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

/ar·thro·de·sis/ (-de´sis) the surgical fixation of a joint by a procedure designed to accomplish fusion of the joint surfaces by promoting the proliferation of bone cells; called also artificial ankylosis.

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

surgical fusion of a joint. See ankylosis.

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.

arthrodesis

surgical fusion of a joint.
Enlarge picture
Arthrodesis of the scapulohumeral joint. By permission from Slatter D, Textbook of Small Animal Surgery, Saunders, 2002

pancarpal arthrodesis
fusion of all carpal joints.
References in periodicals archive ?
Our findings are consistent with those in the current literature that report significantly reduced EBL when performing arthrodesis via a minimally invasive approach (20, 22-30).
Some authors prefer arthrodesis to muscle transfer, [11,14,2,3,15] some authors consider that muscle transfers are better than shoulder arthrodesis.
Hallux rigidus: the long-term results of dorsal wedge osteotomy and arthrodesis in adults.
sup][18] Although surgeries such as cemented arthrodesis have been reported,[sup][19] a two-stage revision is the most popular treatment for an infected TEA, with 26 out of 33 (76%) patients who underwent a two-stage revision reported to have successfully recovered from infection.
External fixators generally use for treatment fixed flexion contracture and arthrodesis in hemophilia population.
In 4 cases, final step in two-stage revision was performed with LCCK or RH knee Zimmer NexGen implants; in two cases, due to extensive bone loss and poor soft tissue coverage (in one case destroyed extensor mechanism), after removal of articulating spacers, knee arthrodesis was performed with bridging (across knee) external fixation.
Treatment of primarily ligamentous Lisfranc joint in juries: primary arthrodesis compared with open reduction and internal fixation.
Versatility of Ilizarov technique in difficult cases of ankle arthrodesis and review of literature.
Eight most commonly performed surgical procedures are volar ligament reconstruction, metacarpal osteotomy, CMC arthrodesis, joint replacement, trapeziectomy, trapeziectomy with tendon interposition, trapeziectomy with ligament reconstruction, and trapeziectomy with ligament reconstruction and tendon interposition.