>

ORTHOPEDIC AND TRAUMATOLOGY

ORTHOPEDIC AND TRAUMATOLOGY

Ortopedic procedures such as knee replacement or hip resurfacing are done in Trabzon Public Hospitals Union by knowledgeable, well-trained doctors with reduced risks of infections.

The musculoskeletal system, which plays the most important role in our daily life is composed of bones, muscles, joints, bonds and nerves. The Orthopedics and Traumatology Department of Trabzon Public Hospitals provides services in diagnosis, treatment and rehabilitation of musculoskeletal system diseases.


The areas of interest of the Department of Orthopedics and Traumatology
· Joint prosthesis surgery (knee, shoulder, hip prosthesis)
· Upper extremity surgery
· Orthopedic oncology (Osteoma and soft tissue tumors, metastatic tumors)
· Arthroscopic surgery (knee arthroscopy)
· Pediatric orthopedics 
· Shoulder surgery
· Sport injuries
· Orthopedic trauma surgery

 

KNEE REPLACEMENT SURGERY

Who needs knee replacement surgery?
You may want to consider knee replacement surgery if you have a stiff, painful knee that prevents you from performing even the simplest of activities, and other treatments are no longer working.

What happens during knee joint replacement surgery?
Once you are under either general anaesthesia (meaning you are temporarily put to sleep) or spinal or epidural anaesthesia (meaning you are numb below the waist), a 10-30cm incision is made in the front of the knee. The damaged part of the joint is removed and the ends of the thigh bone and shin bone are then shaped and cleaned to hold a metal or plastic artificial joint. The artificial joint is attached to the thigh bone and shin bone either with cement or a special material. When fitted together, the attached artificial parts form the joint, relying on the surrounding muscles and ligaments for support and function.

What happens after the surgery?
The average hospital stay after knee joint replacement is usually three to five days. The vast majority of people who undergo knee joint replacement surgery experience a dramatic improvement. This improvement is most notable one month or more after surgery. The pain caused by the damaged joint is relieved when the new gliding surface is constructed during surgery.

After knee joint replacement, people are able to stand on and move the joint the day after surgery. At first, you may walk with the help of parallel bars, and then a walking device such as crutches, walker, or cane is used until your knee is able to support your full body weight. After about six weeks, most people are walking comfortably with minimal assistance. Once muscle strength is restored with physiotherapy, people who have had knee joint replacement surgery can enjoy most activities - your doctor or physiotherapist will advise you about which activities are suitable for you.

How long will I need physiotherapy after knee joint replacement?
During your time in hospital after the operation, a physiotherapist will advise you on exercises to do at home. After leaving hospital you will also be invited to attend the outpatient physiotherapy department where your progress will be assessed and monitored. Outpatient therapy may last from one to two months, depending on your progress.

Remember, every person is different and the course of rehabilitation will be determined on an individual basis with the assistance of your doctor and physiotherapist.

 

HIP REPLACEMENT SURGERY

Hip replacement surgery is a common procedure to replace a damaged hip joint with an artificial one. Hip replacement may be recommended after a hip fracture, for wear-and-tear from osteoarthritis, or because of pain and stiffness from rheumatoid arthritis.

What happens during hip replacement surgery?

During traditional hip replacement surgery, you are given general anaesthetic to relax your muscles and put you into a temporary deep sleep. This will prevent you from feeling any pain during the operation. A spinal anaesthetic also may be given to help prevent pain if a general anaesthetic is not used.

The doctor will then make a cut along the side of the hip and move the muscles connected to the top of the thighbone, called the femur, to expose the hip joint. Next, the ball portion of the joint is removed by cutting the thighbone with a saw. Then an artificial joint is attached to the thighbone using either cement or a special material that allows the remaining bone to attach to the new joint.

The doctor then prepares the surface of the hipbone - removing any damaged cartilage  and attaches the replacement socket part to the hipbone. The new ball part of the thighbone is then inserted into the socket part of the hip. A drain may be put in to help drain away any fluid. The doctor then reattaches the muscles and closes the incision.

While most hip replacement operations today are performed using the traditional technique of one 20cm to 25cm (8in to 10in) cut along the side of the hip, in recent years some doctors have been using a minimally invasive technique.

What happens after hip replacement surgery?

You will probably stay in the hospital for four to six days and may have to stay in bed with a wedge-shaped cushion between your legs to keep the new hip joint in place. A drainage tube (catheter) is likely to be placed in your bladder to help you pass urine. Physiotherapy usually begins the day after surgery and within days you can walk with a walker, crutches or a cane. You will continue physiotherapy for weeks to months following the surgery.

 

<