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Orthopedic surgery is performed by an orthopedist or orthopedic surgeon, trained to deal with problems that develop in the bones, joints, and ligaments of the human body.
The range of treatments done by the orthopedists at Oakwood is enormous covering traumatic & non-traumatic or elective surgeries. Below are some examples of common types of orthopedic procedures performed at Oakwood:
Total Hip Replacement (Arthroplasty)
A total hip replacement is a common surgery for people with hip pain caused by degenerative joint disease or rheumatoid arthritis. The surgery is done to restore motion of the joint and function to the muscles and ligaments. The top of the femoral bone (thigh bone) is removed and a new round piece is inserted into the bone. This piece goes into the bone at least 4 inches. The cup on the pelvic bone is scraped out and a new cup is secured into the hip bone. You will stay in the hospital after surgery.
You will have a gauze dressing over sutures or staples at the incision. You may have a bulb drain inserted to keep the swelling down. A stiff pillow may be placed between your legs as a reminder that you can not cross your legs.
Learn more about Total Joint Replacement.
Total Knee Replacement (Arthroplasty)
A total knee replacement is surgery to replace the worn surfaces of the knee joint. The bottom of the femoral bone (thigh bone) is removed and a new piece is inserted. The top of the tibia (lower leg bone) is also removed and a new piece is attached.
You will have a bulky gauze dressing secured with ACE wraps to your knee. You may have a bulb drain inserted to keep the swelling down. You will be encouraged to walk with a walker to keep the joint loose and mobile soon after surgery.
Learn more about Total Joint Replacement.
Hip fractures are named by the location and can be categorized as femoral neck fractures (the neck of the thigh bone), intertrochanteric fractures (the head of the thigh bone), and subtrochanteric fractures (upper portion of the thigh bone). How the fracture is fixed, depends on where on the thigh bone the fracture occurred. It may be secured with metal screws or nails attached to metal plates. Ask your doctor how the fracture will be fixed. You will stay in the hospital after surgery.
You will have a gauze dressing over sutures or staples at the incision. You may have a bulb drain inserted to keep the swelling down.
Changes in you
You can not cross your legs to avoid displacing your hip joint. Until told by your doctor, you can not have any greater angle to your hip than 90°, so you can not bend over to pick up something from the floor or put on your socks or shoes. Additional information about what precautions and safety measures you may need to take will be given by your doctor.
Knee arthroscopy is when a special instrument (arthroscope) is inserted into the knee joint through two small incisions. The surgery can be done for diagnosis or to remove loose tissue or ligaments, shave the knee cap, remove parts of the membrane that secretes fluid that lubricates the joint. This is an outpatient surgery.
You will may have a bulky gauze dressing secured with ACE wraps or you may have only steri-strips over the small incisions. When sitting, keep your foot elevated to the level of your heart to keep the swelling down. Additional information about what precautions and safety measures you may need to take will be provided by your nurse and doctor.
Joint resurfacing is a minimally invasive procedure for treating arthritic joint pain and disability. During the procedure, only the damaged joint surface is resurfaced with metal and plastic implants, minimizing trauma to healthy bone and tissue. In addition, because the implants are much smaller than total joint replacement implants, the surgical incision is often times significantly smaller. The surgeon removes the damaged bone from the affected side of the joint and then fits the implants to the bone surfaces. A metal component is attached to joint surface, so that instead of bone rubbing on bone there is now metal rubbing on plastic. Joint resurfacing is a good option for patients with osteoarthritis if conservative treatments such as medications and physical therapy do not effectively relieve pain and restore mobility. It is also an option for patients who have arthritis on only one side of their knee, partial knee resurfacing may offer a promising alternative to total knee replacement.
Carpal Tunnel Release
Carpal Tunnel results from the median nerve being trapped in the wrist which causes numbness, tingling of the fingers and weakness of the thumb muscles. The surgery releases the band that has tightened around the median nerve. This is an outpatient surgery.
You will have a dressing secured with ACE wraps around your hand and wrist. Keep your hand at the level of your heart to keep the swelling down. To make sure the swelling does not cause your bandage to decrease your blood flow to your hand, the nurse will be performing neuro/vascular checks by watching your fingers to make sure they are warm to the touch and when squeezed, they go from white back to pink in color. Additional information about what precautions and safety measures you may need to take will be provided by your doctor.