Arthroplasty

The most successful and common form of arthroplasty is the surgical replacement of arthritic or destructive or necrotic joint or joint surface with a prosthesis. For example a hip joint that is affected by osteoarthritis may be replaced entirely (total hip arthroplasty) with a prosthetic hip. This would involve replacing both the acetabulum (hip socket) and the head and neck of the femur. The purpose of this procedure is to relieve pain, to restore range of motion and to improve walking ability, thus leading to the improvement of muscle strength.

Other types of arthroplasty

  • Interpositional arthroplasty, previously a popular form of arthroplasty, with interposition of some other tissue like skin, muscle or tendon to keep inflammatory surfaces apart
  • 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 of is the Stainsby 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.
  • Resurfacing arthroplasty, where one or both bone surfaces are trimmed and replaced with a smooth metal covering.
  • Mold arthroplasty,
  • Silicone replacement arthroplasty
  • Osteotomy to restore or modify joint congruity

Meet Our Doctors

Team1

Dr. Karnav Panchal

M.S. (Ortho) FAOS (South Korea)