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].

## Overview

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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.

## Surgery

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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[1][2][3][4][5][6][7][8].

### Ankle Osteoarthritis Surgery

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* Ankle debridement
* Ankle arthrodiastasis
* Ankle arthrodesis (tibiotalar arthrodesis or ankle fusion)

### Hand Osteoarthritis Surgery

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* 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

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

### Knee Osteoarthritis Surgery

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* Knee arthroscopy
* Knee osteotomy
* Knee arthroplasty

### Acromioclavicular Arthritis Surgery

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

### Shoulder Osteoarthritis Surgery

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

### SpinalOsteoarthritis Surgery

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* Vertebral Fusion
* Laminectomy

## References

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1. ↑ Choong PF, Dowsey MM (May 2011). "Update in surgery for osteoarthritis of the knee". Int J Rheum Dis. 14 (2): 167–74. doi:10.1111/j.1756-185X.2011.01617.x. PMID 21518316.
2. ↑ Peter R, Christofilopoulos P (March 2012). "[Joint-preserving surgical options in osteoarthritis]". Rev Med Suisse (in French). 8 (332): 577–8, 580, 582–3. PMID 22455151.CS1 maint: Unrecognized language (link)
3. ↑ Gill RS, Al-Adra DP, Shi X, Sharma AM, Birch DW, Karmali S (December 2011). "The benefits of bariatric surgery in obese patients with hip and knee osteoarthritis: a systematic review". Obes Rev. 12 (12): 1083–9. doi:10.1111/j.1467-789X.2011.00926.x. PMID 21883871.
4. ↑ Archavlis E, Carvi y Nievas M (August 2013). "Comparison of minimally invasive fusion and instrumentation versus open surgery for severe stenotic spondylolisthesis with high-grade facet joint osteoarthritis". Eur Spine J. 22 (8): 1731–40. doi:10.1007/s00586-013-2732-6. PMC 3731495. PMID 23479028.
5. ↑ Ng CT, Tan MP (September 2013). "Osteoarthritis and falls in the older person". Age Ageing. 42 (5): 561–6. doi:10.1093/ageing/aft070. PMID 23864423.
6. ↑ Pitta M, Davis W, Argintar EH (February 2016). "Arthroscopic Management of Osteoarthritis". J Am Acad Orthop Surg. 24 (2): 74–82. doi:10.5435/JAAOS-D-14-00258. PMID 26803544.
7. ↑ Parratte S, Pesenti S, Argenson JN (February 2014). "Obesity in orthopedics and trauma surgery". Orthop Traumatol Surg Res. 100 (1 Suppl): S91–7. doi:10.1016/j.otsr.2013.11.003. PMID 24461910.
8. ↑ Hussain SM, Neilly DW, Baliga S, Patil S, Meek R (February 2016). "Knee osteoarthritis: a review of management options". Scott Med J. 61 (1): 7–16. doi:10.1177/0036933015619588. PMID 27330013.

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