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Arthrodesis

Arthrodesis is a surgical procedure that involves the fusion of two or more bones to eliminate motion and provide stability.
This technique is commonly used to treat conditions affecting the joints, such as arthritis, injuries, or deformities.
The goal of arthrodesis is to alleviate pain and improve function by eliminating abnormal joint movement.
The process typically involves removing the articular cartilage and securing the bones together using screws, plates, or other fixation devices.
Successful arthrodesis can lead to a solid, pain-free joint and improved quality of life for patients.
Researchers and clinicians must carefully evaluate the most effective and reproducible approaches to this procedure to optimize patient outcomes.

Most cited protocols related to «Arthrodesis»

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Publication 2015
Arthrodesis
Participants were patients who had undergone an ankle arthroscopy, ankle arthrodesis, ankle ligament reconstruction or hallux valgus correction. All patients were operated at the UMCG. To determine validity, all 185 patients who underwent surgery between January 2007 and December 2010 were sent four questionnaires [FAOS, Foot Function Index (FFI), Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC) and Short Form Health Survey (SF-36)] with an accompanying letter clarifying the purpose and procedure of the study and explaining that return of the questionnaire was taken as consent to participate. The FFI is a reliable patient-reported questionnaire measuring the impact of foot pathology on function and consists of 23 questions on pain, disability and activity restriction [11 (link)]. The WOMAC is a valid and reliable self-reported outcome measure for hip and knee osteoarthritis and consists of 24 items on pain, stiffness and function [12 (link),13 (link)]. In both the FFI and the WOMAC answers are given on a 5-point Likert scale. Total scores range from 0–100 on the FFI and from 0–96 on the WOMAC. All scores are recoded so that a higher score indicates less pain, disability and activity restriction (FFI) and less pain and stiffness and improved function (WOMAC). The SF-36 is a generic health-related quality of life questionnaire, consisting of 36 items divided into nine subscales [14 (link)]. All subscales range from 0–100, with a higher score indicating a better quality of life.
To determine repeatability, respondents were sent the FAOS a second time two to three weeks after completing the first questionnaire. To determine responsiveness of the Dutch FAOS, a separate group of 30 patients who were being treated for foot or ankle problems was sent the FAOS according to the same procedure. Five to six weeks later, participants were asked to complete the FAOS a second time.
Demographic information was retrieved from previous medical documentation of the patient. The study was approved by the Medical Ethical Board of the UMCG. The procedures followed were in accordance with the Helsinki Declaration of 1975, as revised in 2000.
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Publication 2013
Ankle Arthrodesis Arthroscopy Degenerative Arthritides Disabled Persons Foot Generic Drugs Hallux Valgus Ligaments Operative Surgical Procedures Osteoarthritis, Knee Pain Patients Reconstructive Surgical Procedures
A case report form specifically created for this study was used to collect four categories of data.

Characteristics of demographics and the disease. Patients’ demographic characteristics included: age, gender, body mass index, smoking status, alcohol intake, marital status, socioeconomic status and highest level of education completed. Disease activity was assessed using the DAS28 (Disease Activity Score using 28 joints)–erythrocyte sedimentation rate (ESR)24 (link) and the C-reactive protein level. Disease severity was evaluated from the history of joint surgery to address structural damage caused by RA (eg, total joint arthroplasty, arthrodesis, metacarpophalangeal or metatarsophalangeal joint resections). Past and current medications used to treat RA were also recorded, including non-steroidal anti-inflammatory drugs, corticosteroids and conventional and biological disease-modifying anti-rheumatic drugs (DMARDs).

History or current evidence of comorbidities. Ischaemic cardiovascular disease (myocardial infarction, stroke), cancers (colon, skin, lung, breast and uterus for women, prostate for men) and lymphoma, gastrointestinal diseases (diverticulitis, ulcers), infections (hepatitis), lung disease (chronic obstructive pulmonary disease (COPD), asthma) and psychiatric disorders (depression).

Coexisting risk factors. Risk factors for cardiovascular diseases (hypertension, diabetes, dyslipidaemia, family history of myocardial infarction or sudden death), risk factors for infectious diseases and vaccination status, risk factors for cancers (family history of prostate, breast or colon cancer; adenomatosus polyposis and/or personal history of inflammatory bowel disease (for colon cancer) and history of numerous (>40) nevi for skin cancer).

