Knowledge (XXG)

Arthrodesis

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or bone marrow cells. This significantly reduces the immunogenicity (risk of graft rejection) such that no antirejection drugs are needed, and combined with appropriate donor screening practices, these processing and preservation practices can significantly reduce the risk of disease transmission. In spite of all of this processing, cancellous allograft bone retains its osteoconductive properties. Furthermore, certain processing practices have been shown to also retain the acid-stable osteoinductive proteins in cortical bone grafts, so that many bone allografts can be considered both osteoconductive and osteoinductive.
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Bone allograft has the advantage of being available in far larger quantities than autograft; however, during the treatment process the bone goes through following harvest, which usually involves deep-freezing and may also involve demineralization, irradiation and/or freeze-drying, kills living bone
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Arthrodesis is used in horses as a salvage procedure to treat severe breakdown injuries, such as failure of the suspensory apparatus, subluxation, fracture, or collateral ligament rupture. It is also performed in horses with osteoarthritis, primarily of the distal hock joints, to fuse these
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At the completion of surgery and healing, which takes place over a period of several weeks to over a year, the two adjoining bones are fused and no motion takes place between them. This can have the effect of strengthening the bones, as in anterior
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Bone autograft is generally preferred by surgeons because, as well as eliminating the risks associated with allografts, bone autograft contains native bone-forming cells (
160:, arthrodesis of these large joints has fallen out of favour as a primary procedure, and now is only used as a procedure of last resort in some failed arthroplasties. 323: 215:. They act solely as an osteoconductive matrix. Some manufacturers have recently begun supplying these products with soluble bone-forming factors such as 730: 682: 842: 310: 50: 46: 291: 222:
Titanium alloy implants (plates and screws) can be attached to the two bones to hold them together in a position which favors bone growth.
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can be created between the two bones using a bone from elsewhere in the person's body (autograft) or using donor bone (
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arthrodeses were also performed as pain-relieving procedures, but with the great successes achieved in hip and knee
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A combination of the above methods is also commonly employed to facilitate bony fusion.
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A variety of synthetic bone substitutes are commercially available. These are usually
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to attempt to create a synthetic product with osteoinductive properties.
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low-motion joints so they no longer produce pain for the animal.
365: 347: 212: 149: 145: 137: 113: 105: 319: 153: 768: 708: 653: 606: 597: 562: 507: 471: 455: 399: 373: 364: 280:"Arthrodesis of the Proximal Interphalangeal Joint" 56: 40: 23: 132:. It is most commonly performed on joints in the 331: 128:which disrupt the joint, severe sprains, and 8: 16:Surgical immobilization of a diseased joint 603: 370: 338: 324: 316: 29: 731:Anterior cruciate ligament reconstruction 168:Arthrodesis can be done in several ways: 683:Ulnar collateral ligament reconstruction 270: 187:), so the graft itself forms new bone ( 311:Neuromechanics of idiopathic scoliosis 286:. John Wiley & Sons. p. 277. 278:Watkins, Jeffrey P. (9 January 2020). 116:in a joint which cannot be managed by 112:. This is done to relieve intractable 20: 7: 589:Autologous chondrocyte implantation 69: 740:Unicompartmental knee arthroplasty 584:Knee cartilage replacement therapy 14: 97:, is the artificial induction of 843:Orthopedic surgical procedures 1: 244:Treatment of equine lameness 282:. In Nixon, Alan J. (ed.). 