Arthroscopy Surgery Arthroscopy (also called arthroscopic surgery) is a minimally invasive surgical procedure in which an examination and sometimes treatment of damaged interior part of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed either to evaluate or to treat many orthopaedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction, and trimming damaged cartilage. Following are the procedures that take place routinely - • Meniscus Balancing • Meniscus Repair • ACL Reconstruction • PCL Reconstruction • Arthrolysis • Synovial Biopsy • Loose body Removal • Rotator Cuff Repair • SLAP Surgery
Arthroscopy is a procedure for diagnosing and treating joint problems. A surgeon inserts a narrow tube attached to a fiber-optic video camera through a small incision — about the size of a buttonhole. The view inside your joint is transmitted to a high-definition video monitor. Arthroscopy allows the surgeon to see inside your joint without making a large incision. Surgeons can even repair some types of joint damage during arthroscopy, with pencil-thin surgical instruments inserted through additional small incisions. Doctors use arthroscopy to help diagnose and treat a variety of joint conditions, most commonly those affecting the: • Knee • Shoulder • Elbow • Hip • Ankle • Wrist.
General Pediatric Orthopedics A pediatric orthopaedist is the best-trained and most experienced doctor to properly evaluate and treat musculoskeletal (bone, joint, or muscle) problems in a child who is still growing. This includes newborn babies through teenagers. Children with complex pediatric problems are best managed by a medical-surgical team approach. Pediatric orthopaedic surgeons diagnose, treat, and manage children's musculoskeletal problems, such as: • Limb and spine deformities noted at birth or later in life (clubfoot, scoliosis, limb length differences) • Gait abnormalities (limping) • Broken bones • Bone or joint infections and tumors
Joint Replacement Surgery Joint replacement surgery is removing a damaged joint and putting in a new one. A joint is where two or more bones come together, like the knee, hip, and shoulder. The surgery is usually done by a doctor called an orthopaedic surgeon. Sometimes, the surgeon will not remove the whole joint, but will only replace or fix the damaged parts. The doctor may suggest a joint replacement to improve how you live. Replacing a joint can relieve pain and help you move and feel better. Hips and knees are replaced most often. Other joints that can be replaced include the shoulders, fingers, ankles, and elbows. Knee replacement surgery may be an effective treatment. Some medical treatments for degenerative joint disease may include, but are not limited to the following - Anti-Inflammatory Medications Glucosamine and Chondroitin Sulfate Pain Medications Limiting Painful Activities Assistive Devices for Walking (such as a Cane) Physical Therapy Cortisone Injections into the Knee Joint Viscosupplementation Injections (to add lubrication into the joint to make joint movement less painful) Weight Loss (for Obese Persons) There may be other reasons for your doctor to recommend a Knee Replacement Surgery.
Hand, Arm and Shoulder Disorders Most shoulder problems only affect a small area and should last a relatively short time. But sometimes the problem in your shoulder could be part of a wider, long-term condition such as, osteoarthritis or polymyalgia rheumatica. It’s fairly common for people with rheumatoid arthritis to have pain and swelling in their shoulders. There are several other possible causes of shoulder pain, such as: • inflammation, where your shoulder becomes hot, red, swollen and painful as a natural reaction to an infection or injury • damage to the muscles and tendons around the shoulder • tension in the muscles between the neck and shoulder – this is usually down to your posture in your upper back or neck, and is often linked the way you stand or sit when you’re using a computer or at work • inflammation in the bursa – a fluid-filled cushion which normally helps the muscles and tendons slide smoothly over the shoulder bones • damage to the bones and cartilage, which can be caused by arthritis.
Key points about knee ligament injuries Knee ligaments are the short bands of elastic tissue that holds the knee together. There are 4 main ligaments in each knee. Knee ligament injuries can be caused by trauma, such as a car accident. Or they can be caused by sports injuries. The anterior cruciate ligament (ACL) is one of the most common ligaments to be injured. Treatment may include medicine, muscle-strengthening exercises, a knee brace, or surgery. What is a knee ligament injury? Knee ligaments are the short bands of tough, flexible connective tissue that hold the knee together. Knee ligament injuries can be caused by trauma, such as a car accident. Or they can be caused by sports injuries. An example is a twisting knee injury in basketball or skiing. The knee has 4 major ligaments. Ligaments connect bones to each other. They give the joint stability and strength. The 4 knee ligaments connect the thighbone (femur) to the shin bone (tibia). They are: Anterior cruciate ligament (ACL). This ligament is in the center of the knee. It controls rotation and forward movement of the shin bone. Posterior cruciate ligament (PCL). This ligament is in the back of the knee. It controls backward movement of the shin bone. Medial collateral ligament (MCL). This ligament gives stability to the inner knee. Lateral collateral ligament (LCL). This ligament gives stability to the outer knee.
