Orthopaedic consultation

5. Hip and Knee

           The Hip and Knee Arthritis Service, a specialty service     of Bone and Joint Surgery Center, specializes in the evaluation and management of hip and   knee conditions. One of our specialties is the surgical treatment of these joints when they are damaged by  arthritis. We perform primary and revision total joint replacements as well as corrective osteotomies.In selected patients with arthritis and traumatic cartilage defects,we  also offer joint surface transplantation (osteochondral allograft).

 

6. Trauma

              Orthopaedic trauma conditions include fractures and dislocations as well as severe soft tissue injuries caused by traumatic events. Common orthopedic traumatic injuries include femoral and tibial shaft fractures, ace tabular and pelvic fractures, spine and spinal cord injuries, hand and upper extremity injuries, foot and ankle injuries, among many others. Polytraumatized patients are those unique individuals with numerous skeletal and other primary organ system injuries, usually caused by high energy traumatic events. We coordinate the orthopaedic portion of the patient's care with other subspecialties in order to optimize the clinical outcome.

7. Shoulder & Elbow

             A shoulder can become unstable without a major injury if it loses the ability to balance the muscle forces around it. The     joint starts to slip when the arm is used out in front or down at the side. We call this "traumatic" instability. Once the balance     is lost, dedication to a regular muscle balancing exercise program is required to get it back. If the stabilizing mechanisms     become severely decompensate, surgery to tighten the tissues around the joint can be of temporary benefit; but, it the final     analysis, muscle balance must be restored through exercises if stability is to be regained. The postoperative rehabilitation     after this surgery is particularly important

             Although not as common as severe arthritis of the hip, knee, or shoulder, rheumatoid arthritis of the elbow is among     the most prevalent causes of severe pain and loss of function of the elbow. Individuals with rheumatoid arthritis involving one     joint are likely to have involvement of other joints as well.

             Elbow joint replacements are highly technical procedures which can relieve pain and help restore function. These     procedures are performed less often than knee and hip replacements, thus it may be necessary to search for surgeon who     has considerable experience with them.

8. Back & Spine

   

              The Spine Service, a specialty service of Bone and Joint Surgery Center, provides  comprehensive evaluation and management for a wide range of neck and back problems, including:

  • Disc problems
  • Spinal stenosis
  • Adult scoliosis
  • Sciatica
  • Fractures and dislocations
  • Tumors
  • Osteoporosis
  • Spine infections
  • Unsuccessful previous surgery
 

9. Metabolic Bone Disease

          This clinic treats patients who have metabolic bone diseases - thin bones, thick bones, soft bones, brittle bones and irregular bones. These diseases are caused by problems with mineral metabolism, nutrition, and some genetic diseases. In addition to the above list, we see patients with many kinds of diseases, including:

  • Hyperparathyroidism
  • Hypocalcaemia
  • Hypophosphatemia
  • Hypophosphatasia
  • Fibrous Dysphasia
  • Low Bone Density
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