Arthrolysis | Doctors & treatment information

Arthrolysis is a surgical method used to remove minor damage to the joints. Afterwards, patients can usually move their joints better again. Surgeons remove adhesions or small bone outgrowths, for example, as part of an arthrolysis.

Here you will find further information and selected arthrolysis specialists and centers.

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Arthrolysis - Further information

Arthrolysis: definition

Joints can only function smoothly if all joint components work together perfectly. If parts get stuck or interfere with each other, this results in restricted freedom of movement.

The causes of such joint dysfunctions are often

  • Scarred adhesions,
  • adhesions and
  • osteophytes (bony protrusions that can form over time).

Arthrolysis can provide relief to a certain extent. This is a surgical procedure used by doctors to mobilize a restricted joint, i.e. to make it mobile again.

The word arthrolysis is a neologism from the Greek and includes

  • "arthron" for "joint" and
  • "lysis", which means "dissolution".

In most cases, arthrolysis can be performed in a minimally invasive way using arthroscopy. The necessary tissue incisions are very small and significantly less force is required. This protects the joint and the surrounding structures and leads to faster healing.

Arthroskopie
Arthrolysis is usually performed as part of an arthroscopy. This protects the tissue and enables faster healing © romaset | AdobeStock

Open joint procedures as part of a mobilization via arthrolysis are rather unusual and only occur very rarely.

Arthrolysis is used when

  • conservative,
  • physiotherapeutic and
  • medicinal

treatments fail to achieve an improvement.

Arthroplasty is to be distinguished from arthrolysis. In this case, the existing joint is not restored, but replaced with an artificial joint instead.

When arthrolysis should not be performed

In certain situations or under certain conditions, arthrolysis is not possible, for example in the case of

In which areas is arthrolysis used?

Arthroscopic procedures are mainly performed on the large joints . Interventions on

are the most common applications of the procedure. These joints are subjected to the most stress in everyday life.

The elbow and upper ankle joint are also often treated arthroscopically.

Thanks to technical advances in medicine, surgeons are increasingly able to mobilize smaller joints arthroscopically. This concerns, for example

  • the wrist and
  • the lower ankle joint.

Procedure for arthrolysis

The procedure is often performed under general anesthesia. This means that the patient is not conscious for the duration of the operation.

Occasionally, anesthesia can also be administered locally. The doctor then only anaesthetizes the area of the joint to be operated on. However, there is a risk of careless movement on the part of the patient, which can impair the surgical procedure and therefore also the success of the operation. However, instruction on how to behave during the procedure by the responsible doctor should minimize the risk accordingly.

A consultation with the anesthetist also takes place prior to anesthesia. He will inform the patient about the risks and the anesthesia procedure.

There are two types of arthrolysis.

Simple arthrolysis consists of cutting or splitting shortened or fused parts of the capsule. The surgeon then removes adhesions that have formed due to scar tissue, for example.

In the case of extended arthrolysis, any bone growths are also removed.

The success of the procedure in terms of restoring mobility is checked during the operation. In case of doubt, corrections can be made at short notice.

Risks and complications

Compared to open surgery, the risks of arthroscopic surgery are relatively low. Nevertheless, as with any procedure, there are some possible complications. These include

  • joint effusion,
  • irritation during wound healing and
  • joint infections, although these are very rare.

The procedure can also cause cartilage damage and promote the development of osteoarthritis.

During knee joint arthroscopy, the following can occur as a result of the procedure

can occur. You should therefore discuss the risks and the exact procedure with a specialist before deciding to mobilize your joint surgically.

Follow-up treatment after arthrolysis

The length of your stay at the clinic depends on the intensity of the procedure. In the case of minimally invasive arthrolysis without complications, the patient can leave the clinic on the day of the operation. A full inpatient admission is then usually not necessary.

However, hospitalization is necessary if complications arise or the procedure is unsuccessful. The doctor will then recommend observation in hospital.

The focus of follow-up treatment is on

  • stabilization of the joint and
  • securing the changes made to the joint structure.

Healing takes a relatively long time. Patients must therefore be prepared for longer and more extensive follow-up treatment (usually several months). This is the only way to ensure that the joint continues to function reliably in the future.

Pain often occurs in the initial period after the operation. Pain therapy is therefore usually necessary.

After the operation, you should take it easy on the joint and only put minimal strain on it. However, this may also mean the loss of muscles. For this reason, targeted physiotherapy is used to carefully and appropriately build up the muscles.

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