Arthoplasty
Arthroplasty is a surgical procedure to restore the function of a joint. A joint can be restored by resurfacing the bones. An artificial joint may also be used. Various types of arthritis may affect the joints.
Types of arthroplasty,
1. Inter positional arthroplasty, previously a popular form of arthroplasty, with interposition of some other tissue like skin, muscle or tendon to keep inflammatory surfaces apart
2. Excisional or resection (al) arthroplasty in which joint surface and bone is removed. The remaining ends are attached, or left to give time for scar tissue to fill in the gap. One variant is the Stain by procedure which consists of excision of part of a proximal phalanx in a metatarsophalangeal joint, reduction of the plantar plate and kirschner wire fixation of the metacarpal bone to the remaining phalanx.
3. Resurfacing arthroplasty, where one or both bone surfaces are trimmed and replaced with a smooth metal covering.
5. Silicone replacement arthroplasty
6. Osteotomy to restore or modify joint congruity
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