Compliance with current national recommendations regarding management (prevention, detection and treatment) of these comorbidities. For example, annual estimation of cardiovascular risk.

For each patient, information was gathered by a study investigator during a face-to-face interview at a dedicated study visit and through review of the medical record.
Publication 2013
Adrenal Cortex Hormones Anti-Inflammatory Agents, Non-Steroidal Antirheumatic Drugs, Disease-Modifying Arthrodesis Arthroplasty Asthma Biopharmaceuticals Breast Cancer of Colon Cancer of Skin Cardiovascular Diseases Cerebrovascular Accident Chronic Obstructive Airway Disease Colon Communicable Diseases C Reactive Protein Diabetes Mellitus Diverticulitis Dyslipidemias Face Gastrointestinal Diseases Gender Hepatitis A High Blood Pressures Index, Body Mass Infection Inflammatory Bowel Diseases Joints Lung Lung Diseases Lymphoma Malignant Neoplasms Mental Disorders Metatarsophalangeal Joint Myocardial Infarction Nevus Operative Surgical Procedures Patients Pharmaceutical Preparations Prostate Sedimentation Rates, Erythrocyte Skin Sudden Death Ulcer Uterus Vaccination Woman
Resource and cost data were gathered as part of the “Cost of Haemophilia across Europe – a Socioeconomic Survey (CHESS)”, a prospective observational study in severe haemophilia A and B across five European countries (France, Germany, Italy, Spain, and the United Kingdom) undertaken in 2015 [15 (link)]. One hundred and thirty-nine haemophilia specialists provided demographic and clinical information for 1285 adults (≥18 years) via a web-based survey. A corresponding questionnaire covering indirect costs and health-related quality of life (HRQOL) measures was completed by patients.
Non drug-related direct costs (NDDCs) were an amalgam of 12-month ambulatory and secondary care costs gathered within the CHESS study, specifically incorporating: haematologist and other specialist consultant consultations, medical tests and examinations, surgeries relating to joint damage, bleed-related hospital admissions, and payments to professional care providers [15 (link)]. A unit cost database was developed for each country using publicly available information. A breakdown of individual cost elements of NDDCs is presented in Table 1.

National costs for CHESS resource units

Resource itemBaseline unit price (EUR)
FranceaGermanybItalycSpaindUKe
Ambulatory care
 Haematologist visit (per visit)25.99–45.9920.8827.32–23.1765.69–113.54124.71–228.57
 Nurse visit (per visit)81.7434.28–38.4215.1120.92–37.4619.36
 Other specialist visit (per visit)14.99–45.997.30–228.8818.21–27.3216.42–16065.91–612.03
 Blood test (per test)1.89–53.960.50–112.502.11–17.224.78–98.374.29–7.67
 Other test/examination (per test)10.79–69.005.50–124.602.19–134.277.49–249.211.69–228.24
Hospitalisation
 Target joint surgery† (per surgery)28.81–534.4012.02–1719.4333.48–1032.91169.75–2156.331161.93–8397.52
 Bleed event: ward stay (per day)290.85514.29265708.71562.88
 Bleed event: ICU stay (per day)1174.6012653661559.241056.82
Professional caregiver (per hour)8.3027.437.3913.6624.56

Note. Ranges presented where more than one price is possible; ICU: intensive care unit; IU: International Units

†Arthrocentesis, arthrodesis, arthroplasty, arthroscopy, synovectomy

aSources: Ameli, sante.gouv, ViDAL.fr, Catalogue Commun des actes médicaux

bSources: Kbv.de, meinpharmaversand.de, Einheitlicher Bewertungsmaßstab, rote-liste service

cSources: AIFA, agenziafarmaco.gov

dSources: Oblikue e-salud, Agencia Española de Medicamentos y Productos Sanitarios

