ACL RECONSTRUCTION

Knee ligaments are torn more often than they are diagnosed. In arthroscopic ACL reconstruction, the torn ligament is replaced with a tendon graft. Arthroscopic surgery has advantages of being minimally invasive, and results in quick return to function with minimal risks.

Patellar Tendon Repair

Disruption of extensor apparatus of knee maybe due to injury from sudden quadriceps contraction resulting in patellar fracture or due to tearing of attachment of patellar tendon from tibial tubercle. Operative repair of tendon is done in either case.

Meniscus Repair

Being an avascular structure, meniscus once torn, does not heal. Hence, treatment of acute and chronic meniscal tears is of utmost importance. Arthroscopic meniscal suturing, meniscorrhaphy, meniscectomy are few procedures.

Knee replacement

Knee replacement is a resurfacing operation where the damaged articular surface is sliced off to prepare the bone ends to take artificial components which cap the end of the bones. Perfect execution of the procedure and sincere rehabilitation efforts promise excellent functions of the knee.

HIP REPLACEMENT AND REVISION

During hip replacement, a surgeon removes the damaged sections of your hip joint and replaces them with parts usually constructed of metal, ceramic and very hard plastic. This artificial joint (prosthesis) helps reduce pain and improve function.
Also called total hip arthroplasty, hip replacement surgery might be an option for you if your hip pain interferes with daily activities and nonsurgical treatments haven’t helped or are no longer effective. Arthritis damage is the most common reason to need hip replacement.
Total hip replacement is one of the most successful procedures in all of medicine. In the vast majority of cases, total hip replacement enables people to live more active lives without debilitating hip pain. Over time, however, a hip replacement can fail for a variety of reasons.
When this occurs, your doctor may recommend that you have a second operation to remove some or all of the parts of the original prosthesis and replace them with new ones. This procedure is called revision total hip replacement.

ARTHRITIS

Arthritis means joint inflammation, but the term is used to describe around 200 conditions that affect joints, the tissues that surround the joint, and other connective tissue. Arthritis is the swelling and tenderness of one or more of your joints. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. The most common types of arthritis are osteoarthritis and rheumatoid arthritis. Osteoarthritis causes cartilage — the hard, slippery tissue that covers the ends of bones where they form a joint — to break down. Rheumatoid arthritis is a disease in which the immune system attacks the joints, beginning with the lining of joints. Treatments vary depending on the type of arthritis. The main goals of arthritis treatments are to reduce symptoms and improve quality of life.

FRACTURE MANAGEMENT

Fractures are the most common large-organ, traumatic injuries to humans. The repair of bone fractures is a postnatal regenerative process that recapitulates many of the ontological events of embryonic skeletal development. Although fracture repair usually restores the damaged skeletal organ to its pre-injury cellular composition, structure and biomechanical function, about 10% of fractures will not heal normally. Your healthcare provider has several options to treat fractures. The word “Fracture” implies to broken bone. A bone may get fractured completely or partially and it is caused commonly from trauma due to fall, motor vehicle accident or sports. Thinning of the bone due to osteoporosis in the elderly can cause the bone to break easily. Overuse injury is a common cause of stress fractures in athletes. Fractures can occur in any bone in the body.
A healthcare provider can usually treat a broken bone with a cast or splint. Casts wrap the break with hard protection, while splints protect just one side. Both supports keep the bone immobilized (no movement) and straighten it. The bone grows back together and heals. With
smaller bones such as fingers and toes, you won’t get a cast. Your healthcare provider might wrap the injury before using a splint.
Occasionally, your healthcare provider might need to put you in traction. This treatment uses pulleys and weights to stretch the muscles and tendons around the broken bone. Traction aligns the bone to promote healing.
For some breaks, your healthcare provider may recommend surgery. Your treatment may use stainless-steel screws, plates and fixators, or frames that hold the bone steady.

