Strategies in Trauma and Limb Reconstruction

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VOLUME 12 , ISSUE 3 ( November, 2017 ) > List of Articles


The history, evolution and basic science of osteotomy techniques

John Dabis, Oliver Templeton-Ward, Alice E. Lacey, Badri Narayan, Alex Trompeter

Keywords : Osteotomy, Bone regenerate, Drill and osteotome, Gigli saw, Distraction osteogenesis, Ilizarov

Citation Information : Dabis J, Templeton-Ward O, Lacey AE, Narayan B, Trompeter A. The history, evolution and basic science of osteotomy techniques. 2017; 12 (3):169-180.

DOI: 10.1007/s11751-017-0296-4

License: CC BY-NC-SA 4.0

Published Online: 30-11-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Osteotomy techniques date back to Hippocrates circa 415 BC (Jones Hippocrates collected works I, Harvard University Press, Cambridge, 2006; Brorson in Clin Orthop Relat Res 467(7):1907–1914, 2009). There is debate about the best way to divide the bone surgically and which technique yields the best bone regenerate in lengthening; ensuring predictable new bone formation and healing of the osteotomy are the primary goals. We review the history and techniques of the osteotomy and consider the evidence for optimum bone formation. Methods discussed include variants of the ‘drill and osteotome’ technique, use of the Gigli saw and use of a power saw. Differences in bone formation through the different techniques are covered.

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