eSources: National Schedule of Reference Costs, Electronic Medicines Compendium

Study exclusion criteria was limited to patients diagnosed with an inhibitor at the time of study capture (n = 52), due to a differing risk profile for bleeds and subsequent target joint development among these patients, and a higher utilisation of medical resources [16 (link), 17 (link)].
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Publication 2018
Adult AN 12 Arthrocentesis Arthrodesis Arthroplasty Arthroscopy Catabolism Consultant Dental Amalgam Europeans Hematologic Tests Hemophilia A Hemorrhage Joints Operative Surgical Procedures Patients Physical Examination Secondary Care Visiting Nurses
The three pooled trials are prospective clinical trials of SIJF with TTI. Trial characteristics are presented in Table 1. Literature searches using Medline, Embase, and ClinicalTrials.gov [primary search terms: sacroiliac joint AND (arthrodesis OR fusion)] revealed no other ongoing prospective TTI trials.
INSITE, a prospective 2-year multicenter randomized controlled trial (RCT) conducted at 19 centers in the US,28 included 148 patients with diagnosed SIJ dysfunction unresponsive to at least 6 months of conservative care. Patients were included between January 2013 and May 2014. Diagnosis was based on history, physical examination tests,38 (link) and a ≥50% decrease in SIJ pain after image-guided joint block with local anesthetic.39 (link)–42 (link) Subjects were randomized in a 2:1 fashion to either SIJF as previously described35 or NSM. NSM included anti-inflammatory and opioid pain medications, physical therapy, intra-articular SIJ steroid injections, and radiofrequency neurotomy, delivered serially as needed to manage pain and disability. Assessments included SIJ pain using a visual analog scale, Oswestry Disability Index (ODI),43 (link) EuroQoL-5D (EQ-5D),44 and Short Form-36 (SF-36).45 (link) In the NSM group, crossover to surgical care was allowed only after the 6-month visit was complete.
iMIA, a prospective multicenter randomized controlled clinical trial (n = 103), was conducted at nine European centers.36 (link) Patients were included between June 2013 and May 2015. Key differences between iMIA and INSITE include 1) iMIA used 1:1 randomization, 2) nonsurgical treatment in iMIA included only physical therapy per European guidelines,46 (link) 3) iMIA included Zung Depression Scale47 (link) but not SF-36, and 4) iMIA included a functional test48 (link) and self-reported walking distance.
SIFI is a prospective, multicenter, single-arm clinical trial (n = 172) conducted at 26 centers in the US.37 Patients were included between August 2012 and December 2013. All subjects underwent SIJF. SIFI subjects underwent computed tomography (CT) scan at 1 year; otherwise, study parameters were identical to INSITE.
Publication 2017
Analgesics, Opioid Anti-Inflammatory Agents Arthralgia Arthrodesis Diagnosis Disabled Persons Europeans Intra-Articular Injections Local Anesthesia Operative Surgical Procedures Pain Patients Physical Examination Radiofrequency Neurotomy Radionuclide Imaging Sacroiliac Joint Steroids Therapy, Physical Visual Analog Pain Scale X-Ray Computed Tomography

Most recents protocols related to «Arthrodesis»

