use of the affected arm.
• Possible physical therapy to regain strength and flexibility.