Orthopaedics
OVERVIEW
Trauma and orthopaedic surgeons diagnose and treat a wide range of conditions of the musculoskeletal system. this includes bones and joints and their associated structures that enable movement of ligaments, tendons, muscles and nerves. trauma and orthopedic surgery are often abbreviated to T&O surgery.
Nature Of The Work
There are two aspects to the work:
Trauma – injuries to the musculoskeletal system, such as broken, fractured, or dislocated bones and soft tissue injuries.
Congenital and degenerative conditions of the musculoskeletal system, as well as infections and tumors.
Trauma can range from low energy fractures (often in elderly patients) to multiple injuries such as those caused by a road traffic accident. Bone and joint infection can also require emergency admission and treatment.
T&O surgeons work with patients of all ages from babies to elderly people.
There can be many medical problems that can affect the bones, joints, ligaments, tendons, and muscles.
Bone Problems May Include
- Bone deformities
- Bone infections
- Bone tumors
- Fractures
- Spinal deformities
- Need for amputation
- Nonunions: failure of fractures to heal
- Malunions: fractures healing in a wrong position
Joint Problems May Include
- Arthritis
- Bursitis
- Dislocation
- Joint pain
- Ligament tears
- Joint swelling or inflammation
Common orthopedic-related diagnoses based on body part include
- Knee
- Spine
- Elbow
- Shoulder
- Hand and Wrist
- Foot and ankle deformities
Common Procedures/Interventions
- Joint arthroscopy – a thin telescope with a light (arthroscope) is inserted into joints via a small incision to investigate joint problems. This is most commonly the knee but other joints can also be investigated in this way. The arthroscope can be used to look for signs of arthritis and show possible damage to cartilage or ligaments. Minimally invasive surgery can be performed to repair damaged tissue by removing floating cartilage, torn ligaments or tissue around the joint that has become inflammed.
- Bone fracture repair – surgery to repair a broken bone using metal screws, pins, rods or plates to hold the bone in place. Many different techniques are used depending on the location, severity and type of fracture to ensure that the bones are stable, heal correctly and maintain function. A bone graft may be used where the bone has been shattered.
- Arthroplasty – the replacement of whole joints following damage due to osteoarthritis or rheumatoid arthritis. Knee and hip replacements are the most common operations. Newer techniques such as partial knee resurfacing are being used for patients in the early stages of osteoarthritis.
- General repairs on damaged muscles or tendons – these could be acute injuries due to trauma, or chronic injury due to progressive deterioration of the tissue.
- Corrective surgery – eg patella (knee-cap) realignment. These procedures correct problems of anatomical alignment which limit function and could cause long-term problems if left untreated. This surgery is often carried out on babies and children for congenital deformities.
TREATMENTS & SURGERIES
Imaging procedures can help diagnose or even treat many orthopedic conditions:
- X-rays.
- Bone scans
- Discography
- Arthrogram (joint x-ray)
- Computed tomography (CT) scan
- Magnetic resonance imaging (MRI) scan
Surgical procedures used in the treatment of orthopedics include:
- Amputation
- Arthroplasty
- Fracture care
- Arthroscopic surgeries
- Ligament reconstruction
- Cartilage surgery to knee
- Bunionectomy and hammer toe repair
- Repair of torn ligaments and tendons
- Cartilage repair or resurfacing procedures
- Spine surgery, including discectomy, foraminotomy, laminectomy, and spinal fusion
Orthopaedic & Trauma Surgeon
Dr. Vivek Pandey
M.B.B.S., D. (Ortho), M.Ch. (Ortho)
Director & Consultant At Orthopaedic & Trauma Department
- Expertise
- Sports Injuries
- Shoulder Arthroscopy
- Knee Arthroscopy
- Complex Trauma
- Geriatric Fractures
- Foot and Ankle problems
Available On Request
MON - SAT
11:00am – 5:00pm
Dr. Vipul Prashant
M.B.B.S., D. (Ortho), M.Ch. (Ortho), F.A.S.M.
Consultant At Orthopaedic & Trauma Department
- Expertise
- Sports Injuries
- Shoulder Arthroscopy
- Knee Arthroscopy
- Complex Trauma and Polytrauma (Multiple fracture fixation)
- Failed Trauma Surgery (Non Unions/Malunions)
Available On Request
MON - SAT
11:00am – 5:00pm