As determined by the individual situation, an autogenous tricortical bone graft of appropriate size was harvested from the ipsilateral iliac crest. Cancellous bone was harvested with the smallest osteotome possible. A longitudinal dorsal incision was made lateral to the extensor hallucis longus tendon with an interface between the extensor hallucis longus tendon and the dorsalis pedis artery, both of which were retracted correspondingly. The soft tissue was distracted by a lamina spreader to expose the talonavicular and navicular-cuneiform joints. The talonavicular and navicular-cuneiform joints were distracted using a Hintermann distractor over separate K-wires. The articular surfaces were debrided in situ with cartilage shovels to the subchondral bone. A K-wire was used to drill the subchondral sclerotic bone plate into a favaginous condition for fusion. Then bite off the excess osteophyte from the lateral 4-corners. The plantar ligament and plantar soft tissue of the navicular are loosened with a sharp knife, leaving only the insertion point of the posterior tibial tendon. The whole debridement process created a relative space around the navicular bone. Subsequently, a periosteal detacher was pressed against the lateral bony protrusion of the navicular bone to rotate the bone outwards to the original top location. Once the reduction was deemed satisfactory by direct visualization, two to three crossing K-wires were used for temporary fixation. After the demonstration of the corrected medial longitudinal arch on the C-arm, the lateral half of the navicular bone (including the talonavicular and navicular-cuneiform joints involved in the necrotic lesion) was excised using an osteotome to form a broad dorsal trapezoid laterally and a rectangular longitudinal bone bed. And the modified tricortical iliac bone block was inserted into the space between the talus and the cuneiforms. Finally, two hollow lag screws and a dorsal LCP were used to arthrodese the talonavicular-cuneiform joints. A transverse Herbert screw was used (where needed) to fix the bone block and medial navicular bone. The wound was closed after packing the previously acquired cancellous bone to smooth the defect gaps.
Postoperatively, a protective non-weight bearing short-leg plaster cast was applied for 6 weeks, after which weight-bearing was gradually allowed as tolerated.
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Publication 2023
Arteries Arthrodesis Bone Diseases Bones Bone Transplantation Cancellous Bone Cartilage Debridement Dental Occlusion Drill Iliac Crest Ilium Joints Kirschner Wires Navicular Bone of Foot Necrosis Osteophyte Osteotomy Periosteum Plantar Plate Plaster Casts Scaphoid Bone Sclerosis Talus Tendons Tibia Tissues Trapezoid Bones Wounds
Patients were included in this study if: (1) diagnosis was based on clinical evaluation and radiologic findings on weight-bearing AP and lateral views; (2) had at least 5 years postoperative follow-up; (3) the conservative treatment was ineffective for more than 6 months; (4) the surgical method is TNC arthrodesis; and (5) they had only unilateral limb surgery. Patients were excluded from the study if: (1) had a history of Kohler disease; (2) a previous traumatic or stress fracture of the navicular; (3) had rheumatoid arthritis; and (4) incomplete radiographic data or missing follow-up data.
In total, 26 patients underwent operative treatment for the dysfunction and pain caused by MWD between January 2015 and August 2017. This study reviewed 15 patients who had undergone TNC arthrodesis at the mid-term follow-up and met the inclusion criteria. The patient enrollment is described in Fig. 1. This study was approved by the institutional review board. The participants used in this study provided informed consent. Two senior doctors performed all operative procedures in line with standardized protocols.

