Our Summary

This research paper shares examples from real patients to explain when and how a specific surgical procedure, known as arthrodesis, is used to treat finger joints affected by osteoarthritis. This condition typically involves the wearing down of the protective cartilage around the joints, causing pain and stiffness. Arthrodesis is a surgery that fuses the bones in the affected joint together, which can relieve pain but also restricts movement in the joint.

FAQs

  1. What are the indications for arthrodesis in osteoarthritic finger joints?
  2. What techniques are used in joint fusion operations for osteoarthritic finger joints?
  3. How does the article use patient cases to provide an overview of arthrodesis?

Doctor’s Tip

One helpful tip a doctor might tell a patient about joint fusion is to follow post-operative rehabilitation and physical therapy guidelines closely to ensure proper healing and optimal function of the fused joint. It is important to participate in exercises and activities recommended by the healthcare team to regain strength, flexibility, and range of motion in the affected joint. Compliance with rehabilitation protocols can significantly improve outcomes and help the patient achieve the best possible results after joint fusion surgery.

Suitable For

Patients who are typically recommended joint fusion are those with severe osteoarthritis in the finger joints that have not responded to conservative treatments such as medication, physical therapy, or splinting. These patients may experience significant pain, stiffness, and loss of function in the affected joints. Joint fusion may be recommended to improve pain relief, stability, and function in the affected joints. Additionally, patients with joint deformities or instability may also benefit from joint fusion to correct these issues.

Timeline

Before joint fusion:

  1. Initial diagnosis of osteoarthritis in the finger joint
  2. Conservative treatments such as medication, physical therapy, and splinting are attempted
  3. Continued pain and limited function in the affected joint
  4. Consultation with a surgeon to discuss the possibility of joint fusion as a treatment option
  5. Pre-operative testing and preparation for the surgery

After joint fusion:

  1. Surgical procedure to fuse the affected joint, stabilizing it and reducing pain
  2. Post-operative recovery period with pain management and physical therapy
  3. Gradual improvement in pain and function as the joint heals and fuses together
  4. Follow-up appointments with the surgeon to monitor progress and address any complications
  5. Long-term benefits of joint fusion, such as improved joint stability and reduced pain for the patient.

What to Ask Your Doctor

  1. What are the benefits of joint fusion for my specific condition?

  2. What are the potential risks and complications associated with joint fusion surgery?

  3. How long is the recovery period after joint fusion surgery?

  4. Will I need physical therapy or rehabilitation after the surgery?

  5. What can I expect in terms of pain management after the surgery?

  6. How successful is joint fusion in relieving pain and improving function in osteoarthritic finger joints?

  7. Are there any alternative treatments to joint fusion that I should consider?

  8. How long will the results of joint fusion last?

  9. What is the success rate of joint fusion surgery for osteoarthritic finger joints?

  10. Are there any lifestyle modifications or changes I should make before or after the surgery to improve the outcome?

Reference

Authors: Summer T, Erdmann J, Wüstner-Hofmann MC. Journal: Handchir Mikrochir Plast Chir. 2021 Sep;53(5):454-461. doi: 10.1055/a-1560-2780. Epub 2021 Sep 28. PMID: 34583406