The history, evolution and basic science of osteotomy techniques
John Dabis1, Oliver Templeton-Ward2, Alice E Lacey3
1St. Georges University Hospital, Blackshaw Road, Tooting, London, SW17 0QT, UK. johndabis1@gmail.com.
Strategies in Trauma and Limb Reconstruction
|October 8, 2017
Summary
This review examines historical and current osteotomy techniques for bone lengthening, focusing on methods that promote predictable new bone formation and optimal healing. Understanding these techniques is crucial for successful surgical outcomes in bone regeneration.
Area of Science:
- Orthopedic Surgery
- Bone Regeneration
- Surgical Techniques
Background:
- Osteotomy, a surgical bone division, has ancient origins dating back to Hippocrates.
- Optimal bone regeneration and predictable healing are key challenges in limb lengthening procedures.
- Current debate exists regarding the most effective osteotomy methods for bone lengthening.
Purpose of the Study:
- To review the historical evolution of osteotomy techniques.
- To analyze various surgical methods for bone division in lengthening procedures.
- To evaluate the evidence supporting different techniques for bone formation and osteotomy healing.
Main Methods:
- Historical literature review of osteotomy practices.
- Analysis of surgical techniques including drill and osteotome, Gigli saw, and power saw variants.
- Examination of studies comparing bone formation and healing outcomes across different methods.
Main Results:
- Different osteotomy techniques, including drill/osteotome, Gigli saw, and power saw, are presented.
- The study considers the impact of these techniques on bone formation during lengthening.
- Evidence regarding the effectiveness of each method for new bone generation is discussed.
Conclusions:
- The choice of osteotomy technique significantly influences bone regeneration and healing in lengthening procedures.
- Further research may clarify which specific methods offer the most predictable outcomes for bone formation.
- Understanding the historical context and technical variations is essential for advancing osteotomy practices.
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