Article

With an aging population, as well as a heightened interest in physical activity,
the demand for surgical treatment of osteoarthritis of the knee, hip, and
shoulder has continued to expand. This demand traditionally has been met with
total joint replacements as the definitive treatment. However, with the
development of newer, minimally invasive techniques, patients are being offered a
greater variety of options for pain relief and improvement in function. These
surgical options, varying widely from arthroscopic treatment to partial joint
replacements, have been met with mixed results as they have been applied to the
treatment of osteoarthritis. Although they are limited in their application and
target population, minimally invasive procedures may greatly enhance the outcome
of the patient, as well as prevent or delay the need for future total joint
arthroplasty. The purpose of this article is to review minimally invasive
surgical options for the treatment of osteoarthritis of the hip, knee, and
shoulder. We also examine their appropriate application, limitations, clinical
outcomes, and associated complications. A brief review of total joint
arthroplasty for the aforementioned joints has been included to provide a
comparison of the associated clinical outcomes and surgical complications.
CI - Copyright (c) 2012 American Academy of Physical Medicine and Rehabilitation.
Published by Elsevier Inc. All rights reserved.

Langue : ANGLAIS