ORTHO & JOINT SURGERY
Orthopedic is a branch of surgery that deals with the musculoskeletal system. The word orthopedic has Greek roots and was originally performed on children born with bone deformities but with the advance, in the field of surgery, it extended to treat other bone diseases and related nerves and tissues. It includes both surgical and non-surgical methods which are used to treat various ailments such as bone deformities, spinal injury, musculoskeletal trauma, degenerative diseases like rheumatism and congenital disorders. Orthopedic surgeons are trained to treat diseases that develop in joints, bones, and ligaments of the human body.
An orthopedic surgeon may be called upon to treat a number of diseases related to bone such as:
- Finger and Toe abnormalities.
- Back pain, ruptured spinal disks, sciatica, and scoliosis.
- Bone tumors, muscular dystrophy, and cerebral palsy.
- Clubfoot, bunions, bow legs, knock knees and unequal leg length.
- Fractures and dislocations.
- Growth-related abnormalities.
- Rheumatoid arthritis.
- Sports injuries.
- Tendon injuries pulled muscles, bursitis and torn cartilage.
- Torn ligaments, sprains, and strains.
Advances in various surgical techniques such as arthroscopic and reconstructive techniques ensure that these diseases are effectively treated. These techniques range from full surgery to minimally invasive so that less serious problems can be treated without major operation. Some of the common surgical procedures include arthroscopy, fusion, internal fixation, joint replacement (total, partial and revision), osteotomy and soft tissue repair. Orthopedic surgeries are most often done for various joint specially knee replacement, hip resurfacing, shoulder replacement as well as for treating advanced spinal and trauma injuries. Knee replacement and hip surgeries are becoming extensively common leading to better treatments and improved procedures. These treatments ensure that patients able to live a full and healthy life and are also able to perform their routine activities without any difficulty.
A lot of advances has been made in the field of orthopedic surgery and now there are various different types of treatments available which helps patients with bone diseases to live a normal life. Some of these treatments are as follows:
- Arthroscopy- it is a minimally invasive surgical procedure done with a thin instrument equipped with advanced cameras and used in treating problems inside joints and hips.
- Replacement of joint- this is done when a joint is damaged and is then replaced with an artificial joint which is called a prosthesis
- Internal Fixation- this treatment is used for broken bones and is used to hold bone pieces together at a proper position by the means of screws and pins etc. while the bone heals.
- Fusion- this treatment is also used when a bone is broken into two or more pieces. The broken bones are welded together using a metal rod or bone graft so that it can heal into a single bone.
- Soft tissue repair- it involves the repairing of soft tissues such as ligaments and tendons which might be damaged.
- Osteotomy- this is a treatment for people with bone deformities and involves cutting the bone and repositioning them correctly.
Types of Surgeries
There are multiple types of surgical procedures that are used to treat the disease and deformity of bones. These procedures are very advanced and being improved upon as they are performed more frequently. Different types of surgeries that are performed to treat bone and joint diseases are as follows:
- Knee replacement– it is performed when the knees are affected by arthritis which is an inflammation of joints and patients has difficulty in movement. Patients with severe arthritis go in for total knee replacement and less severe cases can go for partial replacement or revision. The surgery involves removing of diseased parts of the bone and replacing with high-density metal or plastic component that are formed in such a way as to allow normal movement of the limbs.
- Hip replacement– this surgery is performed because of hip arthritis which is very common. The end portion of the thighbone that is affected by arthritis is replaced with a metal head which is cemented with special glue to the stem of the thighbone. The socket is replaced with a metallic cup and is usually left uncemented. Total hip replacement surgery allows for natural movement. Patients with the less severe case can go for a partial hip replacement which is a minimally invasive procedure done on young patients.
- Arthroscopy or Keyhole surgery– this surgery derives its name because of the way it is performed. It is done with an arthroscope, which is a special thin tool designed for viewing and treating problems inside a joint. It is very slim and can go inside the skin even with a very small incision. It is most commonly performed on knees and also heals faster than other invasive surgical procedures. However, physical exercise is very important after this procedure. It can also be performed on hips, shoulders and other joints. It has particularly helped in treating previously unrecognizable conditions or conditions that required open procedures on the hip. It is used for fusion, trauma surgery, limb lengthening, correcting deformities, high-level fractures etc. and the technique continues to evolve.
