Orthopedic Surgery

Total knee replacement 
Total knee replacement is an operation that replaces damaged or injured parts of a knee joint with parts that are artificial.  This is often a surgery that is done on people who have arthritis in their knee or damage from age.


Before the Operation
Before the surgery, the patient will meet with the surgeon and have some tests done such as blood work, EKG, and other kinds of tests to make sure that he or she is in good health.
The Operation
During the procedure, ligaments and muscles around the knee are separated in order to expose the patient’s knee capsule.  This is the tough and gristle-like tissue that surrounds the knee joint.  The capsule is then opened, which exposes the inner part of the joint.  The ends of the tibia, which is the shin bone and the femur, which is the thigh bone, are removed, and more often than not the under part of the kneecap, which is the patella, is also removed.  The artificial parts of the knee are then cemented into place.  The new knee will have a metal shell on the end of your femur, a trough on your tibia which is made of both metal and plastic, and, sometimes, a plastic button that is fitted in your kneecap. 
 


Prosthetic device is not include

Anterior Cruciate Ligament (ACL)
Anterior cruciate ligament reconstruction is a surgical tissue graft replacement of the anterior cruciate ligament, located in the knee, to restore its function after an injury. The torn ligament is removed from the knee before the graft is inserted in an arthroscopic procedure. ACL injuries most commonly occur during sports that involve sudden stops, jumping or changes in direction — such as basketball, soccer, football, tennis, downhill skiing, volleyball and gymnastics.

The Operation
Your surgeon will remove your damaged ligament, and then replace it with a segment of tendon. This replacement tissue is called a graft and it comes from another part of your knee or a tendon from a deceased donor. Your surgeon will drill sockets or tunnels into your thighbone and shinbone to accurately position the graft, which is then secured to your bones with screws or other fixation devices. The graft will serve as scaffolding on which new ligament tissue can grow.
After the procedure
Once you recover from the anesthesia, you can go home later that same day. Before you go home, you'll practice walking with crutches, and your surgeon may ask you to wear a knee brace or splint to help protect the graft.

Shoulder Arthroscopy
An arthroscopic surgery a surgical procedure that will allow a surgeon to look at, diagnose, and to treat problems in a patient’s joint.  It’s performed with the help of an arthroscope, which is an instrument which is a tiny fiber-optic instrument that lets a surgeon have a look at a joint’s inside through a tiny incision.  It’s used to monitor, treat and diagnose diseases and injuries of the joint.  Some of the more common problems that are diagnosed and treated with an arthroscopic surgery are: sinusitis of the joint, injuries to the knee, loose cartilage in the knee or shoulder, joint damage which was caused by osteoarthritis or rheumatoid arthritis.  

The Operation
The surgery will be done either in an outpatient surgical facility or in a hospital.  The type of anesthesia that the surgeon uses, whether it’s spinal, local, or general, and the length of the procedure vary.  It all depends on what joint is being operated upon, the injury type or extent, and how difficult the repair is going to be.     
After the Surgery - In the hospital
This procedure is usually done as an outpatient. The patient will spend one to two hours in the recovery room before they are discharged.  If the surgeon determines that a patient should be observed overnight the patient will be taken to a hospital room. The site will be wrapped with an ace bandage or will be fit with support hose.  There will be an ice pack placed on the joint that was treated or examined with the arthroscopy.
 

 

Scoliosis
medical condition in which a person's spine has a sideways curve. The curve is usually "S"- or "C"-shaped. In some, the degree of curve is stable, while in others, it increases over time. Mild scoliosis does not typically cause problems, while severe cases can interfere with breathing.  

 

The operation

 The operation for scoliosis is a spinal fusion. The basic idea is to realign and fuse together the curved vertebrae so that they heal into a single, solid bone. Because the abnormal sections of the vertebrae are often responsible for pain, the idea is that surgery will stop deformity of the spine and help relieve pain and reduce further degeneration.
After the Operation- At Home
Rest and care not to move too quickly or in a manner that will upset the recently fused spine is important to promote proper healing. External bracing will also help immobilize the spine. You will need to ride home in a reclined position and will likely experience a good deal of pain in the first couple of weeks following surgery. You will need a follow-up appointment to have sutures removed following surgery, usually about two weeks after surgery.
 

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