Bony ankylosis is a condition where the bones of a joint are fused together, resulting in a lack of mobility. Treatment for bony ankylosis depends on the severity of the condition and the underlying cause, but generally includes a combination of medications, physical therapy, and possibly surgery.
Medications may be prescribed to reduce pain and inflammation, such as non-steroidal anti-inflammatory drugs (NSAIDs) or corticosteroids. Physical therapy is important to maintain range of motion and to help the patient cope with the disability caused by bony ankylosis. A physical therapist may also use joint manipulation or ultrasound to help reduce pain and improve mobility.
In cases where bony ankylosis is severe or has not responded to medications and physical therapy, surgery may be required. The type of surgery performed depends on the location and severity of the condition. For instance, if the ankylosis is located in the knee joint, an osteotomy, or surgical removal of the bony tissue, may be required. Alternatively, arthroscopic surgery may be used to try to separate the fused bones and restore motion in the joint.
In some cases, the bony ankylosis may be difficult to treat, and the patient may require a joint replacement. This involves replacing the affected joint with a plastic or metal implant. While this will restore mobility in the joint, it may also lead to other complications and the patient may still require physical therapy to maintain the range of motion of the joint.
No matter the treatment chosen for bony ankylosis, follow-up visits with a doctor and physical therapist are important to monitor the patient's progress and ensure the best possible outcome.