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Medical Disability Advisor  >  Arthrodesis  >  Rehabilitation

Arthrodesis


Related Terms


  • Artificial Ankylosis
  • Joint Fusion

Specialists


  • Hand Surgeon
  • Orthopedic (Orthopaedic) Surgeon
  • Plastic Surgeon

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Factors Influencing Duration


Factors that might influence the length of disability include the joint involved, the underlying disease process, the individual's tolerance of the resulting stiffness, and the individual's ability to modify work requirements after disability. The time to complete healing or fusion varies from 6 weeks to 6 months, and at least some degree of disability will be present until the fusion is solidly healed.

Medical Codes


ICD-9-CM:
81 - Repair and Plastic Operation on Joint Structures
81.1 - Arthrodesis of Foot and Ankle
81.11 - Ankle Arthrodesis; Tibiotalar Fusion
81.12 - Triple Arthrodesis; Talus to Calcaneus and Calcaneus to Cuboid and Navicular
81.13 - Subtalar Fusion
81.14 - Midtarsal Fusion
81.15 - Tarsometatarsal Fusion
81.16 - Metatarsophalangeal Fusion
81.17 - Fusion of Foot, Other
81.18 - Subtalar joint arthroereisis
81.2 - Arthrodesis of other joint
81.20 - Arthrodesis of Unspecified Joint
81.21 - Hip Arthrodesis
81.22 - Knee Arthrodesis
81.23 - Shoulder Arthrodesis
81.24 - Arthrodesis of Elbow
81.25 - Carporadial Fusion
81.26 - Metacarpocarpal Fusion
81.27 - Metacarpophalangeal Fusion
81.28 - Interphalangeal Fusion
81.29 - Arthrodesis of Other Specified Joints

Rehabilitation


The hand, wrist, and ankle are more commonly seen for rehabilitation following an arthrodesis. It is important, however, to initially control postoperative pain and swelling for any joint fusion. This is followed by rehabilitating the individual to regain function of the body part involved. The physical therapist will use various methods to address postoperative symptoms.

Strengthening the muscles that move adjacent joints is important. For example, an individual who has undergone an arthrodesis of the hip would benefit from strengthening exercises for the muscles that move the back of the knee because these muscles must compensate for the loss of joint movement. This strengthening is important to improve an individual's gait. Instruction in the use of an assistive device such as a cane may be required shortly after surgery, while the individual progresses to independent walking. Strengthening exercises are equally important for any arthrodesis performed on the upper extremities.

Modifications may need to be made by the physical therapist for those who have arthritis or other conditions near the joint that underwent arthrodesis. Rehabilitation will also vary depending upon the body part and joint(s) involved.

Source: Medical Disability Advisor






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