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Joint replacement of the hand is a procedure that was invented by the Scottish scientist, Mitchell McGuire. The procedure was considered a major breakthrough in the medical field at the time. However, it is now considered an almost standard operation. The first successful surgery of this kind was conducted on 21 December 1992, in New York City, US.
Arthroplasty (literally "[re-]forming of joint") is an orthopedic surgical procedure where the articular surface of a musculoskeletal joint is replaced, remodeled, or realigned by osteotomy or some other procedure. It is an elective procedure that is done to relieve pain and restore function to the joint after damage by arthritis or some other ...
Synovectomy is the surgical removal of the synovial tissue surrounding a joint.This procedure is typically recommended to provide relief from a condition in which the synovial membrane or the joint lining becomes inflamed and irritated and is not controlled by medication alone.
Depending on the joint involved and the pre-op status of the person, the time of hospitalization varies from 1 day to 2 weeks, with the average being 4–7 days in most regions. [citation needed] Physiotherapy is used extensively to help people recover function after joint replacement surgery. A graded exercise programme is needed initially, as ...
The healthy bone and cartilage are taken from areas of low stress in the joint so as to prevent weakening the joint. [11] Depending on the severity and overall size of the damage multiple plugs or dowels may be required to adequately repair the joint, which becomes difficult for osteochondral autografts. The clinical results may deteriorate ...
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The surgery is performed by arthroscopy, after the joint is cleaned of calcified cartilage. Through use of an awl , the surgeon creates tiny fractures in the subchondral bone plate. [ 10 ] Blood and bone marrow (which contains stem cells ) seep out of the fractures, creating a blood clot that releases cartilage-building cells .
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