|

The word Osteotomy literally means "cutting of the bone."

In a knee osteotomy, either the tibia (shinbone) or femur (thighbone) is cut and then reshaped to relieve pressure on the knee joint.
It is performed when a patient has early-stage osteoarthritis that has damaged just one side of the knee joint. By shifting weight off of the damaged side of the joint, an osteotomy can relieve pain and significantly improve function in an arthritic knee.

For certain patients, a well-done osteotomy might forever eliminate the need for a knee replacement. For patients that are looking for a more natural solution, or a solution that might delay the need for an implant, Fine Osteotomy™ may be a solution.

You should consult with your orthopaedic surgeon for more information. As is the case with all surgeries, an osteotomy incurs certain risks. Possible complications, as well as your suitability as a candidate for this procedure, should be discussed with your orthopaedic surgeon.

The Success of an Osteotomy Depends on:

  • High-quality imaging
  • Precise preoperative analysis
  • Patient-specific planning
  • Safe surgical technique
  • Biology of osteotomy healing
  • Well-positioned plate

Fine Osteotomy™ was developed based on these previous points and based on published literature specific to the principles of orthopaedic correction1.

Fine Osteotomy™ is a global approach in which each step is part of the intervention's success and none of them can be neglected or carried out randomly or in a compromised manner.

Fine Osteotomy™ is synonymous with our highly accurate Bodycad copyrighted software. We use the latest technology, including a 3D printed patient-specific surgical guide adapted to you as determined by your treating physician. It also includes a plate that is perfectly adapted to your situation and the osteotomy, that matches the angular correction chosen by your treating surgeon.

Fine Osteotomy™ incorporates a unique safety technology to control the depth of the cut, protecting the posterior structures with a unique, calibrated drilling system.

With Fine Osteotomy™, nothing is standardized

Bodycad Personalized Restoration Software is based on published literature specific to the principles of orthopaedic correction. Our proprietary software is the heart of our process, enabling orthopaedic surgeons to achieve a personalized restoration based on your precise anatomical specifications.

In collaboration with the Bodycad team, the software puts your treating surgeon in complete control of your surgical plan.

  • Control the depth of the cut to protect the hinge axis and posterior neurovascular structures
  • Control the opening in order to respect the patient's native tibial slope
  • Achieve planned angular correction with no compromise thanks to the personalized design of the plate which mimics the desired opening / closing
  • Design a plate adapted to the needs of the patient while incorporating your surgeon' surgical preferences
  • Plan the position and length of the screws preoperatively to ensure an accurate and controlled reconstruction

The Bodycad Software allows the Surgeon to:

  • Simulate a multitude of osteotomy scenarios before the operation

  • Have access to a multitude of correction angles as well as preoperative and postoperative measures for each osteotomy simulation

  • Plan an osteotomy taking into consideration anterior cruciate ligament reconstruction, in terms of cut and the design of the plate

  • Plan the orientation of the cut to increase or decrease your tibial slope if desired

Personalized Plate

With Fine Osteotomy™ you will have a completely personalized plate that adapts to your anatomy instead of a standardized product that needs to be bent and formed to you.

The plate is designed with our software and then manufactured in our factory.

A personalized plate will ensure that the planned correction is not compromised:

  • Plate contours patient's bone anatomy
  • Shape of the plate is customizable
  • Wedge as planned for optimal correction -> Size | Angulation | Position
  • Wedge sits only on the cortical bone

1 Published Literature:

  • Paley D. (2005). Principles of Deformity Correction (3rd printing ). New York, NY: Springer.
  • Agneskirchner Jens D., Lobenhoffer P., Wrann D. C. (2008). In: Osteotomies around the Knee: Indications-Planning-Surgical Techniques using Plate Fixators. Lobenhoffer P., van Heerwaarden R. J, Staubli A. E., Jakob R.P. (Chapter 11). Davos, Switzerland: AO Publishing.
  • Amendola A., Parker D. A ., Trivett A .J. (2006). Techniques des ostéotomies tibiales. In : La gonarthrose: Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris, France: Springer Verlag.
  • Christel P. (2006). Principes, concepts et résultats des différents types d'ostéotomies. In : La gonarthrose. Approche pratique en orthopédie-traumatologie. Bonnin M. and Chambat P. Paris, France: Springer Verlag.
  • Clatworthy M. (2006). L'arthrose du genou sur laxité. In : La gonarthrose. Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris: Springer Verlag.
  • Di Matteo, B., Tarabella, V., Filardo, G., Vigano, A., Tomba, P., Maracacci, M. (2013). John Rhea Barton: The Birth of Osteotomy. Knee Surgery, Sports Traumatology, Arthroscopy, 21 (9), 1957-1962.
  • Cartier J-L, Revue de chirurgie Orthopédique et traumatologique volume 103, Issu 7, supplement, November 2017, (pp. 586-587).
  • Puddu G., Franco V., Cipolla M., Cerullo G., Gianni E. (2006). Ostéotomies Fémorale d'Ouverture dans le Genou Valgum. In : La gonarthrose. Traitement chirurgical: de l'arthroscopie à la prothèse. Bonnin M. and Chambat P. Paris: Springer Verlag.