27158 Osteotomy, pelvis, bilateral (eg, congenital malformation)

Name of the Procedure:

Osteotomy, Pelvis, Bilateral (e.g., Congenital Malformation)

Summary

An osteotomy refers to a surgical procedure aimed at correcting or modifying bone deformity by cutting and reshaping the pelvic bones. In bilateral osteotomy of the pelvis, both sides of the pelvic bones are surgically altered to address specific congenital malformations.

Purpose

This procedure is performed to correct congenital malformations of the pelvis, which may cause pain, deformity, or functional limitations in movement. The goal of the surgery is to realign the bones, improve stability and functionality, and reduce discomfort.

Indications

• Congenital pelvic malformations (e.g., hip dysplasia)
• Pelvic deformities leading to mobility issues
• Chronic pain associated with pelvic bone structure
• Improved balance and weight distribution in the pelvis

Preparation

• Patients may be instructed to fast for several hours before the procedure.
• Medication adjustments might be necessary, especially for blood thinners.
• Pre-operative imaging studies, such as X-rays or CT scans, might be required for surgical planning.
• Blood tests and physical examinations are often performed to assess overall health.

Procedure Description

1. Anesthesia: The patient is placed under general anesthesia to ensure they are asleep and pain-free.
2. Incisions: Small incisions are made over the pelvic bones.
3. Cutting/Reshaping: Specialized surgical tools are used to cut the bones at precise locations.
4. Realignment and Fixation: The bones are repositioned and stabilized using screws, plates, or rods to maintain the new alignment.
5. Closure: The incisions are closed with sutures, and dressings are applied.

Duration

The procedure typically takes 2 to 4 hours, depending on the complexity of the deformity and the surgical technique used.

Setting

This surgery is typically performed in a hospital operating room.

Personnel

• Orthopedic surgeon
• Surgical nurses
• Anesthesiologist
• Possibly a surgical assistant

Risks and Complications

• Infection
• Blood loss
• Nerve or blood vessel damage
• Bone healing issues or nonunion
• Post-operative pain or discomfort
• Risk of anesthesia reactions

Benefits

• Correction of pelvic deformity
• Reduced pain and improved motion
• Enhanced stability and functionality
• Better overall quality of life

Recovery

• Initial hospital stay for monitoring and pain management
• Physical therapy might be necessary to regain strength and mobility.
• Activity restrictions for several weeks (e.g., avoiding weight-bearing activities)
• Follow-up appointments to monitor healing progress and ensure proper alignment

Alternatives

• Non-surgical treatments such as physical therapy, pain management, and orthopedic devices (e.g., braces or orthotics)
• Other surgical options, if the specific condition permits

Patient Experience

• During the procedure: Patient will be under general anesthesia and will not feel pain.
• After the procedure: Possible pain managed with medication, limited mobility, and need for assistance. Regular follow-up and rehabilitation exercises are crucial for optimal recovery.