orthopedic surgery
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Indications
- bone disease &/or joint disease not amenable to medical treatment
* many common elective orthopedic surgical procedures lack strong evidence of effectiveness[2]
- carpal tunnel release & total knee arthroplasty appear to be superior to nonsurgical management alone
- total hip arthroplasty & arthroscopic meniscal repair have not been compared with nonsurgical management in randomized trials
- arthroscopic partial meniscectomy, rotator cuff repair, subacromial decompression, reconstruction of the anterior cruciate ligament, lumbar spine decompression, & lumbar spine fusion appear to be no better than nonsurgical treatment[3]
Complications
- older age, diabetes mellitus, baseline renal insufficiency, & other comorbidities are associated with increased risk for acute renal failure after orthopedic surgery
- acute renal failure, in turn, is associated with increased mortality[1]
- hyponatremia, SIADH in elderly (30%)
Notes
- see surgery
More general terms
More specific terms
- ablation of bone neoplasm
- anterior cervical decompression & fusion (ACDF)
- application of orthopedic device
- arthrectomy; resection of joint
- arthrodesis; joint fusion
- arthroplasty
- arthroscopic surgery
- arthrotomy
- aspiration/injection of bone cyst
- bursectomy
- cartilage repair
- chondrocyte implantation
- chondroplasty
- chymopapain disk injection therapy
- epiphysiodesis
- gastrocnemius release; Strayer procedure
- Hallux rigidus repair
- hammertoe repair
- impression/preparation obturator prosthesis
- incision bone cortex
- joint capsulotomy
- knee surgery
- Krukenberg procedure
- lateral retinacular release
- meniscectomy
- ostectomy
- osteochondral allograft
- osteoplasty (bone grafting)
- osteotomy
- pelvic fixation
- prophylactic orthopedic surgery
- reconstruction of dislocating patella
- reduction of joint dislocation
- repair of bone fracture
- repair of hip dislocation
- repair of patellar tendon
- repair of ruptured musculotendinous cuff
- scapulopexy
- sequestrectomy
- spinal surgery; vertebral surgery
- syndesmorrhaphy
- synovectomy
- tenodesis
- tenolysis
- tenotomy; tendotomy; tendon release
- thermal capsulorrhaphy
Additional terms
References
- ↑ Jump up to: 1.0 1.1 Bell S et al. Risk of postoperative acute kidney injury in patients undergoing orthopaedic surgery - development and validation of a risk score and effect of acute kidney injury on survival: Observational cohort study. BMJ 2015 Nov 11; 351:h5639 PMID: https://www.ncbi.nlm.nih.gov/pubmed/26561522
- ↑ Jump up to: 2.0 2.1 Geriatric Review Syllabus, 10th edition (GRS10) Harper GM, Lyons WL, Potter JF (eds) American Geriatrics Society, 2019
- ↑ Jump up to: 3.0 3.1 Blom AW, Donovan RL, Beswick AD et al. Common elective orthopaedic procedures and their clinical effectiveness: Umbrella review of level 1 evidence. BMJ 2021 Jul 7; 374:n1511 PMID: https://www.ncbi.nlm.nih.gov/pubmed/34233885 PMCID: PMC8262448 Free PMC article https://www.bmj.com/content/374/bmj.n1511