Surgical treatment of the joints

Arthrorisis - an operation to create conditions that will restrict mobility. Most searched in this operation paralytic foot droops when paralysis of leg muscles except triceps calf. Arthrorisis sets foot pursuit through the skull, taken from the tibia. One end of the bone graft in a deep notch drive gives a chisel in calcaneal tuber, and the other placed on the surface of the tibia.

Arthroplasty - developed an operation to joint mobility by contractures or ankylosis restore it. Arthroplasty indicated no acute and subacute inflammation in the joint. It is the earliest allowed one year after the disappearance of signs of inflammation in the joint.

 Highlights arthroplasty - is:

• Disconnection of the articular ends of bones of adhesions.

• Treatment of bone ends - at this stage, they give a shape similar to a normal configuration of the joint.
• Protective seam processed bone fragments lining of soft tissue.

Arthrodesis - to create a surgical ankylosis, ie stiffness of the joint off. Distinguish between intra-and extra-articular arthrodesis. Remove with intra-articular arthrodesis cartilage surfaces of the bones forming the joint, followed by plaster immobilization in the most comfortable position. In some cases, intra-articular arthrodesis of the complement fixation of bone with a metal or bone pin (bar), particularly in surgery on the shoulder and hip joints. 

Extraarticular arthrodesis is to create a fixed connection without opening. By the introduction of a bone graft in the periarticular tissues Arthrodesis for deforming arthritis, sometimes tuberculous arthritis. 

Arthrotomy - opens the joint. Indications for this operation - total joint replacement, removal of foreign bodies there septic joint disease. Sections at arthrotomy have a typical tendency, possibly a mild ligament. 

For example, arthrotomy of the knee is carried out from the graft-stents, remove the meniscus, foreign bodies of the knee, as well as its septic inflammation. To do this in common, is a horseshoe-shaped incision.