Joint Replacement & Sports Injury
Geriatric hip fractures are fractures in the upper-third of the thigh bone (femur) and/or around the hip joint sustained by elderly adults as a result of a fall.
Hip fractures in seniors often require a higher complexity of care due to additional health concerns such as weakened bones and fragility, loss of muscle mass and balance instability. Even a low-impact fall for an active senior with one or some of these issues could result in a severe hip fracture.
The moment a senior falls and fractures their hip, the clock starts to tick. It is important to treat a hip fracture as soon as possible — not doing so can significantly increase complications.
Percutaneous foraminal neuroplasty (PFN) is a minimally invasive surgical procedure used to treat certain types of back pain, particularly when caused by nerve compression or irritation in the spinal foraminal canal. The foraminal canal is a passageway through which nerve roots exit the spinal column and extend to the rest of the body.
During a PFN procedure, the surgeon uses specialized tools to access the foraminal canal through a small incision in the back. They then use various techniques, such as radiofrequency ablation or endoscopic decompression, to remove or shrink tissue that may be pressing on the nerves. By relieving this pressure, the procedure aims to alleviate pain and restore normal function.
PFN surgery is often considered when conservative treatments like medication, physical therapy, or injections have failed to provide adequate relief. It's typically less invasive than traditional open surgery and may offer faster recovery times and fewer complications for eligible candidates. However, as with any medical procedure, there are risks and potential complications associated with PFN surgery, so it's essential to discuss the potential benefits and risks with a qualified healthcare provider.
The knee plays an important role in mobility. However, this joint may get damaged or diseased over a period of time because of an injury or conditions such as osteoarthritis, rheumatoid arthritis and so on.
The damage to the knee joint may lead to terrible pain and immobility. A knee replacement surgery is advised when the pain and mobility are not improved despite continuous use of medications and physical exercises.
A bilateral knee replacement surgery is performed when both the knees are damaged to diseased. If only one knee is affected, then the knee replacement surgeon recommends the patient to undergo replacement of just one knee, a procedure known as unilateral knee replacement surgery.
Osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, knee deformity, vascular necrosis, and swelling and inflammation of the cartilage surrounding the knee are some of the indications for unilateral and bilateral knee replacement surgery.
A knee replacement surgeon may decide to conduct a total knee replacement surgery or a partial knee replacement surgery, depending on the extent of damage. A minimally invasive surgery can also be conducted with the help of an arthroscope. This type of surgery allows for minimal healing time, quick knee replacement recovery time, and fewer complications.
Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:
- A stem, which fits into the thigh bone
- A ball that fits into the stem
- A cup which is inserted into the socket of the hip joint
The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.
The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.
There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.
Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient. This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.
There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.
ACL reconstruction is surgery to replace a torn anterior cruciate ligament (ACL) — a major ligament in your knee. ACL injuries most commonly occur during sports that involve sudden stops and changes in direction — such as soccer, football, basketball and volleyball.
Ligaments are strong bands of tissue that attach one bone to another bone. During ACL reconstruction, the torn ligament is removed and replaced with a band of tissue that usually connects muscle to bone (tendon). The graft tendon is taken from another part of your knee or from a deceased donor.
Complex trauma surgery refers to surgical procedures performed to address severe or complicated injuries sustained as a result of trauma, such as motor vehicle accidents, falls, or sports injuries. These injuries often involve multiple systems of the body and may require specialized surgical techniques and approaches to repair and restore function.
Here are some key aspects of complex trauma surgery:
- Multidisciplinary Approach
- Emergency Surgery
- Reconstruction and Repair
- Advanced Surgical Techniques
- Postoperative Care
- Long-Term Follow-Up
CTEV stands for Congenital Talipes Equinovarus, commonly known as clubfoot. It's a congenital condition where a baby's foot is turned inward and downward. Management of CTEV typically involves a combination of nonsurgical and surgical interventions, depending on the severity of the condition and the age of the patient.
- Nonsurgical Management
- Surgical Management
- Follow-up Care