Osteoarthritis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2], Irfan Dotani [3].

Surgery

Surgical interventions in OA cases should be considered when the symptoms have no response to the first line treatments because 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, increased patients status, and actual disease prognosis, 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 an expected functional usage for almost 15 to 20 years.

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

• Hip Arthroscopy
• Hip Osteotomy
• Hip Arthroplasty, or total hip replacement

Knee Osteoarthritis Surgery

• Knee arthroscopy
• Knee osteotomy
• Knee arthroplasty

Acromioclavicular Arthritis Surgery

• AC joint arthroscopy
• AC joint osteotomy
• Resection of the distal clavicle

Shoulder Osteoarthritis Surgery

• Shoulder arthroscopy
• Shoulder osteotomy
• Shoulder arthroplasty, or total joint replacement
• Hemiarthroplasty

SpinalOsteoarthritis Surgery

• Vertebral Fusion
• Laminectomy