The Surgical Treatment of Osteoarthritis
Osteoarthritis is a degenerative condition affecting the whole joint with the underlying bone, representing a major source of pain, disability, and socioeconomic cost worldwide. Age is considered the strongest risk factor, albeit abnormal biomechanics, morphology, congenital abnormality, deformity,...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-06-01
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| Series: | Life |
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| Online Access: | https://www.mdpi.com/2075-1729/12/7/982 |
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| author | Peter Brumat Ožbej Kunšič Samo Novak Urban Slokar Janez Pšenica Matevž Topolovec Rene Mihalič Rihard Trebše |
| author_facet | Peter Brumat Ožbej Kunšič Samo Novak Urban Slokar Janez Pšenica Matevž Topolovec Rene Mihalič Rihard Trebše |
| author_sort | Peter Brumat |
| collection | DOAJ |
| description | Osteoarthritis is a degenerative condition affecting the whole joint with the underlying bone, representing a major source of pain, disability, and socioeconomic cost worldwide. Age is considered the strongest risk factor, albeit abnormal biomechanics, morphology, congenital abnormality, deformity, malalignment, limb-length discrepancy, lifestyle, and injury may further increase the risk of the development and progression of osteoarthritis as well. Pain and loss of function are the main clinical features that lead to treatment. Although early manifestations of osteoarthritis are amenable to lifestyle modification, adequate pain management, and physical therapy, disease advancement frequently requires surgical treatment. The symptomatic progression of osteoarthritis with radiographical confirmation can be addressed either with arthroscopic interventions, (joint) preservation techniques, or bone fusion procedures, whereas (joint) replacement is preferentially reserved for severe and end-stage disease. The surgical treatment aims at alleviating pain and disability while restoring native biomechanics. Miscellaneous surgical techniques for addressing osteoarthritis exist. Advanced computer-integrated surgical concepts allow for patient personalization and optimization of surgical treatment. The scope of this article is to present an overview of the fundamentals of conventional surgical treatment options for osteoarthritis of the human skeleton, with emphasis on arthroscopy, preservation, arthrodesis, and replacement. Contemporary computer-assisted orthopaedic surgery concepts are further elucidated. |
| first_indexed | 2024-03-09T10:16:35Z |
| format | Article |
| id | doaj.art-a0d2d77f90b044679a3dc402af89ed0c |
| institution | Directory Open Access Journal |
| issn | 2075-1729 |
| language | English |
| last_indexed | 2024-03-09T10:16:35Z |
| publishDate | 2022-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Life |
| spelling | doaj.art-a0d2d77f90b044679a3dc402af89ed0c2023-12-01T22:21:43ZengMDPI AGLife2075-17292022-06-0112798210.3390/life12070982The Surgical Treatment of OsteoarthritisPeter Brumat0Ožbej Kunšič1Samo Novak2Urban Slokar3Janez Pšenica4Matevž Topolovec5Rene Mihalič6Rihard Trebše7Valdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaFaculty of Medicine, University of Ljubljana, 1000 Ljubljana, SloveniaValdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaValdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaDivision of Surgery, Department of Traumatology, General Hospital Jesenice, 4270 Jesenice, SloveniaValdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaValdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaValdoltra Orthopaedic Hospital, 6280 Ankaran, SloveniaOsteoarthritis is a degenerative condition affecting the whole joint with the underlying bone, representing a major source of pain, disability, and socioeconomic cost worldwide. Age is considered the strongest risk factor, albeit abnormal biomechanics, morphology, congenital abnormality, deformity, malalignment, limb-length discrepancy, lifestyle, and injury may further increase the risk of the development and progression of osteoarthritis as well. Pain and loss of function are the main clinical features that lead to treatment. Although early manifestations of osteoarthritis are amenable to lifestyle modification, adequate pain management, and physical therapy, disease advancement frequently requires surgical treatment. The symptomatic progression of osteoarthritis with radiographical confirmation can be addressed either with arthroscopic interventions, (joint) preservation techniques, or bone fusion procedures, whereas (joint) replacement is preferentially reserved for severe and end-stage disease. The surgical treatment aims at alleviating pain and disability while restoring native biomechanics. Miscellaneous surgical techniques for addressing osteoarthritis exist. Advanced computer-integrated surgical concepts allow for patient personalization and optimization of surgical treatment. The scope of this article is to present an overview of the fundamentals of conventional surgical treatment options for osteoarthritis of the human skeleton, with emphasis on arthroscopy, preservation, arthrodesis, and replacement. Contemporary computer-assisted orthopaedic surgery concepts are further elucidated.https://www.mdpi.com/2075-1729/12/7/982osteoarthritisspinehipkneeankle and footshoulder |
| spellingShingle | Peter Brumat Ožbej Kunšič Samo Novak Urban Slokar Janez Pšenica Matevž Topolovec Rene Mihalič Rihard Trebše The Surgical Treatment of Osteoarthritis Life osteoarthritis spine hip knee ankle and foot shoulder |
| title | The Surgical Treatment of Osteoarthritis |
| title_full | The Surgical Treatment of Osteoarthritis |
| title_fullStr | The Surgical Treatment of Osteoarthritis |
| title_full_unstemmed | The Surgical Treatment of Osteoarthritis |
| title_short | The Surgical Treatment of Osteoarthritis |
| title_sort | surgical treatment of osteoarthritis |
| topic | osteoarthritis spine hip knee ankle and foot shoulder |
| url | https://www.mdpi.com/2075-1729/12/7/982 |
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