PAIN MANAGEMENT

Management of acute pain has changed significantly during the last decade. Formerly a task relegated to residents and ward nurses, analgesia is now being managed by increasingly large numbers of Anaesthesiologists and members of surgical teams. This change is driven, in part, by increasing expectations from patients who hear from the lay press that excellent control of pain is possible and should be considered in selecting physicians and health care facilities.

SPORTS MEDICINE

Sports medicine is a branch of medicine that deals with physical fitness and the treatment and prevention of injuries related to sports and exercise. Sports medicine is not just for professional athletes. Sports medicine healthcare providers do work with professional athletes. Sports medicine specialists treat a wide range of physical conditions, including acute traumas such as fractures, sprains, strains, and dislocations. They also treat chronic overuse injuries, including tendonitis, degenerative diseases, and overtraining syndrome.
Sports medicine combines general medical education with the specific principles of sports science, exercise physiology, orthopedics, biomechanics, sports nutrition, and sports psychology.

ROTATOR CUFF TEAR

The rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff injury can cause a dull ache in the shoulder, which often worsens with use of the arm away from the body.
Rotator cuff injuries are common and increase with age. These may occur earlier in people who have jobs that require repeatedly performing overhead motions. Examples include painters and carpenters.
Many people with rotator cuff disease can manage their symptoms and return to activities with physical therapy exercises that improve flexibility and strength of the muscles surrounding the shoulder joint.

PELVIC FRACTURE MANAGEMENT

The pelvis is the sturdy ring of bones located at the base of the spine. Fractures of the pelvis are uncommon—accounting for only about 3% of all adult fractures.
Most pelvic fractures are caused by some type of traumatic, high-energy event, such as a car collision. Because the pelvis is in proximity to major blood vessels and organs, pelvic fractures may cause extensive bleeding and other injuries that require urgent treatment.
Pelvic fracture is widely range from mild (if the minor ring is broken) to severe (if the major ring is broken). Pelvic rings often break in more than one place. A mild fracture (such as may happen from the impact of jogging) may heal in several weeks without surgery. However, a serious pelvic fracture can be life-threatening and may involve damage to the organs the pelvis protects. This type of fracture often needs emergency medical care and lengthy physical therapy and rehabilitation. Pelvic fractures are classified as Stable, in which the pelvis has one break point in the pelvic ring, limited bleeding and the bones are staying in place. Another is Unstable, in which there are two or more breaks in the pelvic ring with moderate to severe bleeding.

ACETABULAR FRACTURE

Fractures of the acetabulum are challenging orthopedic injuries to repair, at times leaving multiple small fragments of fractured bone and cartilage. Treatment for acetabular fractures often involves surgery to restore the normal anatomy of the hip and stabilize the hip joint. Orthopedic surgeons who work with acetabular fractures and their patients with elevated BMI have to understand the high risks with surgery and make wise decisions based on the risks.

FOOT AND WRIST SURGERY

Foot surgery involves treating injuries and problems derived from musculoskeletal trauma. We treat everything from the disruption of fibers of the lateral ankle ligaments to extreme trauma such as crushing and twisting injuries. When it comes to foot pain, people often don’t realize how much stress and strain the feet take on a daily basis. Here are some of the conditions that may be helped by foot surgery;
  • Hammer toe
  • Heel pain
  • Bone spurs
  • Flat feet
  • Plantar fasciitis
  • Fractures
Hand/Wrist surgery involves injuries and problems of the nerves, tendons bons and ligaments of the hand and wrist. Hand problems may be painful and limit such things as writing or typing, but most people don’t walk on their hands When it comes to your hand or wrist, the smallest injury or problem can be disabling. No matter the cause of your pain — ligaments, nerves, tendons, muscles or bones — find the help you need here for a variety of conditions:
  • Trigger finger
  • Carpal tunnel syndrome
  •  Traumatic injury
  •  Arthritis
  •  Tendonitis
  •  Fractures
  •  Sports injuries