- Surgery for spinal injuries or disease– it is a highly advanced surgery as it includes one of the most important parts of the human body that is the spine. As these surgeries are highly complex it involves a full team of doctors consisting of orthopedist, neurosurgeon, neurologist, anesthesiologist etc. who perform the spinal surgery. Advancement in surgical procedures has allowed for performing complex spinal surgeries related to degenerative and congenital spinal disorders. Different types of surgeries that are performed include surgery for correction of spinal deformities, surgery for spinal tuberculosis and endoscopic spine surgery.
- Bone Tumor– A form of cancer which normally occurs around the knee joint – either distal femur or proximal tibia. Surgery is a part of the overall treatment and is used in combination with other treatments that a cancer patient has to go through. Earlier if the cancer was detected in the limb then the entire limb was cut off to prevent the spread of disease but this led to the disfigurement of the body and also hampered the daily life of a patient. He had to go through with physical difficulty as well as suffer social stigma and psychological trauma. The development of limb salvage surgery has helped to spare the limbs and instead remove the diseased part from the body. It involves three phases- bone resection, reconstruction and plastic surgery. The removed part is replaced with a prosthesis which is tailor-made for each patient. The prosthesis is made of steel or titanium and is made to fit the patient perfectly. A patient may or may not recover full mobility of the lost part but it certainly saves him or her from a major disability.
- Shoulder surgery– this surgery involves treating any injury or disease of the shoulder and can include total or partial shoulder replacement and shoulder resurfacing. The damaged or diseased part is removed and is replaced with a metal cap that is fitted within the socket to allow for normal movement. Shoulder impingement can happen to tennis players, cricket players, and swimmers because of the repeated action of arms going up and down. This can cause pain because supraspinatus tendon gets pinched between two bony prominences at the shoulder.
- Care for Arthritis– Arthritis can be defined as the inflammation of the joints. It is an age-related disease and occurs when tissues on the end of the bones gradually wear away leading to a reduction in space between the joints and friction at the bone surface. There are different types of arthritis such as Osteoarthritis which occurs after age 50 and in individuals who have a family history of it, Rheumatoid Arthritis which occurs when membranes of joints are inflamed and thickened and Traumatic Arthritis which can result from knee injury causing knee fracture or tearing of connective tissues.
- Pediatric Orthopedics– it deals with bone diseases and deformities in children and involves procedures and surgeries to treat birth defects or diseases. It includes pediatric trauma, metabolic diseases, congenital malformations, clubfoot, congenital dislocations and birth defects. Surgical procedures include limb and spinal deformity correction, bone and joint management and juvenile arthritis management.
- Reconstructive and corrective surgeries– these surgeries are performed for bone deformity correction or when there are complex bone fractures. It aims at salvaging the bones and includes treating bone infections, implants and prosthesis infections, congenital deformities and polio.
Why chose this hospital?
Our hospital is a state of the art facility fully equipped to provide the patients with the best healthcare. We specialize in treating and caring for the musculoskeletal system and have all the world-class facilities to treat all kinds of orthopedic and joint injuries. Our hospital provides specialist operating facilities coupled with an accurate diagnosis. We have advanced facilities such as computerized navigation, imaging, and treatment in orthopedics, advanced diagnostic screening etc. These advanced facilities help in accurately placing the implants. We also have a minimally evasive surgical procedure that results in faster healing and minimizes hospital stay. We have a team of highly skilled and specialized doctors that have many successful years of surgical experience behind them. Their skills and expertise have benefitted a great number of patients. We are committed to providing our patients with the best care and facilities that help them to recover fast. We are conveniently located and within easy reach. We have earned the trust of our patients by providing them the care that they deserve and want in the period of recovery. Our dedicated medical staff ensures that all patients’ needs are met and they leave the hospital fully recovered.
