Gelenkverankerung

Gelenkverankerung, often translated as joint anchoring or joint fixation, refers to a surgical technique used to stabilize and fuse a joint. This procedure is typically employed when a joint has been severely damaged by arthritis, trauma, or disease, and conservative treatments have failed to provide relief. The goal of Gelenkverankerung is to eliminate pain and restore functional stability by permanently joining the bones that form the joint.

The procedure involves preparing the articular surfaces of the bones, removing cartilage, and then bringing them into close apposition. Fixation is achieved using various methods, such as screws, plates, rods, or staples, to hold the bones together while bone grows across the joint, creating a solid fusion. This fusion results in the loss of motion within the affected joint, but it effectively eliminates pain and allows for weight-bearing or functional use of the limb.

Gelenkverankerung is most commonly performed on joints in the foot and ankle, such as the subtalar joint or the ankle joint itself, due to the significant impact of pain and instability in these areas. It can also be used in other joints, including the wrist, elbow, and knee, though other reconstructive procedures might be preferred for larger joints. The success of Gelenkverankerung depends on factors like the patient's overall health, the extent of joint damage, and the absence of infection. Post-operative care typically involves immobilization, followed by physical therapy to adapt to the fused joint.