Osteoarthritis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Surgery

Surgical interventions in OA cases should be considered when the symptoms have no response to the first line treatments because the osteoarthritis symptoms can be successfully managed through non-surgical care. For some, however, if they are experiencing severe joint damage, extreme pain, or very restricted mobility, surgery may be a viable option, in this regard. The main indication criteria for surgery in OA is pain and disabilities despite the medical treatments. The most common and effective surgical intervention are: arthroscopic surgery, osteotomy, and arthroplasty (total joint replacement). Considering the potential benefits of surgery like: pain relief, improved movement, and increased patients status and actually diseases prognosis; but it should be remembered that any surgical interventions have risks. Meanwhile, overweight patients or patients with co-morbidities have higher risk of operation. The current joint prostheses have a expected functional usage for almost 15 to 20 years.

Shoulder Arthritis Syrgery

  • AC joint arthroscopy to remove loose pieces of damaged cartilage
  • AC joint osteotomy to shave off osteophytes and reduce friction between bones
  • Resection of the distal clavicle, 

Ankle Osteoarthritis Surgery

  • Ankle debridement.
  • Ankle arthrodiastasis 
  • Ankle arthrodesis (tibiotalar arthrodesis or ankle fusion)

Hand Osteoarthritis Surgery

  • Joint fusion fuses two bones together. The goal of this surgery is to eliminate the source of the pain, but the joint will no longer move.
  • Finger and wrist joint replacement

Hip Osteoarthritis Surgery

  • Arthroscopy
  • Osteotomy
  • Arthroplasty, or total hip replacement

References

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