Surgeons are the most important individuals in the treatment and recovery of a patient. We understand that and therefore we employ the best and world-class surgeons that are expert in their chosen field. Our surgeons have graduated from top medical schools in India and abroad. They have many years of rich and varied experience in the field of orthopedic surgery and are skilled in their profession. Their vast knowledge has benefitted many patients and their compassionate nature has helped patients recover from complex and rare diseases and injury. These surgeons have operated on hundreds of patient individually as well as assisted other surgeons. The success rate of these surgeries has been very good, with many patients recovering their mobility and movement of joints. Our surgeons are also involved in the development of new techniques as well as the improvement of existing techniques ensuring that patients get the best treatment which is minimally invasive but is fully effective. Our surgeons are fully skilled in the latest technology and procedures that have been developed in the field of orthopedic surgery ensuring that our patients get the most advanced treatment and along with world-class care from our dedicated medical staff.
- Is surgery the only option in an orthopedic condition?
Surgery is not the only option for orthopedic conditions as a host of injuries and diseases can be treated by non-surgical means such as medications, physical therapy and rest. Surgery is suggested in those cases where the surgeon feels that the condition is advanced there are chances of loss of movement or reduced functionality of the joints. For conditions where symptoms are not likely to be alleviated no surgical procedure is required.
- What are the most common types of orthopedic surgeries?
The most common type of orthopedic surgeries involves the treatment of joint injuries and diseases of the joints such as arthritis. A common type of surgical procedures is arthroscopic surgery of joints such as knees, hips and shoulders, repair of soft tissue injuries such as tendons and ligaments, bone fractures and joint replacement where the damaged or diseased part of the joint is replaced by an artificial joint called prostheses.
- What is an Arthroscopy?
It is one of the most common procedures that is performed today and involves the use of a small slim tool which is fitted with a light source and a fiber-opticition fiber-optic camera that helps the surgeon to accurately visualize and treat all joint problems. It is a minimally invasive technique where a small pencil size incision is made at the affected area and the arthroscope is inserted. Since a very small incision is made it heals faster and patients can go home in a short period of time as compared to the major operations. Arthroscopy helps surgeon treat many conditions related to the knee, hip, shoulder and other joints.
- What is a joint replacement surgery?
Joint replacement surgery involves the replacing of damaged joint or a joint affected with arthritis with new artificial joints. Joints are coated with cartilage which is a rubbery substance that facilitates movement. Over time with age, the cartilage wears off and the bones rub together creating friction which leads to pain and stiffness. Many people have a joint replacement surgery when the condition is no longer controllable with medications and is hampering their daily lives.
Joint replacement surgery is most commonly performed for the knee and the hip abuts it can also be performed on any other joint in the body.
- How long do artificial joints last?
Artificial joints are made of steel or titanium and have a lifespan of 10-20 years. If people have a joint replacement surgery in a later part of their life and don’t have a very active lifestyle then the joints will last but if they have an active lifestyle then they may need to have another surgery after few years.
- How much time does it take to completely recover from a joint replacement surgery?
Complete recovery time depends upon the health of the patients as well as the physical therapy that is followed by the surgery. Proper diet, care, physical activity and a healthy lifestyle will lead to a faster recovery in the patients. In terms of hospitalization, patients with shoulder replacement surgery require two days while patients with knee replace require three to five days.
- Can I return to performing normal activities as well as play sports after having a joint replacement surgery?
Depending upon the health of the patient and the treatment performed returning to normal activities and playing sports vary from patient to patients. Patients will have to coordinate with their physicians and it may take up to four to six months to completely resume movement and play sports.
Surgery in Mumbai, Thane
There are multiple orthopedic specialty hospitals in Mumbai, Thane which provide world class facility in treating all the injuries and diseases related to the musculoskeletal system. These hospitals boast of team of doctors that are skilled and highly reputed in their profession and are capable of treating advance and common conditions alike. Some of the hospitals that perform orthopedic surgery are Currae Hospital, The Spine Clinic, Orbit Specialty Hospital and Accident Centre and many more. There are also special clinics which specialize in sports injury such as Bhakti Vedanta Hospital and Cardinal Gracias Memorial Hospital Trust.