859: 572:Articular cartilage repair 241: 217:bone morphogenetic protein 355: 70: 28: 698:Finger joint replacement 489:Distraction osteogenesis 35:Arthrodesis of the thumb 479:Femoral head ostectomy 447:Vertebral augmentation 284:Equine Fracture Repair 676:Weaver–Dunn procedure 577:Microfracture surgery 346:Procedures involving 666:Shoulder replacement 628:Intervertebral discs 386:Orthognathic surgery 206:tricalcium phosphate 180:) from a bone bank. 818:Arthroscopic lavage 550:Tension band wiring 760:Triple arthrodesis 755:Broström procedure 693:Brunelli procedure 494:Ilizarov apparatus 442:Vertebral fixation 358:Orthopedic surgery 830: 829: 826: 825: 796:Joint replacement 750:Ankle replacement 558: 557: 545:External fixation 540:Internal fixation 391:Chin augmentation 293:978-0-8138-1586-2 81: 80: 850: 736:Knee replacement 661:Shoulder surgery 604: 371: 340: 333: 326: 317: 298: 297: 275: 148:. Historically, 86:, also known as 74:edit on Wikidata 66: 33: 21: 858: 857: 853: 852: 851: 849: 848: 847: 833: 832: 831: 822: 764: 721:Hip replacement 716:Hip resurfacing 704: 649: 593: 554: 503: 499:Phemister graft 467: 451: 395: 360: 351: 344: 307: 302: 301: 294: 277: 276: 272: 267: 255: 246: 240: 166: 118:pain medication 77: 62: 36: 17: 12: 11: 5: 856: 854: 846: 845: 835: 834: 828: 827: 824: 823: 821: 820: 815: 814: 813: 811:Arthrocentesis 808: 798: 793: 788: 783: 778: 772: 770: 766: 765: 763: 762: 757: 752: 747: 742: 733: 728: 726:Rotationplasty 723: 718: 712: 710: 706: 705: 703: 702: 701: 700: 695: 685: 680: 679: 678: 673: 671:Bankart repair 668: 657: 655: 651: 650: 648: 647: 646: 645: 640: 635: 625: 624: 623: 612: 610: 601: 595: 594: 592: 591: 586: 581: 580: 579: 568: 566: 560: 559: 556: 555: 553: 552: 547: 542: 537: 532: 530:Epiphysiodesis 527: 522: 517: 511: 509: 505: 504: 502: 501: 496: 491: 486: 484:Astragalectomy 481: 475: 473: 469: 468: 466: 465: 459: 457: 453: 452: 450: 449: 444: 439: 434: 429: 424: 419: 414: 409: 403: 401: 397: 396: 394: 393: 388: 383: 377: 375: 368: 362: 361: 356: 353: 352: 345: 343: 342: 335: 328: 320: 314: 313: 306: 303: 300: 299: 292: 269: 268: 266: 263: 262: 261: 254: 251: 242:Main article: 239: 236: 227: 226: 223: 220: 202:hydroxyapatite 198: 197: 196: 192: 189:osteoinductive 165: 162: 79: 78: 71: 68: 67: 60: 54: 53: 44: 38: 37: 34: 26: 25: 15: 13: 10: 9: 6: 4: 3: 2: 855: 844: 841: 840: 838: 819: 816: 812: 809: 807: 804: 803: 802: 799: 797: 794: 792: 789: 787: 784: 782: 779: 777: 774: 773: 771: 767: 761: 758: 756: 753: 751: 748: 746: 743: 741: 737: 734: 732: 729: 727: 724: 722: 719: 717: 714: 713: 711: 707: 699: 696: 694: 691: 690: 689: 686: 684: 681: 677: 674: 672: 669: 667: 664: 663: 662: 659: 658: 656: 652: 644: 641: 639: 636: 634: 631: 630: 629: 626: 622: 621:Spinal fusion 619: 618: 617: 614: 613: 611: 609: 605: 602: 600: 596: 590: 587: 585: 582: 578: 575: 574: 573: 570: 569: 567: 565: 561: 551: 548: 546: 543: 541: 538: 536: 533: 531: 528: 526: 523: 521: 520:Bone grafting 518: 516: 513: 512: 510: 506: 500: 497: 495: 492: 490: 487: 485: 482: 480: 477: 476: 474: 470: 464: 463:Acromioplasty 461: 460: 458: 454: 448: 445: 443: 440: 438: 435: 433: 430: 428: 425: 423: 420: 418: 415: 413: 410: 408: 405: 404: 402: 398: 392: 389: 387: 384: 382: 381:Jaw reduction 379: 378: 376: 372: 369: 367: 363: 359: 354: 349: 341: 336: 334: 329: 327: 322: 321: 318: 312: 309: 308: 304: 295: 289: 285: 281: 274: 271: 264: 260: 257: 256: 252: 250: 245: 238:Use in horses 237: 235: 233: 224: 221: 218: 214: 211: 207: 203: 199: 193: 190: 186: 182: 181: 179: 175: 171: 170: 169: 163: 161: 159: 155: 151: 147: 143: 139: 135: 131: 127: 123: 119: 115: 111: 107: 103: 100: 96: 92: 91: 85: 75: 65: 61: 59: 55: 52: 48: 45: 43: 39: 32: 27: 22: 19: 800: 781:Arthroplasty 745:Ankle fusion 688:Hand surgery 643:Arthroplasty 638:Annuloplasty 615: 437:Foraminotomy 422:Laminoplasty 407:Coccygectomy 283: 273: 259:Ankle fusion 247: 228: 167: 158:arthroplasty 104:between two 102:ossification 94: 87: 83: 82: 18: 791:Arthroscopy 786:Synovectomy 616:Arthrodesis 432:Facetectomy 417:Laminectomy 185:osteoblasts 88:artificial 84:Arthrodesis 24:Arthrodesis 806:Arthrogram 776:Arthrotomy 633:Discectomy 427:Corpectomy 412:Laminotomy 350:and joints 265:References 210:cancellous 174:bone graft 564:Cartilage 535:Reduction 525:Osteotomy 515:Ostectomy 178:allograft 130:arthritis 126:fractures 90:ankylosis 837:Category 801:imaging: 305:See also 253:See also 234:fusion. 232:cervical 95:syndesis 42:ICD-9-CM 769:General 508:General 122:splints 110:surgery 64:D001174 599:Joints 290:  164:Method 144:, and 608:Spine 400:Spine 366:Bones 348:bones 204:- or 142:ankle 134:spine 106:bones 99:joint 72:[ 374:Face 288:ISBN 213:bone 152:and 150:knee 146:foot 138:hand 114:pain 58:MeSH 51:81.3 47:81.0 709:Leg 654:Arm 472:Leg 456:Arm 154:hip 108:by 93:or 839:: 172:A 140:, 136:, 120:, 738:/ 339:e 332:t 325:v 296:. 76:] 49:-

Index


ICD-9-CM
81.0
81.3
MeSH
D001174
edit on Wikidata
ankylosis
joint
ossification
bones
surgery
pain
pain medication
splints
fractures
arthritis
spine
hand
ankle
foot
knee
hip
arthroplasty
bone graft
allograft
osteoblasts
osteoinductive
hydroxyapatite
tricalcium phosphate

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