Surgery for Arthritis
Arthrodesis – This is
the joining together or fusion of joint bones. Arthrodesis
helps stop the progression of the disease at the point of
fusion, ending the pain. Loss of the joint’s flexibility can
result. However, the area will be better able to handle weight
and give general movement. -flexible any longer, but there
will be some lesser-degree of flexibility overall without
pain.
Arthroplasty – This is the replacement or
rebuilding of an entire joint. And it is intended for those
with high-level pain and movement impairment.
Arthroscopy – Growing more popular with the
improved use of technology, this procedure is when specialized
instruments are inserted into the joint by means of tiny
incisions. During this surgery, the operating physician has
helping staff members who aid the computerized monitoring and
some handling of the instruments. The doctor can see the joint
on closed-circuit television and make repairs to it, while
talking through a microphone. Then not only are there physical
results, but the patient has a video with audio record of the
entire occurrence for insurance and other records. Arthroscopy
is often performed on an outpatient basis. And recovery time is
generally much less than with other “open” surgery.
Osteotomy - This is a medical procedure
that makes an actual cut in the bone, most generally to correct
youth deformities like in the knee or hip. Osteotomy helps with
re-alignment, stabilization, pain relief and the delaying of
joint replacement alternatives for up to 10 years.This
procedure can slow further joint deterioration.
Synovectomy – This procedure, generally
done via arthroscopy, involves the removal of diseased joint
tissue lining or synovium. Results can include swelling
decrease, pain relief, improved but not completely healed joint
health.
Joint replacement is
the process of removing one’s entire joint as well as any
damaged tissue and replacing it with a metal prosthesis. This
prosthesis provides the patient with much need relief from
pain. This surgery is most effective on the weight
bearing joints such as the knees, hips, and ankles, however, it
has been used for all joints with successful results.
Hip replacement surgery consists of
removing the entire hip joint and replacing it with artificial
components. These components function in the same manner as the
natural hip, with the same type of motion.Once the joint, and
all damaged tissue is removed, a metal cup is adhered to the
pelvic bone. Then, a metal stem is inserted into the femur;
leaving a portion exposed at the end for several inches. The
doctors place a ball on the end of the exposed portion of the
metal rod, and all of the exposed parts are lined with another
antifriction material. The hip is reassembled, placing the ball
joint into the socket and the incision is then closed.
Fusion Arthrodesis, or
bone fusion, is another optional procedure where the bones are
fused together in order to prevent them from moving
independently. This can be done two ways:
1. Bone Grafting is the method of
stimulating fusion between two bones by placing a small piece
of bone, from another region of the body, in between. This
small piece of bone encourages growth for the surrounding
bones, thus fusing them in place.
2. Implantation of a metal or ceramic
piece, which is adhered to each of the two bones, using either
screws or a special glue, thus preventing movement of the
bones. Fusion is a common procedure and is used in conjunction
with joint replacement surgery, which is more extreme of a
procedure then bone fusion alone.
Arthritis
surgery, is it right for you?
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