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Topic: Arthrodesis

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	Arthrodesis - joint fusion
		Carpus or wrist joint arthrodesis of the fore limb is easily performed, has minimal complications, heals the quickest, and results in the most normal function of the limb than arthrodesis of any other joint.
		Tarsus or ankle joint arthrodesis of the hind limb is more difficult to perform, can result in slower than normal healing, has a higher incidence of plates or screws breaking, and functionally is not ideal, but is better than amputation.
		Shoulder arthrodesis results in satisfactory function of the limb, but these dogs frequently have a swinging type of gait.
	www.vetsurgerycentral.com /arthrodesis.htm (0 words)

	Arthrodesis (Fusion), Instrumentation and Bone Grafts
		Indications for decompression with arthrodesis include unstable spondylolisthesis, neural arch defects (as in spondylolysis), restoration of disc space height using interbody fusion to increase neuroforaminal volume, and surgically-induced instability from resection of facet joints or other stabilizing structures.
		Arthrodesis in the cervical spine always accompanies anterior discectomy procedures because of stability issues.
		The goal of arthrodesis for painful disc degeneration is to eliminate motion across the painful disc thereby eradicating the pain generator.
	www.spineuniverse.com /displayarticle.php/article2536.html (1362 words)

	A Guide To First MPJ Arthrodesis For Active Patients
		Arthrodesis is recommended for athletes diagnosed with stage IV hallux rigidus and severe osteoarthritis.
		Although the literature specifically related to the first MPJ arthrodesis in athletes is limited, academic circles are actively discussing the topic and this should spur additional research and outcome-based studies.
		Arthrodesis of the midfoot and forefoot joints, In Foot and Ankle Disorders, pp 972-983, edited by MS Myerson, Saunders, 2000.
	www.podiatrytoday.com /article/4902 (5318 words)

	eMedicine - Wrist Arthrodesis : Article by John J Walsh IV, MD
		The goal of arthrodesis for painful arthritis is to prevent motion by obtaining bony consolidation of worn joint surfaces and thereby remove the pain generated in the joint.
		Arthrodesis of the wrist joint is indicated in degenerative joint disease and instability associated with restricted and painful range of motion.
		An STT arthrodesis stabilizes the carpus and unloads the central column of the wrist.
	www.emedicine.com /orthoped/topic367.htm (5050 words)

	Research and Publications
		Two methods of arthrodesis were used: 1) in the presence of minimal deformity, in-situ arthrodesis was performed with no attempt at realignment (eight patients), or 2) in the presence of forefoot deformity, realignment in both the sagittal and transverse planes was attempted before arthrodesis (twenty-four patients).
		It was our impression, however, that arthrodesis, as determined by the absence of warmth and swelling and by the presence of radiographic signs of trabeculation, occurred at eight weeks in sixteen patients, by ten weeks in ten patients, and by twelve weeks in five patients.
		The additional arthrodesis procedures were performed to the first metatarsocuneiform joint (#5) and to the fourth and fifth metatarsocuboid joints (#6) due to painful arthrosis not previously diagnosed in both patients.
	footandankle.mdmercy.com /research_pubs/pressItem56.html (4964 words)

	Research and Publications
		Arthrodesis of the ankle joint was first described in 1879,14 and since then, many techniques have been described for this procedure.1-3,5-7,10-17,19-21,24,26,27,29-31 The rate of pseudoarthrosis after ankle arthrodesis has been reported to range from 0 to 40%.4,24
		The onset of arthrodesis was determined by a combination of radiographic evidence and clinical impressions, including the absence of pain, warmth, and focal swelling.
		Campbell, C.J., Rinehart, W.T., and Kalenak, A. Arthrodesis of the ankle.
	footandankle.mdmercy.com /research_pubs/pressItem62.html (2723 words)

	[No title] (Site not responding. Last check: )
		Arthrodesis is an elective surgical procedure to eliminate motion in a joint by providing a bony fusion.
		The angle of arthrodesis must approximate the normal anatomical position; however, this may differ from animal to animal as a result of other underlying disease of the limb or of the contralateral "normal" limb.
		Intra-articular arthrodesis is done when fusing peripheral joints after debriding the joint cartilage, grafting, and stabilizing, Extra-articular arthrodesis is performed on the spine when short or long segments of spine are bridged with bone to provide stability to entire segments of the spine.
	cal.vet.upenn.edu /saortho/chapter_45/45mast.htm (1787 words)

