Arthrodesisis a surgical procedure that fuses two bones together.
It is sometimes also called a joint fusion.
After arthrodesis, your joint will be permanently held in a fixed position.
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This means the joint will never bend again, but it often results in dramatic pain relief.
This article looks at arthrodesis as a treatment for severe arthritis.
It also discusses recovery and some of the complications of this procedure.
Treatment for Arthritis
Arthrodesis can help treat advanced arthritis.
Depending on the joint involved, it can be an alternative to joint replacement surgery.
Your healthcare provider may recommend this procedure if you are likely to have problems with a joint replacement.
For example, younger, more active people may be more likely to wear out a new joint.
Today, joint replacement is much more common than it used to be, especially hip andknee replacement.
This is why hip and knee fusions aren’t often done.
Joint fusion is still common for other joints, however.
For a few joints, it remains the preferred treatment.
Joint fusion for some other joints is controversial.
For example, some surgeons thinkankle replacementis a better option thanankle fusionand vice versa.
Ultimately, the choice depends on the needs of the individual person.
Complications of Arthrodesis
Arthrodesis can lead to increased wear on neighboring joints.
This happens because the joints above and below the fusion have to do more work.
This excess wear may lead to arthritis in adjacent joints.
Your surgeon will use metal plates and screws to help fuse the joint.
When this doesn’t happen, it’s called nonunion.
Nonunions are especially common in smokers.
This is why some surgeons won’t attempt a fusion on someone who smokes.
Recovering From Arthrodesis
Recovery from arthrodesis varies depending on which joint was fused.
Special shoes can help compensate for any stiffness in your ankle after surgery.
This will help ensure the joint fuses properly.
Physical therapy can help you regain strength and range of motion in the other joints in your hand.
It is important to understand that your joint will not bend afterward.
Summary
Arthrodesis is a surgical procedure that fuses two bones together across a joint.
It is used to treat pain sparked by severe arthritis.
Arthrodesis is an alternative to joint replacement.
It is less commonly used for hip and knee replacements.
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