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Related Concept Videos

Structural Joints: Synovial Joints01:16

Structural Joints: Synovial Joints

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Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
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Structural Joints: Fibrous Joints01:03

Structural Joints: Fibrous Joints

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Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
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Structural Joints: Cartilaginous Joints01:17

Structural Joints: Cartilaginous Joints

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As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary...
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Joints01:26

Joints

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Joints, also called articulations or articular surfaces, are points at which ligaments or other tissues connect adjacent bones. Joints permit movement and stability, and can be classified based on their structure or function.
Structural joint classifications are based on the material that makes up the joint as well as whether or not the joint contains a space between the bones. Joints are structurally classified as fibrous, cartilaginous, or synovial.
Fibrous Joints Are Immovable
The bones of a...
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General Anesthesia: Overview01:24

General Anesthesia: Overview

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Anesthesia is a medical procedure that uses drugs for CNS suppression to enable painless surgeries and procedures. The selection of anesthetics is influenced by their pharmacokinetic properties, side effects, and patient characteristics. Various types of anesthesia include general, local, regional, spinal, and inhalational.
General anesthesia induces unconsciousness in the whole body, while the others target specific areas or sensations. It is administered to minimize adverse effects, maintain...
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Stages of General Anesthesia01:22

Stages of General Anesthesia

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Various sedation levels offer significant advantages in facilitating procedural interventions for patients undergoing medical or invasive surgical procedures. These levels span from anxiolysis to general anesthesia, providing a spectrum of sedative effects to cater to specific patient needs. Anxiolysis reduces anxiety and is achieved through minimal sedation, enabling patients to remain awake and responsive while feeling more at ease during the procedure. This level can benefit minor...
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Related Experiment Video

Updated: Jan 25, 2026

Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
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Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach

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Anesthesia for Same-Day Total Joint Replacement.

Adam W Amundson1, Jason K Panchamia1, Adam K Jacob1

  • 1Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Anesthesiology Clinics
|May 4, 2019
PubMed
Summary
This summary is machine-generated.

Outpatient total joint replacement (TJR) reduces costs without compromising patient safety. Enhanced recovery pathways and modern techniques enable shorter hospital stays for successful ambulatory TJR.

Keywords:
AmbulatoryArthroplastyOutpatientTotal hip replacementTotal knee replacement

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Area of Science:

  • Orthopedic Surgery
  • Health Economics
  • Patient Recovery Protocols

Background:

  • Rising healthcare costs necessitate cost-efficiency in the total joint replacement (TJR) industry.
  • Minimizing hospital length of stay is a key strategy for reducing the total cost of care.
  • Shorter hospitalizations may decrease perioperative complications and do not negatively impact patient safety or satisfaction.

Purpose of the Study:

  • To evaluate the feasibility and benefits of outpatient total joint replacement (TJR).
  • To explore strategies for shortening hospital stays in TJR patients.
  • To demonstrate that reduced hospitalization does not compromise patient outcomes.

Main Methods:

  • Implementation of enhanced recovery after surgery (ERAS) clinical pathways.
  • Advancements in surgical techniques for TJR.
  • Integration of presurgical patient education, multimodal analgesia (opioid-sparing), rapid-recovery anesthetic techniques, and progressive rehabilitation.

Main Results:

  • Progressive shortening of hospitalizations for TJR through the adoption of outpatient protocols.
  • Successful implementation of ambulatory TJR is achievable.
  • Evidence suggests reduced hospital stay does not compromise patient safety or satisfaction.

Conclusions:

  • Outpatient total joint replacement is a viable approach to reduce healthcare costs.
  • Enhanced recovery pathways and multimodal care are critical for successful ambulatory TJR.
  • Shortened hospitalizations in TJR are safe, effective, and contribute to cost reduction.