arthrodesis


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arthrodesis

 [ahr″thro-de´sis]
artificial ankylosis; surgical fusion of a joint.

ar·throd·e·sis

(ar-throd'ĕ-sis, ar-thrō-dē'sis),
The stiffening of a joint by operative means.
[arthro- + G. desis, a binding together]

arthrodesis

(är-thrŏd′ĭ-sĭs, är′thrə-dē′sĭs)
n. pl. arthrode·ses (-sēz)
The surgical fixation of a joint to promote bone fusion, used to treat intractable pain.

arthrodesis

The creation of a bony union across a joint, which can be either spontaneous or surgical.

Sites of surgical arthrodesis, best joints
Ankle, knee, shoulder, hip.
 
Indications
Differ according to the joint: ankle arthrodesis is performed for osteoarthritis, rheumatoid arthritis and post-traumatic arthritis; arthrodesis of the knee is usually performed as a last resort for infections (such as TB or neuropathic joint secondary to diabetes or syphilis), given the compromise in mobility that it causes.

Technique
Joints are denuded of cartilage, then shaped to conform to each other at the optimal angle; bone grafting is often used, as is some form of fixation, either internal (screws, rods, plates) or external (e.g., with a cast or external fixator).

arthrodesis

Joint fusion Orthopedics The creation of a bony union across a joint, which can be spontaneous or surgical; best arthrodesis joints: ankle, knee, shoulder, hip Indications Differ according to the joint; ankle arthrodesis is performed for osteoarthritis, rheumatoid arthritis, and posttraumatic arthritis; arthrodesis of the knee is usually performed as a last resort, given the compromise in mobility that it causes–eg sitting on airplanes or in movies, for infections–eg, TB or neuropathic joint 2º to DM or syphilis. See Chamley arthrodesis.

ar·thro·de·sis

(ahr-thrō'dē-sis)
The stiffening of a joint by operative means.
Synonym(s): artificial ankylosis, syndesis.
[arthro- + G. desis, a binding together]

arthrodesis

The fusion of the bones on either side of a joint so that no joint movement is possible. This may occur spontaneously, as a result of disease processes, or may be a deliberate surgical act done to relieve pain and improve function.
References in periodicals archive ?
Similar to acute repair, reconstructive and arthrodesis techniques have shown good outcomes in the setting of a chronic lesion.
Although good results have been reported in the literature from arthrodesis, which is applied as the preferred choice in patients with a high functional demand, kinematic studies have shown arthrodesis to cause a shortening in step length and loss of ankle plantar flexion in the toe-off phase (14).
In this article, we have presented a case of gunshot injury that underwent elbow arthrodesis and tissue coverage by the way of reconstruction with biceps brachii muscle flap.
Arthrodesis as a treatment for metacarpophalangeal joint luxation in 2 raptors.
As a preventive measure for decreasing plate-related complications, we first adopted the locking compression plate (LCP) metaphyseal plate for RA wrist arthrodesis instead of an AO wrist fusion plate in 2012.
All patients in the DNOAP group were diagnosed with severe nonplantigrade Charcot foot deformity and had undergone surgical corrective osteotomy with reconstructive arthrodesis between November 2002 and November 2014 (6 right feet and 7 left feet).
Two patients were dissatisfied with the TAR; one patient required a conversion to an arthrodesis for septic loosening and the other dissatisfied patient had persistent pain, but had good function and perfect radiological images.
In the knee, a patient with adequate bone stock and reasonable soft tissue cover, knee arthrodesis can be attempted.
The secondary reconstruction procedures to improve the function and stability include shoulder arthrodesis, rotational osteotomy of the humerus and tendon-muscular transfers or a combination of these techniques.
Total surgical removal of the hemangioma was achieved via an anterolateral approach that permitted the corpectomy of L1 and arthrodesis of Th12-L2 vertebrae by iliac graft and plaque (Figures 7(a) and 7(b)).