[鏍囩:鏍囬] [鏍囩:鍐呭]锘? During this time
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potential risks involved with the procedure as well as all of the alternative
measures. However, a decision is made to continue with the surgery, the doctor
will recommend a procedure that he feels is best suited for the patients
condition and then will explain what that procedure entails.
Note that
sometimes before surgery, doctors prescribe blood-thinning medication and advise
you to do various joint movement activities or exercises in order to increase
circulation.
Some benefits of going the surgery route can include the
stabilization, improved alignment or replacement of a joint so that you can have
greater mobility, flexibility, overall use and range-of-motion. Surgery may also
be able to provide some level of pain relief where other treatment options might
have failed.
Be aware there are possible risks with surgery,
though
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healthcare specialist may advise against surgery if, for example, you have
existing health problems that could pose possible unwanted risks. Some of these
problems could include sickness or infections that would need to be healed
first, being over weight, which could cause more stress and delayed recovery,
lung problems or heart disease.
Common types of surgery used in the
treatment of arthritis follow:
Arthrodesis This is the joining together
or fusion of joint bones. Arthrodesis helps stop the progression of the disease
at the point of fusion, ending the pain. Loss of the joints flexibility can
result. However, the area will be better able to handle weight and offer general
movement. In other words
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longer, but there will be some lesser-degree of flexibility overall without
pain.
Arthroplasty This is the replacement or rebuilding of an entire
joint. And it is intended for those with high-level pain and movement
impairment. It is discussed in much more detail in the section immediately
following this one, offering a focus with regards to hip
replacement.
Arthroscopy Growing more popular with the improved use of
technology, this procedure is when specialized instruments are inserted into the
joint by means of tiny incisions. During this surgery, the operating physician
has helping staff members who aid the computerized monitoring and some handling
of the instruments. The doctor can see the joint on closed-circuit television
and make repairs to it, while talking through a microphone. Then not only are
there physical results, but the patient has a video with audio record of the
entire occurrence for insurance and other records. Arthroscopy is often
performed on an outpatient basis. And recovery time is generally much less than
with other open surgery.
Osteotomy - This is a medical procedure that
makes an actual cut in the bone, most generally to correct youth deformities
like in the knee or hip. Osteotomy helps with re-alignment
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of joint replacement alternatives for up to 10 years.
Synovectomy This
procedure, generally done via arthroscopy, involves the removal of diseased
joint tissue lining or synovium. Results can include swelling decrease, pain
relief, improved but not completely healed joint health.
Joint
Replacement
There are currently many options in orthopedic (bone) surgery for
people with arthritis. Joint replacement is the most common option. According to
the National Joint Replacement Foundation, (NJRF) over 435,000 Americans
underwent this procedure last year. These numbers have boosted joint replacement
to one of the most successful medical discoveries and the absolute most
significant surgery in the field of arthritis treatment. Joint replacement is
the process of removing ones entire joint as well as any damaged tissue and
replacing it with a metal prosthesis.
This prosthesis provides the
patient with much need relief from pain. This surgery most effective on the
weight bearing joints such as the knees
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used for all joints with successful results.
Hip replacement surgery
consists of removing the entire hip joint and replacing it with artificial
components. These components function in the same manner as the natural hip,
with the same type of motion. When a patient elects to undergo hip replacement
surgery, they have an option to use their own blood. There is a great loss of
blood during the procedure, and patients are prepared for this ahead of time.
They can elect to have their own blood taken and stored ahead of time so that
when they need a transfusion, they can use blood from their own body
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with transfusions.
This particular procedure begins with an initial
incision. The surgeon will then proceed to remove the entire hip joint,
including the ball, socket, and top of the femur. Once the joint, and all
damaged tissue is removed, a metal cup is adhered to the pelvic bone. Then, a
metal stem is inserted into the femur; leaving a portion exposed at the end for
several inches. The doctors place a ball on the end of the exposed portion of
the metal rod, and all of the exposed parts are lined with another antifriction
material. The hip is reassembled
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incision is then closed.
Fusion Arthrodesis, or bone fusion, is another
optional procedure where the bones are fused together in order to prevent them
from moving independently. This can be done two ways:
1. Bone Grafting is
the method of stimulating fusion between two bones by placing a small piece of
bone, from another region of the body, in between. This small piece of bone
encourages growth for the surrounding bones, thus fusing them in
place.
2.锘? Have you .