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There are, in reality, only two conditions in which open surgical procedures should be employed in ankylosed joints for the purpose of restoring motion: First, traumatism, causing a crushing of the joint surfaces with tear-ing of the periosteum or multiple fractures, followed by bony ankylosis.
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Second, restore motion.
For decades there has been a desire to restore motion of a painful degenerated spinal segment.
Recent reports have suggested early success in using a reverse shoulder prosthesis to provide longitudinal stability while utilizing the power of an intact deltoid muscle to restore motion and function and alleviate pain in shoulders with cuff tear arthropathy.
Ability to restore motion and alleviate pain has been challenging and has led Neer to coin the term "limited goals" when discussing outcomes of surgery in this group of patients.
This is how Erica explained it to me, "Myofascial Release is a safe, effective hands-on technique that involves applying gentle sustained pressure into the Myofascial connective tissue restrictions to eliminate pain and restore motion".
Can we restore motion and to what degree?
The Magnuson and Pridie debridement procedures temporarily relieved pain, but did not restore motion or stability.
The arthrodesis may relieve the pain but does not restore motion in the joint.
The article reproduced here describes arthroplasty of the elbow to restore motion to ankylosed joints [2].
Removal of the implants was recommended after fusion had occurred, in order to restore motion to the additionally fixed superior motion segment.
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