	Knee Fusion for Failed Replacement
		The purpose of this chapter is to discuss the indications and techniques for arthrodesis after a failed total knee, including some of the difficulties and pitfalls as well as alternatives to fusion.
		Other factors have to be considered when choosing between revision arthroplasty or arthrodesis: the patient's age, medical status, activity level, the basic disease process and the condition of other joints, particularly the hips and contralateral knee.
		Arthrodesis of the knee for irretrievably failed total knee replacement may very well become a more frequently performed procedure as the number of patients with total knee replacements, the length of follow-up, and the number of revisions increase.
	www.aboutjoints.com /physicianinfo/topics/fusionknee/kneefusion.htm (2683 words)

	Research and Publications
		A tibiotalar arthrodesis was then performed on each leg, using an open technique for one leg of a pair and a miniarthrotomy technique for the contralateral leg.
		Of the five ankles that underwent miniarthrotomy arthrodesis, none evidenced damage to clinically relevant vessels secondary to the surgical procedure.
		Arthrodesis remains the treatment of choice for the relief of pain and instability in patients with tibiotalar arthritis refractory to other, conservative treatment modalities.1 Over the past decade, arthroscopic ankle fusion has provided successful arthrodesis in a selected group of patients, i.e.
	www.mdmercy.com /footandankle/research_pubs/pressItem33.html (2167 words)

	[No title] (Site not responding. Last check: )
		Arthrodesis of the elbow is necessitated by severe degenerative arthritis secondary to primary fracture of the elbow, ununited anconeal process, ununited coronoid processes, osteochondritis dissecans, or traumatic recurrent luxation.
		Surgical exposure for elbow arthrodesis is accomplished best by means of olecranon osteotomy to expose the caudal surface of the distal humerus.(1,5,6) Further muscular dissection allows for a complete visualization of the joint surfaces and the proximal caudal ulna.
		Usually one is introduced from the medial side of the base of metacarpal II and angled proximally and laterally into the distal radius; the second pin begins lateral to metacarpal bone V and angles proximally and medially through the carpus, ending in the medial side of the radius (Fig.
	cal.vet.upenn.edu /saortho/chapter_46/46mast.htm (2195 words)

	Gait changes offset stability, pain relief of triple arthrodesis
		Triple arthrodesis is indicated for multiple lower extremity pathologies related to neurological, vascular, musculoskeletal, and biomechanical etiologies.
		Triple arthrodesis is intended to reduce or eliminate the motion of the talonavicular, calcaneocuboid, and subtalar joints.
		In a study involving simulated arthrodesis of cadaveric feet, Gellman et al measured a 60.5% reduction of rearfoot inversion and eversion, and approximately a 50% reduction of supination and pronation of the whole foot postoperatively.
	www.biomech.com /showArticle.jhtml?articleID=163106220 (2669 words)

	PodiatryNetwork.com - Ankle Fusion/Arthrodesis
		Arthrodesis procedures are the removal of cartilage and any diseased bone from a joint to produce a fusion of at least two bones to create one bone.
		In an ankle arthrodesis, typically the tibial position is fused to the talus.
		After most ankle arthrodesis procedures, your surgeon will have you non-weightbearing (no weight on your foot) typically for a period of 6-12 weeks, but this can be extended longer if there is any delay in healing of the arthrodesis site.
	www.podiatrynetwork.com /document_disorders.cfm?id=253 (871 words)

	Severe Lisfrancs Injuries: Primary Arthrodesis or ORIF?
		Anatomical reduction was achieved in eight of the 12 patients in the arthrodesis groups and in 12 of the 16 patients in the ORIF group.
		Subsequent revision surgery was necessary in two cases in the arthrodesis groups and two cases in the ORIF group.
		Open reduction and internal fixation with screws or partial arthrodesis is the treatment of choice in severe tarsometatarsal fracture dislocations.
	www.datatrace.com /medical/faiintlweb/2310_02.htm (278 words)

