ORTHOPAEDIC TREATMENT

Knee arthroscopy and meniscectomy

This is a procedure done to remove the torn meniscus or/and cartilage tissues from the knee. General aesthetic is used, though spinal aesthetic is an option too. The surgeon will make three small holes or incisions to allow some special instruments such as fiber-optic camera to be placed in the knee.
Sterile saline is continuously brought inside the knee joint with a tube. The torn meniscus parts or damaged cartilage on the surface of the knee bone is removed carefully with arthroscopic instruments. The result is a knee which has stable and smooth tissues, instead of rough, unstable and torn edges. The process may take 30 minutes or longer if extensive work is required.

Shoulder arthroscopy and decompression

It is the procedure to treat the shoulder impingement. This can happen when tendons in rotator cuff muscles are pinched or squeezed by surrounding shoulder structures. Shoulder arthroscopy and decompression restores the normal mobility of the shoulder and relieves the patient of pain. Inflammations, pain, limited motion of shoulders are some symptoms.
There could be acute pain in shoulders when raising arms over the head, or while lying down or when reaching backwards. In the procedure, 3 incisions are required, through which metal tube carrying fluid and arthroscopy are inserted. Swollen bursa tissue is removed through the third hole. A part of the acromion bone is shaved off which takes pressure of rotator cuff.

Carpal tunnel release

This surgery is done for treating the Carpal Tunnel Syndrome. This syndrome causes weakness and pain in the hands due to pressure on median nerve in wrist. The tendons help to flex fingers and median nerve passes through a tunnel known as carpal tunnel, which is very narrow. Any swelling can squeeze/pinch the median nerve which causes pain.
During surgery, the surgeon will cut through carpal ligament to give more space to the tendons and nerve. It is usually performed under local anesthesia. A small cut is made in palm through which carpal ligament is then cut. Some tissue may be removed too.

Knee arthroscopy and chondroplasty

Chondroplasty is a minimally invasive procedure done to smoothen the damaged cartilage of the knee. The surgery’s goal is to reduce knee joint friction, which allows for free knee movement, and eliminates knee pain. Articular cartilage covers knee joint, a smooth tissue which helps in knee joint movement. Degenerative conditions and trauma may damage the cartilage making it rough.
Chondroplasty is done with an arthroscope using a small incision. The damaged tissues is repaired and most patients report instant relief from pain. There is very little risk, pain and scarring during the procedure.

Removal of support implant

This surgery is perhaps the most commonly performed elective orthopedic procedure. During the surgery, devices used to fix bones are taken out. These devices may be metal pins, screws, plates, bone implants and surgical wires. The metal hardware is usually removed due to infection or pain. Some patients want to remove them due to cancer risk or to avoid cancer detection at security points. In children, hardware has to be removed to aid growth.
An incision is made at the area where the metal pins, screws etc. had been placed. These are then carefully separated from the tissue and taken out. The incision is closed with stitches and then covered with bandages.

Knee arthroscopy and anterior cruciate ligament reconstruction

Knee arthroscopy is minimally invasive technique which allows surgeons to assess and treat conditions which affect the knee joint. In this procedure, the surgeon makes small holes or incisions in the knee joint and inserts fiber optics and camera. The pictures are then projected to the screen in the operation theater.
Anterior cruciate ligament reconstruction, or ACL reconstruction, is a, arthroscopic process performed to treat the injuries to the ACL, and replacing ACL with tissue graft. Damage to the ACL happens due to knee being twisted or hyperextended. This procedure is performed if conservative treatment, such as physical therapy and knee braces is deemed unsuitable for the patient.

Knee Replacement

Also known as Arthroplasty; the knee replacement is done to relieve the pain and restore function in the severely damaged knees. In the procedure, the damaged cartilage and bone are cut away from the kneecap, thighbone and shinbone, and replaces with artificial joint (prosthesis). The artificial joint can be made of metal alloys, polymers or high-grade plastic.
The surgeon assesses the knee’s motion range, strength and stability before performing surgery. There are several methods of knee replacement which the surgeon discusses with the patient before opting for one procedure. The method chosen is dependent on activity level, knee shape and size, overall health, weight and age.

