Joint fusion

About

Joint fusion is a procedure in which two or more bones are connected to ensure stability and reduce pain or discomfort caused by joint damage or degeneration. This procedure is commonly used in cases of severe joint damage, such as osteoarthritis or rheumatoid arthritis. Here are some key pieces of

Candidate

Candidates for joint fusion are typically individuals suffering from severe joint damage, such as patients with advanced stages of arthritis or other degenerative joint diseases. This procedure is often recommended when conservative treatments are no longer effective.

Preparation

Before the joint fusion procedure, the patient will undergo a thorough medical assessment to determine the condition of the joints and identify the most suitable treatments. Additionally, it may be necessary to restrict food or liquid intake prior to the procedure itself.

Treatment

Joint fusion usually involves a surgical intervention in which the damaged joint is removed and replaced with an artificial joint or other compound to restore joint functionality and reduce pain. This surgical procedure requires specialized surgical skills and extensive preparation.

Result

After the joint fusion procedure, a reduction in pain, improved mobility, and enhanced functionality of the affected area are expected. The patient will need to undergo postoperative recovery and rehabilitation to achieve full recovery and a return to normal activities.

Precautions

During the postoperative period, it is important to strictly follow the doctor's instructions to ensure proper wound healing and avoid complications. Regular check-ups and physical therapy may be crucial for a successful recovery and return to normal life.

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F.A.Q.

What is joint fusion?

Joint fusion, also known as arthrodesis, is a surgical procedure that involves permanently fusing two bones in a joint to eliminate movement and relieve pain. It is commonly performed on joints that have severe arthritis, instability, or deformity.

Which joints can be fused?

Joint fusion can be performed on various joints in the body, including the spine, hips, knees, ankles, wrists, and fingers. The specific joint selected for fusion depends on the individual's condition and symptoms.

Why is joint fusion performed?

Joint fusion is performed to alleviate pain and stabilize a joint that is damaged or has lost its normal function. It can be recommended when conservative treatments have failed to provide relief, or when the joint is severely damaged due to conditions like arthritis or trauma.

How is joint fusion performed?

During joint fusion surgery, the surfaces of the two bones forming the joint are prepared by removing damaged cartilage. The bones are then positioned in alignment and held together using screws, plates, or rods. Over time, new bone tissue grows between the fused bones, permanently immobilizing the joint.

How long does it take to recover from joint fusion surgery?

Recovery time can vary depending on the joint fused and individual factors. Generally, it takes several weeks to a few months for the bones to fully fuse. Physical therapy and rehabilitation may be necessary to regain strength, mobility, and function in the surrounding muscles and joints.

Will I still be able to use the joint after fusion surgery?

The main goal of joint fusion is to eliminate joint movement, which means the fused joint will no longer have the same range of motion as before. However, adjacent joints may compensate for the loss of motion to some extent, allowing for functional use of the limb. The specific limitations and functional outcomes will depend on the joint fused and individual factors.

What are the potential risks and complications of joint fusion?

Like any surgical procedure, joint fusion carries risks such as infection, bleeding, nerve or blood vessel injury, and adverse reactions to anesthesia. Additionally, there is a possibility of nonunion (failure of bones to fuse), joint stiffness, altered gait, and stress on adjacent joints.

Will I still experience pain after joint fusion?

While joint fusion surgery aims to relieve pain, it is possible to experience some residual discomfort. The type and severity of pain can vary among individuals. Your surgeon will provide guidance on pain management strategies and any necessary pain medications.

Can joint fusion be reversed?

Joint fusion is considered a permanent procedure, and reversing it is challenging. Reversal would require surgical intervention to remove the fusion hardware and potentially perform a joint replacement procedure. However, the decision to reverse a joint fusion would depend on the individual case and would require careful evaluation by an orthopedic surgeon.

Are there alternative treatments to joint fusion?

In some cases, alternative treatments may be considered before resorting to joint fusion. These can include conservative measures like medication, physical therapy, assistive devices, joint injections, or joint preservation procedures. The choice of treatment depends on the specific joint condition, severity of symptoms, and individual circumstances.

Ivana, Patient Coordinator

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Ivana, ZagrebMed patient coordinator