Orthopaedic injuries can be
serious and traumatic, requiring immediate care and possibly surgeries. At Kauvery Institute of Orthopaedics and Neurosciences, we provide expert care in the
management of both simple and complex injuries to the musculoskeletal system. Our round the clock accident and trauma management services offer the highest level
of all possible care to the seriously injured patients.
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A joint replacement surgery would be recommended when non-surgical treatments like medications, physiotherapy and changes to a patient’s daily activities fail to provide any relief from pain and disability.
Several types of conditions can cause joint pain or cause disability,
consequently requiring a patient to consider joint replacement surgery.
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Keyhole surgery or Arthroscopy is normally performed through two very small puncture holes, where
one hole is used to pass the arthroscopic instrument through and the other hole is used for the camera, which is used to visualize the joint.
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There are advantages in having an arthroscopic procedure done:
Sometimes when engaged in sports activities or while exercising, “sports injuries” can happen,
or they can even be accidents. Sports injuries may occur during practice or training sessions. They can even happen due to poor training,
improper gear, when a person is not in proper form and due to lack of proper warming up / stretching before embarking on a sports activity. Some of the most
common sports injuries are include:
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Stiffness around the shoulder joint, debilitating pain and limited range of movement in the
shoulder are all symptoms of “Frozen Shoulder” or “Adhesive Capsulitis”. The onset of this disorder is very slow and to regain the use of the shoulder,
free of pain is also a slow process.
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The doctor will either conduct a physical examination or will request for an x-ray or MRI to rule out other causes or injuries. The Orthopedic Surgeon may also request an ultrasound if suspecting a thickening of the broad ligament (coracohumeral ligament), which helps strengthen the capsule in the shoulder joint. Thickening of the coracohumeral ligament or CHL is another suggestive factor of adhesive capsulitis or frozen shoulder.
Minimum time taken for a frozen shoulder to regain its normal range of motion or near normalcy, could be 3 years, if left untreated.
The aim of treating a frozen shoulder is to curb pain and to improve the range of motion in the shoulder and to strengthen shoulder.
When a patient diagnosed with frozen shoulder disorder, fails to respond to any of the non-surgical treatments, listed above, then surgery will be considered as an option.
The aim of performing surgery is to remove stiffness from the joint and to stretch the connective tissues. This is done either by manipulation under anesthesia (MUA) or through shoulder arthroscopy.
MUA - This procedure is performed by the Orthopedic Surgeon. Anesthesia is administrated and the Orthopedic Surgeon will manipulate the shoulder joint to move, causing the capsule and scar tissue to either tear or stretch, consequently releasing the stiffness and increasing the range of motion.
Surgical Capsular Release or Shoulder Arthroscopy - After anesthesia has been administrated, the Orthopedic Surgeon will make 2 or 3 tiny, keyhole incisions into the afflicted shoulder. An arthroscope (camera measuring 3 and half millimeter) is inserted into one of the incisions. The images from the camera are projected onto a computer screen. Through the other two incisions, microsurgical instruments are inserted to surgically release the frozen shoulder.
Sometimes, the orthopedic surgeon may use both the manipulation and arthroscopy procedures simultaneously, to get the maximum outcomes.
Posture and lifestyle are key causes for increase in the number of people with back issues. Other causes for backache could include various medical conditions, strenuous work, old age, etc.
This occurs due to a break in one of the vertebrae of the neck (C1-C7). It could happen due to a sudden wrench or impact on the area like a fall, sports injury, whip lash or other contact injuries. There will be pain, swelling, muscle spasms, numbness or tingling at the base of the head. Pain medication, traction, immobilization, halo brace or semi rigid brace may be used as treatment. In severe cases, surgery may be an option.
Neck pain symptoms includes stiffness of the neck, sharp or stabbing pain that radiates down the back or up into the head. Common causes could be sports injuries, poor posture, repetitive motions, whiplash and stress. Depending on the cause, treatment may include rest, heat or cold therapy, medication, physiotherapy and a neck brace.
This usually occurs due to damage to the intervertebral discs, compression of nerve roots, and improper movement of the spinal joints. Rest, pain medication, physiotherapy, cold and hot treatment are the first options. If the back pain is chronic and debilitating, affecting quality of life, surgery may be an option.
Neck sprains occur due to sudden twisting of the neck, bad posture, whiplash, falls etc. Pain medication, physiotherapy, neck exercises, hot and cold therapy, rest and activity modification should ease the neck sprain. A brace may be an option if it is very severe.
Also called compression fractures, they occur more often in women after a certain age. It is due to osteoporosis, when the bone becomes brittle and gets crushed or collapses due to the weight or pull of the surrounding tissues and muscles. It can happen while doing routine activities like turning over in bed, sneezing or coughing. The fracture will be treated first and then the underlying cause, osteoporosis, will be treated. