{"id":22909,"date":"2025-07-15T09:44:37","date_gmt":"2025-07-15T09:44:37","guid":{"rendered":"https:\/\/coulinmedical.com\/?p=22909"},"modified":"2026-03-19T10:22:07","modified_gmt":"2026-03-19T10:22:07","slug":"osteotomie-preserver-larticulation","status":"publish","type":"post","link":"https:\/\/coulinmedical.com\/en\/osteotomie-preserver-larticulation\/","title":{"rendered":"Osteotomy : a surgical alternative to preserve the joint"},"content":{"rendered":"

What is an osteotomy ?<\/strong><\/h2>\n\n\n\n

L'osteotomy<\/strong> is a surgical procedure that involves correcting the axis of the lower limb by performing a controlled bone cut, followed by precise realignment. The objective is to rebalance joint pressures<\/strong> to relieve a worn, painful or overloaded area.<\/p>\n\n\n\n

Rather than replacing the joint, osteotomy allows it to be preserved by modifying the way in which stresses are exerted on the cartilage. It is part of a logic of conservative surgery<\/strong>, particularly in young and active patients who wish to delay the installation of a joint prosthesis as long as possible.<\/p>\n\n\n\n

<\/p>\n\n\n\n

When should an osteotomy be considered ?<\/strong><\/h2>\n\n\n\n

L'knee osteotomy<\/strong> is indicated when the joint is still partially preserved, but mechanical misalignment causes accelerated wear of a single compartment (most often internal).<\/p>\n\n\n\n

It is recommended in particular in the following cases :<\/p>\n\n\n\n

    \n
  • Unicompartmental arthritis of the knee in a young patient.<\/li>\n\n\n\n
  • Genu varum (bowed legs) or genu valgum (X-shaped knees) leading to overwork on one side of the joint.<\/li>\n\n\n\n
  • Chronic instabilities or mechanical pain linked to a bad axis.<\/li>\n\n\n\n
  • Need to delay a prosthesis<\/strong>, when the other compartments of the joint remain healthy.<\/li>\n<\/ul>\n\n\n\n

    <\/p>\n\n\n\n

    This surgery is often offered as alternative to a total prosthesis<\/strong> in patients under 60 years of age, wishing to maintain an active lifestyle and preserve their natural joint.<\/p>\n\n\n\n

    <\/p>\n\n\n\n

    What does the intervention consist of ?<\/strong><\/h2>\n\n\n\n

    L'osteotomy<\/strong> consists of making a partial section of the bone (femur or tibia), then opening or closing an angle to restore the ideal axis of the lower limb<\/strong>An anatomical plate and screws allow the correction to be maintained during bone consolidation.<\/p>\n\n\n\n

    Osteotomy is most often performed :<\/p>\n\n\n\n

      \n
    • At the proximal tibia<\/strong> : in cases of genu varum (bow legs).<\/li>\n\n\n\n
    • At the distal femur<\/strong> : in cases of genu valgum (knock knees).<\/li>\n<\/ul>\n\n\n\n

      <\/p>\n\n\n\n

      Each surgical procedure is carefully planned. Dr. Coulin uses state-of-the-art tools.precision imaging<\/strong> and, if necessary, a 3D planning<\/strong> to anticipate correction and obtain optimal alignment, adapted to the patient's anatomy and biomechanics.<\/p>\n\n\n\n

      <\/p>\n\n\n\n

      What are the post-operative consequences ?<\/strong><\/h2>\n\n\n\n

      The aftermath after a knee osteotomy<\/strong> vary depending on the extent of the correction and the type of bone involved. In general:<\/p>\n\n\n\n

        \n
      • Partial weight-bearing is permitted for a few days after surgery.<\/li>\n\n\n\n
      • The transition to full support is done gradually, depending on bone consolidation.<\/li>\n\n\n\n
      • Rehabilitation begins quickly to maintain mobility, prevent stiffness and strengthen muscles.<\/li>\n\n\n\n
      • A resumption of normal activities is possible between 2 and 3 months.<\/li>\n\n\n\n
      • Sports recovery occurs between 4 and 6 months, depending on progress.<\/li>\n<\/ul>\n\n\n\n

        <\/p>\n\n\n\n

        Control X-rays are taken regularly to check bone healing and adjust the recovery rate.<\/p>\n\n\n\n

        <\/p>\n\n\n\n

        What results can you expect ?<\/strong><\/h2>\n\n\n\n

        L'osteotomy<\/strong> offers excellent results in well-selected patients. It allows:<\/p>\n\n\n\n

          \n
        • A significant pain relief<\/strong>.<\/li>\n\n\n\n
        • A slowing down the progression of osteoarthritis<\/strong>.<\/li>\n\n\n\n
        • Improved joint function and walking.<\/li>\n\n\n\n
        • A delay, or even avoidance, of fitting a prosthesis<\/strong>.<\/li>\n<\/ul>\n\n\n\n

          <\/p>\n\n\n\n

          It is important to remember that osteotomy does not cure osteoarthritis, but it does allow sustainably rebalance the joint<\/strong>, giving a second life to a knee that is still partly healthy.<\/p>\n\n\n\n

          <\/p>\n\n\n\n

          Precise, personalized and scalable surgery<\/strong><\/h2>\n\n\n\n

          Dr. Coulin places particular importance on the preoperative planning<\/strong>, to the radiological analysis of the axis and to the rigorous selection of patients. Theosteotomy<\/strong> is a powerful tool in the joint preservation strategy.<\/p>\n\n\n\n

          It can also be combined with other surgical procedures if necessary:<\/p>\n\n\n\n

            \n
          • Cartilage repair,<\/li>\n\n\n\n
          • Meniscus treatment,<\/li>\n\n\n\n
          • Ligament stabilization.<\/li>\n<\/ul>\n\n\n\n

            <\/p>\n\n\n\n

            This comprehensive approach helps optimize results and ensure better joint longevity.<\/p>\n\n\n\n

            <\/p>\n\n\n\n

            Are you young, active and suffering from the beginnings of knee osteoarthritis?<\/strong><\/h2>\n\n\n\n

            Dr. Coulin will see you for a consultation in Geneva to assess the relevance of a osteotomy<\/strong> in your case. The indication is made taking into account your functional objectives, your activity level and your anatomy.<\/p>\n\n\n\n

            L'knee osteotomy<\/strong> represents a modern and conservative solution, which offers patients an effective alternative to preserve their joint and maintain their quality of life.<\/p>\n\n\n\n

            <\/p>","protected":false},"excerpt":{"rendered":"

            Et si l\u2019on pouvait \u00e9viter ou retarder la pose d\u2019une proth\u00e8se gr\u00e2ce \u00e0 une autre chirurgie ?
            \nL\u2019ost\u00e9otomie est une solution sur mesure, qui vise \u00e0 soulager les douleurs articulaires tout en pr\u00e9servant l\u2019articulation naturelle. Une approche souvent m\u00e9connue, mais pleine d\u2019avantages.<\/p>","protected":false},"author":1,"featured_media":23419,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[100,98,97],"tags":[],"class_list":["post-22909","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-chirurgie","category-genou","category-hanche"],"acf":[],"_links":{"self":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22909","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/comments?post=22909"}],"version-history":[{"count":14,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22909\/revisions"}],"predecessor-version":[{"id":24512,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/posts\/22909\/revisions\/24512"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media\/23419"}],"wp:attachment":[{"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/media?parent=22909"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/categories?post=22909"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/coulinmedical.com\/en\/wp-json\/wp\/v2\/tags?post=22909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}