Arthrodesis According to Smith-Petersen

ARTHRODESIS ACCORDING TO SIT-PETERSEN.

Arthrodesis is a surgical procedure that is performed to create a joint between two bones to reduce movement in the joint and prevent further damage. One method of arthrodesis is the Smith Petersen procedure, a technique named after the surgeon Peter George Smith-Petersen, who first introduced this procedure in 1892. In this article, we will look at the Smith-Peterson arthrodesis process, its benefits, as well as possible complications and how to resolve them.

**Smith-Peterson Surgery:** Surgical arthrodesis involves replacing joints that are dysfunctional or causing discomfort. Patients with severe scarring and limited movement of fingers and toes may undergo surgery. It is performed by two surgeons specializing in plastic surgery and lasts from 2 to 4 hours. During the operation, an incision is made into which instruments are inserted and an arthroscopic device is inserted. The surgeon performs anatomical operations under visual control. The surgeon “stitches” (literally) all adhesions (scar tissue) in the interphalangeal joints. As with many other joint surgeries, general anesthesia is used and the patient falls asleep. Then he wakes up from a stun, a few minutes for pain relief, and work begins. The operation is successful if the infectious process is avoided. The healing process usually takes 4 to 6 weeks after surgery. After this, the patient begins to move his fingers and it is recommended to gradually introduce load. Full recovery occurs after 3-4 months. There are two main methods of arthrodesis: joint removal and creation of a new joint. Removal of a joint occurs by destroying the cartilage tissue between the various bone structures. The goal of the procedure is to prevent further progression of the disease and prevent further loss of function. This process usually takes about 2-4 weeks. The recovery period is about 3 months. This type of procedure is performed in cases where it is necessary to destroy the joint and then reconstruct it (using natural human tissue or artificial materials). Arthrodesis can also be performed using implants. Implants can come in a variety of shapes, designs and materials to provide effective fixation of bone fragments and achieve maximum results. The success of this procedure can increase the patient's quality of life and ensure long-term benefits. However, this operation is not suitable for cases where the joint is damaged without initial destruction articular cartilage, as well as in late stages of rheumatoid and psoriatic art