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Principles of Joint Surgery Kuo-An Lai Orthopaedic Department National Cheng Kung University Medical Center
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Joint Disorders Degenerative joint disorders — OA Noninfectious inflammatory disorders-RA etc. Systemic and local metabolic disorders-Gout, AVN etc. Trauma and sequels Congenital and developmental disorders Infection and sequels Neoplasm Miscellaneous
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Surgery of the Joint Extra-articular Intra-articular Combined Mini-invasive Arthroscope aided Computer aided
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Osteotomy To change the load of the joint
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High tibial osteotomy For OA, varus deformity of the knee
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Valgus osteotomy of the proximal femur Nonunion of the femoral neck fracture
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Supracodylar osteotomy of the femur For valgus deformity of the knee
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Innominate bone osteotomy For dysplasia of the hip
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Realignment of the soft tissue To change the track of the joint during motion
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Habitual dislocation of the patella Proximal and distal realignment
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Synovectomy and/or debridement To remove the diseased synovium and/or diseased tissue from the joint Rheumatoid arthritis Pigmented villonodular synovitis etc.
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Resectional arthroplasty To remove the diseased joint surface Ulnar head Metatarsal heads Metacarpal heads Radial head
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Interpositional arthroplasty To reconstruct the joint surface with either soft tissue membrane or artificial spacer Soft tissue interposition of the elbow Silastic rubber interposition of the MP joint in hand with RA
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Artificial joint arthroplasty Hemiarthroplasty Partial arthroplasty Total joint arthroplasty
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Hemiarthroplasty Hip Femoral head prosthesis Bipolar prosthesis Shoulder Humeral head prosthesis
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Femoral head prosthesis
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Bipolar prosthesis
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Humeral head prosthesis
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Partial arthroplasty Unicompartment knee prosthesis
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Total joint arthroplasty Total hip arthroplasty Total knee arthroplasty Total elbow arthroplasty Total shoulder arthroplasty Total ankle arthroplasty Wrist etc
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Total hip arthroplasty
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Total knee arthroplasty
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Total elbow arthroplasty
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Total shoulder arthroplasty
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Arthrodesis To create solid fusion of the joint to prevent its motion For active infection, salvage of failed total joint arthroplasty, severe neuromascular disorders, severe trauma and some tumors Functional position
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Arthrodesis of the hip
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Arthrodesis of the knee
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Arthrodesis of the ankle
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Arthrodesis of the wrist
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