Osteoarthritis surgery

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mohammadmain Rezazadehsaatlou[2].

Surgery

Surgical interventions in OA cases should be considered when the symptoms have no response to the first line treatments because the osteoarthritis symptoms can be successfully managed through non-surgical care. For some, however, if they are experiencing severe joint damage, extreme pain, or very restricted mobility, surgery may be a viable option, in this regard. The main indication criteria for surgery in OA is pain and disabilities despite the medical treatments. The most common and effective surgical intervention are: arthroscopic surgery, osteotomy, and arthroplasty (total joint replacement). Considering the potential benefits of surgery like: pain relief, improved movement, and increased patients status and actually diseases prognosis; but it should be remembered that any surgical interventions have risks. Meanwhile, overweight patients or patients with co-morbidities have higher risk of operation. The current joint prostheses have a expected functional usage for almost 15 to 20 years.

Ankle Osteoarthritis Surgery

• Ankle debridement
• Ankle arthrodiastasis 
• Ankle arthrodesis (tibiotalar arthrodesis or ankle fusion)

Hand Osteoarthritis Surgery

• Joint fusion fuses two bones together. The goal of this surgery is to eliminate the source of the pain, but the joint will no longer move.
• Finger and wrist joint replacement

Hip Osteoarthritis Surgery

• Hip Arthroscopy
• Hip Osteotomy
• Hip Arthroplasty, or total hip replacement

Knee Osteoarthritis Surgery

• Knee arthroscopy
• Knee osteotomy
• Knee arthroplasty

Acromioclavicular Arthritis Surgery

• AC joint arthroscopy
• AC joint osteotomy
• Resection of the distal clavicle

Shoulder Osteoarthritis Surgery

• Shoulder arthroscopy
• Shoulder osteotomy
• Shoulder arthroplasty, or total joint replacement
• Hemiarthroplasty

SpinalOsteoarthritis Surgery

• Vertebral Fusion
• Laminectomy