FOOT ANKLE TEAR

Ankle injuries are defined by the kind of tissue – bone, ligament, or tendon — that’s damaged. The ankle is where three bones meet — the tibia and fibula of your lower leg with the talus of your foot. These bones are held together at the ankle joint by ligaments, which are strong elastic bands of connective tissue that keep the bones in place while allowing normal ankle motion. Tendons attach muscles to the bones to do the work of making the ankle and foot move, and help keep the joints stable. Ankle injuries can happen to anyone at any age. However, men between 15 and 24 years old have higher rates of ankle sprain, compared to women older than age 30 who have higher rates than men. Half of all ankle sprains occur during an athletic activity. The most common ankle injuries are sprains and fractures, which involve ligaments and bones in the ankle. But you can also tear or strain a tendon.
Treatment for a sprained ankle depends on the severity of your injury. The treatment goals are to reduce pain and swelling, promote healing of the ligament, and restore function of the ankle. For severe injuries, you may be referred to a specialist in musculoskeletal injuries, such as an orthopedic surgeon or a physician specializing in physical medicine and rehabilitation.
Once the swelling and pain is lessened enough to resume movement, your doctor will ask you to begin a series of exercises to restore your ankle’s range of motion, strength, flexibility and stability. Your doctor or a physical therapist will explain the appropriate method and progression of exercises.

WORKPLACE INJURIES

The conditions of your workplace and the type of work that you do create those risks. Of course, the chance of getting into an accident tends to be much greater in certain workplaces than in others. Workplace injuries are injuries or illnesses that occur in relation to an employee’s job, most states narrow the definition of a workplace injury to one that “arises out of and in the course of employment” to prevent employees from pursuing compensation for injuries not directly caused by the job. Generally, a workplace injury occurs because the environment is unsafe (the premises are dangerous, the equipment is defective, or the environment is contaminated with hazardous chemicals). In addition, jobs that require repetitive or difficult movements (e.g.: factory labour or heavy lifting) may cause injury.
For minor cuts, scrapes, and burns, first aid might be all that’s required, but for major injuries be sure to stabilize the injured. The employee might not be aware of the severity of an injury. Professional help will minimize risk of further injury, and emergency medical services should always be called if a workplace injury requires treatment beyond basic first aid.

SPINE INJURY

A spinal cord injury — damage to any part of the spinal cord or nerves at the end of the spinal canal (cauda equina) — often causes permanent changes in strength, sensation and other body functions below the site of the injury. If someone recently experienced a spinal cord injury, it might seem like every aspect of your life has been affected. The effects of the injury can create an impact mentally, emotionally and socially. Many scientists are optimistic that advances in research will someday make the repair of spinal cord injuries possible. Research studies are ongoing around the world. In the meantime, treatments and rehabilitation allow many people with spinal cord injuries to lead productive, independent lives.

HOLISTIC MEDICINE

Holistic medicine is a form of healing that considers the whole person — body, mind, spirit, and emotions — in the quest for optimal health and wellness. According to the holistic medicine philosophy, one can achieve optimal health — the primary goal of holistic medicine practice — by gaining proper balance in life. Holistic medicine practitioners believe that the whole person is made up of interdependent parts and if one part is not working properly, all the other parts will be affected. In this way, if people have imbalances (physical, emotional, or spiritual) in their lives, it can negatively affect their overall health

REHABILITATION IN JOINT REPALCEMENT

Postoperative rehabilitation is of the utmost importance following total joint replacement in order to ensure pain-free function of the joint and improve the patient’s quality of life (QOL). Total joint replacement, or arthroplasty, represents a significant advance in the treatment of painful and disabling joint pathologies. Such surgery can be performed on any joints of the body, including the hip, knee, ankle, foot, shoulder, elbow, wrist, and fingers

REGENERATIVE MEDICINE

Regenerative medicines seek to replace the issues or organs that have been damaged by disease, trauma and congenital tissue. The current clinical strategy that focuses primarily on treating the symptoms. The tools used to realise these outcomes are Tissue engineering, Cellular therapies and medical devices and artificial organs. The enterprising field of Regenerative Medicine is working to restore structure and function of damaged tissues and organs that can permanently impaired. The ultimate aim of this approach is to find way to cure previously untreatable injuries and damages.