Joint Fusion/Arthrodesis Surgery

Arthrodesis is a pain-relieving procedure that involves joining two bones that create joints. The term “fusion surgery” also refers to the surgical fusing of two bones. When dealing with conditions like severe arthritis, fractures, and joint discomfort in multiple body parts, it is a safe operation. Arthrodesis may be able to relieve pain in the wrists, ankle, finger, thumb, spine, and other joints as well as various problems that limit joint movement. Here are we are going to discusss about arthrodesis surgery/joint fusion surgery in detail.

The process eliminates mobility in that joint but strengthens the bone, lessens pain, and increases stability. An arthrodesis is an option if other forms of treatment are not successful in relieving pain. These days, though, doctors only recommend it as a last resort and only after all other choices have been exhausted.

An ideal arthrodesis requires both of the target bones to be robust and whole. For proper healing, the individual should also have a strong immune system. To fuse the joints, a bone graft can be necessary.

Arthrodesis can happen naturally, but if you want faster results, you can also have surgery to complete the process. The necessary bone may come from a cadaver or the patient’s body (autograft). It may be synthetic or available from a tissue bank. Although the thumb, finger, wrist, spine, and knees can all be operated on, the spine is usually the site of the procedure. Arthrodesis can also be categorized according to the number of joints that require fusion.

Diagnosis for Arthrodesis Surgery?

To guarantee the success of the surgery, tests, and required preparations are addressed with the patient by the Arthrodesis surgery hospitals in India. Among the tests are:

• physical assessment
• blood examinations
• imaging examinations
• It is recommended that smokers give up because smoking impedes the healing process.
• It is recommended that patients who are on blood thinners cease taking them approximately one week before the treatment. It might lessen the likelihood of severe bleeding.

Symptoms for Arthrodesis Surgery?

Arthrodesis is only taken into consideration in cases where patients’ conditions have not improved with alternative forms of treatment. The main goals of this therapy are to treat bone abnormalities and deformities and to relieve pain. The following are signs of arthrodesis:

• Foot abnormalities in valgus
• Giving way Pes Plano Valgus deformity
• advanced dysfunction of the tibialis posterior tendon
• Tarsal alliance
• Various foot malformations for which bracing is insufficient
• Cavus and Cavovarus
• Equivalency of Talipes
• arthritis rheumatoid (RA)
• Degenerative joint disease, often known as degenerative arthritis (DJD)
• arthritis following trauma
• Persistent pain
• Joint instability
• disorders of the neuromuscular system
• persistently severe Joint tuberculosis (last resort)
• Mueller-Weiss illness

Who should get Arthrodesis Surgery done?

Arthrodesis Surgery in India is for people who suffer from the following problems:

• deteriorated articulations or joints connecting the bones
• severe and ongoing joint or bone pain
• restricted movement
• arthritis-related joint degradation
• Joint inflammation, characterized by pain, edema, and redness
• Hand, thumb, and knee deformities
• harm brought on by aging, accidents, birth defects, and other underlying diseases.
• spinal disc herniation
• damage to the spine, such as scoliosis and fractures to the spine

Who should not get Arthrodesis Surgery done?

The following conditions restrict the arthrodesis treatment:

• Ailments that can be resolved by smaller fusions, soft-tissue operations, tendon balance, or external bracing.
• There is a relative contraindication to chronic smoking. It could result in a nonunion of the bones.

Potential Risks Post Arthrodesis

Arthrodesis is a typically risk-free treatment with few reported side effects. If they do arise, though, they are curable. Among them are a few of them:

• Malunion
• damage to the nerves
• Unhealing wounds and tissues
• Smokers are more likely to develop pseudo-arthritis, a disorder in which insufficient bone fuses together. Thus, to address the issue, a second surgery might be required.
• metal implants breaking
• The fusion site’s failure
• horrible scar tissue
• joint arthritis in the vicinity
• gushing blood
• clots of blood
• Virus Infection
• After surgery, pain at the location of the bone fusion may potentially persist.

Recovery Post Arthrodesis

• Hospital discharge: After surgery, most patients can go back home in a day or two.
• Pain management: Patients are required to take painkillers as prescribed by their surgeon following surgery. Opioids and NSAIDs, for example.
• Weight-bearing: After surgery, using crutches or a wheelchair facilitates easy and convenient walking. One possible treatment option is to immobilize the surgically repaired bones with a cast or brace.
• To evaluate the degree of bone healing, routine follow-ups are required.
• Exercises for rehabilitation: A physical therapist leads exercises to support the maintenance of movement in the operated joint. It also aids in regaining strength.
• About 3–6 months following the surgery, one can return to regular activities
• The ends of the joint enlarge and come together to create a single unit throughout time.

Cost of Arthrodesis Surgery in different cities in India?

The Arthrodesis surgery cost in India includes pre-operative testing for viral indicators including HIV, HCV, and HBASG as well as preoperative diagnostics like CBC, LFT, KFT, sodium, and potassium tests.  MRI, CT, Myelogram, x-ray, and facet joint scans are a few of the preoperative tests performed before Arthrodesis surgery. The cost of the testing is covered by the insurance.

Each city has a different pricing index, generally speaking, Tier 1 cities are more expensive  Arthrodesis surgery hospitals in India than Tier 2 cities. In various Indian cities, the cost of arthrodesis falls roughly between these ranges:

• Mumbai: Rs.177489 to Rs.264069
• Ahmedabad: Rs.145022 to Rs.240260
• Hyderabad: Rs.166667 to Rs.253247
• Bangalore: Rs.168831 to Rs.255411
• Kolkata: Rs.162338 to Rs.244589
• Jaipur: Rs.151515 to Rs.242424
• New Delhi: Rs.168831 to Rs.264069
• Gurgaon: Rs.173160 to Rs.259740
• Noida: Rs.162338 to Rs.270563
• Chennai: Rs.173160 to Rs.248918
• Mohali: Rs.155844 to Rs.367965