	Triple Arthrodesis in Adults with Non-Paralytic Disease - ACFAS
		This study and article examine the long-term results of triple arthrodesis performed as a treatment for a degenerative disease not related to a neurological disorder which is more typical of the current patient population.
		One patient underwent a midfoot arthrodesis of the naviculocuneiform and tarsometatarsal joints.
		At the conclusion of the study, it appears that the majority of patients were satisfied with the result of the triple arthrodesis and had reasonable foot and ankle function as assessed with the questionnaire and objective examination. Radiographic evidence of degenerative disease and pain reports appeared mixed and inconsistent and correlations could not be drawn.
	www.acfas.org /pubresearch/sam/February2005/sam-triplearthro.htm (850 words)

	Tarsal Coalitions and Arthrodesis
		Two commonly performed procedures will be described: the subtalar and triple arthrodesis.
		Triple arthrodesis is an arthrodesis involving both the subtalar and midtarsal joints.
		It is indicated for a considerable number of foot deformities and disorders.
	podiatry.curtin.edu.au /encyclopedia/rearfoot_surgery/TarsCoalitions.html (465 words)

	Podiatry Online
		Seventy-three percent of all non-unions in a triple arthrodesis are attributed to this joint.
		Arthritis of the ankle and midfoot joints is another complication of triple arthrodesis, with 50 to 80 percent of patients reporting mild symptoms at the ankle joint (AJ).
		Double arthrodesis is indicated when the principal deformity is at the talonavicular and calcaneocuboid joints (5, 6).
	www.podiatryonline.com /main.cfm?pg=how_to&fn=rffusion (1147 words)

	Idiopathic scoliosis: surgical options \| Orthopaedic Surgery - Children's Hospital of Philadelphia
		Arthrodesis is the surgical fusion (welding) of the bones of a joint.
		The spinal fusion is accomplished by inserting small fragments of bone graft (see Figure 5), sometimes with a cage implant, into the empty disc space.
		Figure 3: In anterior instrumentation and arthrodesis, the surgeon approaches the front of the spine from the side, either through the chest, flank or both.
	www.chop.edu /consumer/jsp/division/generic.jsp?id=77107 (1275 words)

	Ankle arthrodesis after failure of a total ankle prosthesis. Eight cases (Site not responding. Last check: )
		Is reported outcome in eight cases of ankle arthrodesis after failure of a total ankle prosthesis.
		Arthrodesis was associated with an iliac graft for seven patients: several tricortical grafts (vertical alignment of the corticals) and cancelous grafts for filling.
		The arthrodesis provided improvement in all patients although the final outcome was still considered poor in three patients.
	big.chez.com /orthopedix/text/ankle_arthrodesis.html (475 words)

	AAOS On-Line Service - 2005 Annual Meeting Podium Presentations Subtalar Arthrodesis for Talocalcaneal Coalition in ... (Site not responding. Last check: )
		Subtalar arthrodesis was successful in pediatric patients with talocalcaneal coalition who had degenerative arthritis, previous failed resection, or large coalitions.
		Isolated subtalar arthrodesis has been suggested as an alternative to triple arthrodesis for talocalcaneal coalitions, but there is little published concerning the results.
		Subtalar arthrodesis was successful in selected pediatric patients with talocalcaneal coalition who had degenerative arthritis, previous failed resection, or large coalitions.
	www.aaos.org /wordhtml/anmt2005/sciprog/177.htm (302 words)

	AAOS Online Bulletin (Site not responding. Last check: )
		Confusion in selecting arthrodesis codes results from the use of CPT terms ‘interspace’ and ‘vertebral segment.’ Both terms are used in the arthrodesis section (22XXX series).
		as “Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than for decompression), single interspace; lumbar,” which is normally done just in the lumbar spine area because the spinal cord is in the way in other locations.
		However, code 22612 describes “Arthrodesis, posterior or posterolateral technique, single level; lumbar” and code 22614 states for “each additional vertebral segment.” This seems to be giving conflicting information as to how to appropriately code for multiple level arthrodesis.
	www.aaos.org /wordhtml/bulletin/aug04/code.htm (1484 words)

	iknowledgenow.com (Site not responding. Last check: )
		Arthrodesis is often required to avoid chronic joint instability and debilitating osteoarthritis.
		Circular external skeletal fixation (CESF) is an effective mode of fixation for arthrodesis that may facilitate the management of these cases by requiring only a limited surgical approach, allowing multiplanar placement of fixation elements, and eliminating long term implant complications.
		Pastern arthrodesis is commonly performed for advanced OA of the proximal interphalangeal (pastern) joint (high ringbone), or as a treatment for either middle phalanx eminence fractures, or more highly comminuted fractures of the middle phalanx.
	www.iknowledgenow.com /search.cfm?keywordlist=Arthrodesis (6596 words)

