Our Summary

This research paper discusses a surgical technique involving a special type of telescope-like instrument called an arthroscope that is used for joint surgeries. The procedure is performed through small incisions rather than large open ones, which helps to preserve the surrounding soft tissues. The technique is used for fusion surgeries in the foot, involving one, two, or three joints. The joints are prepared for fusion using a motorized tool, and then secured with special screws. The paper reports that this method has shown high success rates and low rates of complications.

FAQs

  1. What is the surgical technique described for joint fusion in the article?
  2. What is the reported success and complication rate for arthroscopic approaches to subtalar, double, and triple arthrodesis?
  3. What tools and methods are used for preparing the joints for fusion in the arthroscopic procedure?

Doctor’s Tip

A doctor may advise a patient undergoing joint fusion to follow post-operative instructions closely, including keeping weight off the affected joint as much as possible to promote proper healing and fusion of the joint. They may also recommend physical therapy or exercises to help improve strength and range of motion in the surrounding muscles and joints. It is important for the patient to communicate any concerns or changes in symptoms to their doctor to ensure proper healing and recovery.

Suitable For

Patients who are typically recommended joint fusion include those with severe arthritis, joint instability, chronic pain, deformity, or previous failed joint replacement surgery. Joint fusion may be recommended when conservative treatments have failed to provide relief and improve function. This procedure is often considered for patients who are not good candidates for joint replacement surgery due to factors such as age, activity level, or medical conditions. Arthroscopic approaches to joint fusion, such as subtalar, double, and triple arthrodesis, may be recommended for certain patients to allow for relative preservation of the soft tissue envelope and potentially faster recovery times.

Timeline

Before joint fusion:

  • Patient will typically have tried conservative treatments such as physical therapy, medications, and injections to manage their joint pain and dysfunction.
  • After exhausting conservative options, patient may be recommended for joint fusion surgery by their orthopedic surgeon.
  • Patient will undergo pre-operative evaluations and tests to ensure they are a good candidate for surgery.
  • Patient will be informed about the risks and benefits of the surgery, as well as the expected recovery process.

After joint fusion:

  • Immediately after surgery, patient will be monitored in the recovery room before being transferred to a hospital room or sent home.
  • Patient will experience pain and swelling in the surgical area, which can be managed with pain medications and ice packs.
  • Patient will be instructed on post-operative care, including wound care, physical therapy exercises, and weight-bearing restrictions.
  • Patient will have follow-up appointments with their surgeon to monitor healing and progress.
  • Over time, the fused joint will heal and the patient should experience reduced pain and improved function in the affected joint.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with joint fusion surgery?
  2. What is the expected recovery time and rehabilitation process after joint fusion surgery?
  3. How successful is joint fusion surgery in relieving pain and improving function in the affected joint?
  4. Are there any alternative treatment options to joint fusion that I should consider?
  5. How long will the fusion take to fully heal and how soon can I expect to return to normal activities?
  6. Will I need physical therapy after the surgery, and if so, for how long?
  7. What type of anesthesia will be used during the surgery and what are the potential side effects?
  8. How many of these procedures have you performed and what is your success rate?
  9. What can I do to optimize my chances of a successful outcome from joint fusion surgery?
  10. Are there any long-term implications or restrictions after the joint fusion surgery?

Reference

Authors: Walter R, Parsons S, Winson I. Journal: Foot Ankle Clin. 2016 Sep;21(3):681-93. doi: 10.1016/j.fcl.2016.04.013. PMID: 27524712