What are the symptoms of a knee ligament injury? Cruciate injury A cruciate ligament injury often causes pain. Often you may hear a popping sound when the injury happens. Then your buckles when you try to stand on it. The knee also swells. You also are not able to move your knee as you normally would. You may also pain along the joint and pain when walking. The symptoms of a cruciate ligament injury may seem like other health conditions. Always see your healthcare provider for a diagnosis. Collateral ligament injury An injury to the collateral ligament also causes the knee to pop and buckle. It also causes pain and swelling. Often you will have pain at the sides of the knee and swelling over the injury site. If it is an MCL injury, the pain is on the inside of the knee. An LCL injury may cause pain on the outside of the knee. The knee will also feel unstable, like it is going to give way.
ACL and PCL stand for Anterior Cruciate Ligament and Posterior Cruciate Ligament. The knee joint is comprised of three bones: the femur (thighbone), tibia (shinbone) and patella (kneecap). These three bones are joined by four major ligaments (ligaments being tough, fibrous tissues that connect the bones within our joints).
ACL and PCL reconstruction is graft type. Different grafts such as patellar tendon, hamstring tendon,7 and allografts are used for simultaneous ACL and PCL reconstruction. Use of allografts is preferred by most of surgeons due to more effectiveness, lack of donor site morbidity, shorter surgery time and more stability. However, some problems such as financial burden, the possibility of infection transmission and delay in reconstruction are also existed for this type of graft. Therefore, it cannot say that what graft is better for reconstruction of injured ligaments.4 The aim of the present study is to evaluate the outcomes of simultaneous arthroscopic reconstruction of ACL and PCL using allograft.
Trauma is the branch of surgical medicine that deals with treating injuries caused by an impact. Many trauma patients are the victims of car crashes, stabbings and gunshot wounds. Trauma can also be caused by falls at home in the toilet, bathroom, is in bed or fall from the bed or any small injuries after can involve certain bones & certain joints. Most common fractures that we treat in this institution are, Fracture neck of the Femur & other fracture around the shaft of the femur, distal end of the femur proximal knee joint involving knee joint, proximal tibia shaft distal tibia, Proximal Humerus that means shoulder or elbow, wrist all are very common fractures due to minor injuries from fall or low impact. In the case of severe trauma, such as a catastrophic car crash, the trauma surgeon may be one part of a surgical team that includes vascular surgeons (to repair damage to blood vessels), orthopedic surgeons (to repair broken bones) and other surgeons as needed. Trauma Procedures that are performed by me on a regular basis are as follows - • DHS • AFN • PFN • LC LCPS • Locking Platform • Locking Nails • Pelvic Fracture Surgery • Poly Traumas
Sports Injury Exercising is good for you, but sometimes you can injure yourself when you play sports or exercise. Accidents, poor training practices, or improper gear can cause them. Some people get hurt because they are not in shape. Not warming up or stretching enough can also lead to injuries. The most common sports injuries are - - Sprains and Strainsbr> - Knee Injuries - Swollen Muscles - Achilles Tendon Injuries - Pain along the Shin Bone - Rotator Cuff Injuries - Fractures - Dislocations If you get hurt, stop playing. Continuing to play or exercise can cause more harm. Treatment often begins with the RICE (Rest, Ice, Compression, and Elevation) method to relieve pain, reduce swelling, and speed healing. Other possible treatments include pain relievers, keeping the injured area from moving, rehabilitation, and sometimes surgery.
Hip replacement?
A hip joint replacement means replacing one or both sides of the hip joint with an artificial socket and a metal ball and stem.
Knee replacement?
A knee joint replacement means replacing one or both sides of the knee joint and often the underside of the knee cap.
Hip and knee total joint arthroplasty are effective surgical treatments for the management of arthritis. Joint replacement surgery involves the resection of the degenerative joint and replacement with syntenic components which reconstruct the worn joint surface allowing pain free mobilisation.
