• Arthroscopic debridement and lavage  
    • Removal of unstable or loosen bodies such as fragments of bones or cartilage.
    • Post management after surgery 
      • PROM / AAROM immediately after 24-48 hours of surgery 
      • Quickly progress to AROM 
  •  Synovectomy 
    • Removal of the synovial lining of the joint 
    • Typical with RA patients who have constant inflammation of the joint 
    • Conditions it can treat 
      • Tenosynovitis (Inflammation of the tendon sheaths where muscles connect to) 
      • Tensosynovectomy (Excessive synovium in the joint) 
         
    • Post management after surgery 
      • Slow process with exercise and ADL's 
      • Depended on patient 
  • Arthrodesis 
    • Surgical fusion of two articulating joints 
    • Typical in spine, wrist, thumb, and ankle 
    • Used to relieve severe pain such as late stage of OA and can even be used on patients where a total replacement surgery failed 
    • Kisner p.369, table 12-2 for positioning of joint post surgery 
    • Post management 
      • Post surgery they wear a cast over the joint for 6-12 weeks 
      • No more ROM so ROM and strength must be maintained above/below the joint 
      • WB status till proof of healing 
  • ORIF 
    • Some type of inter fixation device is used to stabilize the bone fragments during the healing process 
    • As it heals a second surgery might be required to remove the fixation 
    • Postmangement after surgery 
      • Heavily dependent on so many factors 
      • WB status is necessary while maintaining immobilization of the area 
  • Osteotomy 
    • Surgical cutting and realigment of bone 
    • Common on the knee and hip 
    • Used to reduce pain and deformity 
    • Different types of procedures reffer to Kisner p.370 for more info 
    • Postmanagement after surgery 
      • If immobilized in a cast you can peform AROM above and below the joint to prevent stiffness and muscle weakness 
      • WB status is typically 4-6 weeks 
      • When WB status has improved and cast is removed you can perform AAROM and active exercise with light weights