	Subtalar arthrodesis with internal compression for post-traumatic arthritis Journal of Bone and Joint Surgery - Find ...
		We conclude that isolated subtalar arthrodesis with internal compression was effective treatment for posttraumatic subtalar arthritis.
		1-4 Triple arthrodesis has been judged to be the standard treatment by some surgeons,5,6 but because of the complications which may occur, less extensive options such as subtalar arthrodesis have been considered.
		In the few published reports of subtalar arthrodesis in adults, the operation was considered successful in 44% to 89% of patients.2-4 Many different techniques and methods of internal fixation have been used for patients with a variety of diagnoses.
	www.findarticles.com /p/articles/mi_qa3767/is_199801/ai_n8785962 (425 words)

	Lifespan's A - Z Health Information Library - Spinal fusion
		Fusing means two bones are permanently placed together (“fused”) so that movement between them can no longer occur.
		Vertebral interbody fusion; Posterior spinal fusion; Arthrodesis; Anterior spinal fusion
		Spinal fusion surgery uses bone grafts, with or without screws, plates, cages, or other devices.
	www.lifespan.org /adam/healthillustratedencyclopedia/1/002968.html (579 words)

	Arthroscopic Subacromial Decompression Surgery, Shoulder Impingement
		In a shoulder arthrodesis the joint between the humerus and the scapula is abolished.
		However the scapula can move over the chest wall and a reasonable range of movement is preserved.
		The shoulder is fixed so that the hand can reach the mouth as well as reach the hip pocket.
	www.shoulderindia.com /view_procedure.asp?procedureid=16 (85 words)

	Injections: Treatment of Ankle Arthritis: Patient Information and Services:Ankle Arthritis Service: UI Health Care
		OBJECTIVE: The purpose of our study was to evaluate the usefulness of diagnostic joint injections in patients with foot and ankle pain when the radiologist attempts to identify the source of pain.
		Patients subsequently underwent arthrodesis on the basis of the results of the injection.
		We found imaging studies to be less useful than diagnostic injections when we were attempting to identify the source of pain.
	www.uihealthcare.com /depts/anklearthritis/patientinfo/injections.html (584 words)

	Triple Arthrodesis - Wheeless' Textbook of Orthopaedics
		Selective tarsal arthrodesis: An in vitro analysis of the effect on foot motion.
		Triple arthrodesis using internal fixation in treatment of adult foot disorders.
		Growth rates in skeletally immature feet after triple arthrodesis.
	www.wheelessonline.com /ortho/triple_arthrodesis (1672 words)

	ThirdAge: Arthrodesis of Foot and Ankle
		Ankle arthrodesis is performed to relieve disabling ankle pain or deformity caused by poorly healed fractures, arthritis, infections, or developmental defects.
		Foot and ankle arthrodesis can be done under general or spinal anesthesia.
		Although some joints (for example hips and knees) can be replaced with artificial devices, the ankle does better with arthrodesis than with joint replacement.
	www.thirdage.com /healthgate/files/100911.html (605 words)

	Definition of arthrodesis - Merriam-Webster Online Dictionary
		Learn more about "arthrodesis" and related topics at Britannica.com
		Find more about "arthrodesis" instantly with Live Search
		See a map of "arthrodesis" in the Visual Thesaurus
	www.m-w.com /dictionary/arthrodesis (53 words)

	Foot Doctor Carmel, IN - Our Doctor
		Navicular-Cuneiform Arthrodesis- indications, technique, fixation, pearls of the procedure.
		Plantar Approach to Neuroma Surgery- historical review of neuromas, etiology, diagnosis, conservative care, and step-by-step detail on the plantar approach for neuroma excision, complications and their treatment, discussion on why I feel the plantar approach is a superior technique.
		Triples Arthrodesis- a comprehensive overview with a historical look at this procedure as well as a literature review and a comprehensive technique guide.
	www.hoosierfootandankle.com /1_our_doctor.php (1138 words)

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