Other surgeries and procedures

Also known as joint fusion, this surgery involves removing any damaged cartilage and permanently fusing (joining) the two bones that form a joint by using pins, plates, screws or rods. Over time, the bones will gradually grow together to create this fused joint. Once fused, the joint can no longer move, which may help reduce pain, but does reduce flexibility and range of motion. This type of surgery is most commonly performed on the ankles, wrists, fingers, or thumbs and is typically considered a last resort when joint replacement surgery is not appropriate. 

More information on arthrodesis:

Foot and ankle surgery - Versus Arthritis

Treating foot and ankle arthritis - Health info

Finger joint fusion - Orthoinfo 

Often referred to as ‘keyhole’ surgery, this procedure uses a thin instrument called an arthroscope, which is inserted into the joint through a small cut in the skin. The arthroscope acts like a telescope, allowing the surgeon to see inside the joint. It can also be connected to a camera to capture images. This procedure helps identify the cause of symptoms and, in some cases, allows for treatment at the same time, for example, repairing or removing damaged cartilage or repairing tears in the tissues around joints. Arthroscopy is most commonly performed on knees and shoulders. However, it is generally not recommended for osteoarthritis or degenerative meniscal tears.

More information on arthroscopy:

Arthroscopy - Orthoinfo 

Should you have arthroscopy - Joint Action 

An osteotomy involves cutting and repositioning a bone to improve joint alignment so that the weight-bearing axis of the body is moved away from the arthritic part, which can relieve pressure on the damaged side of the joint. This procedure is most commonly performed on the knee and occasionally on the hip and is generally performed on younger people. 

More information about an osteotomy:

Osteotomy of the knee - Orthoinfo 

Resection involves removing part of a bone, an entire bone, or even a whole joint. It is most commonly performed on damaged joints in the foot, particularly the big toe. Resection is only used if joint fusion or replacement is not appropriate.

For more information about resection speak to your surgeon or specialist. 

A synovectomy involves removing the joint lining, known as the synovium. The synovium can become inflamed or overgrow due to inflammatory arthritis, which can then damage the cartilage and joint. Removing the synovium may help reduce pain, swelling, and slow the progression of joint damage. However, the synovium can grow back over time, which may lead to the return of symptoms.

For more information about synovectomy speak to your surgeon or specialist.

Joint revision surgery is an additional surgical procedure that may be required for joint replacements that wear out or become infected. The procedure replaces all or part of the previous joint implant with a new one. 

More information on revision surgery:

Revision of total knee replacement - Orthoinfo

Revision of hip replacement surgery - Orthoinfo