This figure shows the number of patients included in this study

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Publication 2023
Arthrodesis Conservative Treatment Diagnosis Ethics Committees, Research Koehler Disease Navicular Bone of Foot Operative Surgical Procedures Pain Patients Physicians Rheumatoid Arthritis Stress Fractures X-Rays, Diagnostic
After approval by the research and ethics committee, we evaluated the patients
subjected to TTCA by ankle and foot surgeons in our service from January 2005 to
July 2019.
We analyzed the surgical records of the Foot and Ankle Group to search for operated
cases, and then the data were collected through the physical and electronic medical
records, including all clinical notes, surgical reports, and radiographic
images.
Inclusion criteria:
Exclusion criteria:
The sample evaluated using the collected data included demographic data of the
patients, such as age, sex, the underlying cause that led to the indication of the
procedure, as well as the presence of smoking and comorbidities. We analyzed the
consolidation of arthrodesis through radiographic evaluation with identification of
bone bridges and/or continuity between the arthrodesis bones in orthogonal images in
50% of the local surface area, time of arthrodesis consolidation, presence
complications, such as superficial and deep infection, loosening or breaking of the
synthesis, residual deformity, and need for surgical revision; this was done by a
board-certified foot and ankle surgeon.16 (link),18 (link),20 (link)
Publication 2023
2-thioxo-4-thiazolidinecarboxylic acid Ankle Arthrodesis Bones Congenital Abnormality Ethics Committees Foot Infection Operative Surgical Procedures Physical Examination Radiography Second Look Surgery Surgeons
This was a retrospective chart review of all DIP arthrodesis procedures performed at our institution between November 2018 and November 2021. Inclusion criteria included patients aged 18 years or older who had undergone elective, clean, DIP arthrodesis with intramedullary screw fixation, and documentation of whether antibiotic prophylaxis was administered. Patients who underwent DIP arthrodesis due to acute injury, revision procedures, or DIP procedures with any concurrent procedures other than mucous cyst excision were excluded. The inclusion and exclusion criteria are listed. (See table, Supplemental Digital Content 1, which displays the full inclusion and exclusion criteria. DIP indicates distal interphalangeal. http://links.lww.com/PRSGO/C439.)
The following data were collected for each patient: age, sex, race, smoking status, diabetes mellitus status, preoperative antibiotic administration, anesthesia used, duration of the procedure, postoperative infections, and any treatment to address postoperative infection if it occurred. All the procedures were performed in an operating room with full sterility. Procedure was performed with a dorsal incision, and the bone was prepared using either a rongeur or high-speed bur. A pin was placed antegrade from arthrodesis site out the tip of the finger and then retrograde down the shaft of the middle phalanx to the base. A stab incision was made in the fingertip, and the cannulated drill was then placed from the fingertip across the distal phalanx into the diaphysis of the middle phalanx; the screw was then placed over the wire. All screws used in these procedures were either Accutrak 2 headless compression screw by Acumed or the REDUCT headless compression screw by Skeletal Dynamics. No procedures were performed in an in-office procedure room, and no procedures were performed with field sterility. Patients who received antibiotics prophylactically were administered either intravenous cefazolin or clindamycin. The sequence of events for the patients in our study was injection of lidocaine as a local anesthetic, administration of antibiotics if ordered by the surgeon, preparation and draping, application of a finger tourniquet if epinephrine was not used, and incision.
Publication 2023
Anesthesia Antibiotic Prophylaxis Antibiotics Antibiotics, Antitubercular Arthrodesis Bones Bones of Fingers Cefazolin Clindamycin Diabetes Mellitus Diaphyses Drill Epinephrine Fingers Infection Injuries Lidocaine Local Anesthesia Mucocele Patients Skeleton Sterility, Reproductive Surgeons Thumb Tourniquets
A systematic search of 3 databases (the Medical Literature Analysis and Retrieval System Online (Medline), the Excerpta Medica Database (Embase), and Web of Science) and manual search of references was performed through April 4, 2022, by 2 reviewers (DLL and HAK) for literature related to arthroscopy in the context of TTC nail ankle fusion. The search terms included tibiotalocalcan*, arthrodesis, fusion, and arthroscopy. The complete search strategies can be found in Appendix 1. The inclusion criteria for this review were (1) TTC fusion using an intramedullary rod, (2) arthroscopy or the use of minimally invasive arthroscopic portals to prepare the tibiotalar and/or subtalar joint, (3) studies available in English, (4) studies including at least 5 patients, (5) outcomes data provided, (6) 18 years and older, and (7) all levels of evidence. Exclusion criteria consisted of (1) open TTC nail fusion, (2) cadaveric studies, (3) biomechanical studies, (4) no follow-up/outcomes data reported, (5) pediatric population, and (6) systematic reviews. Both arthroscopic (using an arthroscope in particular) and arthroscopic portal (creating portals and using other adjuncts such as fluoroscopy and curettes) joint preparation prior to TTC nailing were included in this study because of the similar small incisions and minimal soft tissue disruption associated with the procedure. For the purposes of this review, both minimally invasive techniques using an arthroscope, or arthroscopic portals with fluoroscopy will be referred to as “transportal TTC nailing.”
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Publication 2023
Arthrodesis Arthroscopes Arthroscopy Fluoroscopy Joints Joints, Ankle Nails Patients Subtalar Joint Tissues

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More about "Arthrodesis"

Arthrodesis, also known as joint fusion or spinal fusion, is a surgical procedure that involves the fusion of two or more bones to eliminate motion and provide stability.
This technique is commonly used to treat conditions affecting the joints, such as arthritis, injuries, or deformities.
The goal of arthrodesis is to alleviate pain and improve function by eliminating abnormal joint movement.
The process typically involves removing the articular cartilage and securing the bones together using screws, plates, or other fixation devices like the AO wrist fusion plate or the OLIF25 Clydesdale Spinal System.
Successful arthrodesis can lead to a solid, pain-free joint and improved quality of life for patients.
Researchers and clinicians must carefully evaluate the most effective and reproducible approaches to this procedure to optimize patient outcomes.
Statistical software like SPSS (version 18.0 or 19.0 for Windows), Stata 14, and R version 4.0.2 can be used to analyze data and identify the best practices.
Advancements in materials, such as Vicryl and Telamon TM, and improved surgical techniques, have contributed to the success of arthrodesis procedures.
By leveraging the latest research and technologies, like the AI-driven platform PubCompare.ai, clinicians can enhance their arthrodesis research, streamline their workflows, and unlock new insights to provide the best possible care for their patients.