Repair of trochanteric fracture

The repair of trochanteric fracture is a combination of prescribed medicines and surgery. This treatment is often done on elderly people, people who have suffered an injury or has been in an accident. Depending on the extent of the damage, the doctor may even consider implants to help inn the recovery process of the trochanteric region.
The Trochanteric fracture involves the proximal femour between the shaft and cervical region. There are different types of Trochanteric factures based on the line and location of the break. Once the surgery is done, the patient may also have to undergo physiotherapy or may be advised complete bed rest depending on bad the fracture was. https://aimglobalcare.com/wp-admin/post.php?post=1266&action=edit#save

Repair of femoral neck fracture

This surgery is usually performed for older patients who are injured in low intensity falls from a standing height and young patients who suffer high intensity falls. Indication for this surgery and the surgical management differs according to the type of fracture and patient type. The timing of surgery also depends on fracture type. Generally, most patients with this type of neck fracture are benefited by the surgery.
Non-surgical treatment is performed for bedridden patients or insensate patients or for those who have extremely limited life expectancy. Traction and internal rotation view helps to determine the pattern of fracture. Delays in surgery greater than 2-4 days should be avoided as studies show that it may increase complication and even affect mortality rate.

Debridement of skin/muscle/bone/fracture

This procedure removes the bone and skin close to or surrounding infected wound due to bone diseases or injuries. The surgeon removes many layers of skin, subcutaneous tissue, fascia, associated muscles and foreign matter which is embedded in wound. Goal of surgery is to enhance healing of remaining healthy tissue.
Excisional debridement means removing necrotic as well as living tissue which surrounds the wound. If only necrotic tissue is removed, the process is known as selective debridement. If the process is carried out over a period of time, gradually, the process is known as non-selective. Burn victims, diabetics, patients with oesteomyelitis, or having benign bone lesions and accident trauma patients are recommended for this surgery.

Knee arthroscopy repair of both menisci

If you notice that your knee joint is swollen and hurts when you do any kind of vigorous activities, squat or any such pivoting motions; then you need to get the Meniscus checked to see if there is a damage or tare. The Knee arthroscopy repair of both menisci is a surgical procedure which helps in reparing the torn cartilages of the knee.
The main goal of this form of treatment is to help in the healthy preservation of the meniscus tissue. It also helps to promote the flow of blood which is essential for the tissue to heal. Post the surgery, the doctor will also advise physiotherapy for a certain amount of time. This will help to ensure that your knee gets back to its original form and functions the way it should.

Hip Replacement

When a person has a lot of pain on their hip joint due to an injury or arthritis, a hip replacement surgery may be recommended depending on the extent of the damage. This is a surgical procedure that replaces the hip joint with an artificial one. These artificial joints are generally a combination of plastic and metal components.
The Hip Replacement surgery is considered as a last option when all other treatments or medications have failed. Through this surgery, a person can lead a pain free life and will not face problems while walking or doing any kind of physical movement like running, cycling etc.

Shoulder arthroscopy/distal clavicle excision

The distal clavicle excision us a minimally invasive procedure which helps to relieve shoulder pain and restore its proper functionality. Through this surgery, a small portion of the clavicle is removed to help in the decompressing of the joint. This in turn also reduces the constant pain on the shoulders which may be caused due to shoulder impingement.
The surgeon may consider doing this surgery either with the help of an arthroscopy or through an open surgery. The surgical method will be decided based on factors like the extent of the damage in the distal clavicle, the age of the patient and the lifestyle that he or she lives. This surgery can be performed under general or regional anesthesia based on the type of surgical procedure that will be used.

Repair of rotator cuff tendon

The repair of the rotator cuff tendon is a surgical procedure which helps to repair a completely or partially torn rotator tendon. The surgery is considered as a last option when any non-sugrical method does not help to reduce the pain a person is experiencing for the past 6 months to one year. It is very important to treat the tear of the cuff tendons as they help the shoulder to move properly by forming a cuff over the shoulder joint.
When there is damage in the rotator cuff tendon, it reduces the shoulder joint’s mobility and functionality. This surgery can be performed in an arthroscopic, mini-open or complete open manner depending on the extent of the damage. This type of surgery may also be recommended for those who suffer from contestant shoulder dislocation or extreme use of the shoulder muscles like in the case of athletes and body builders.

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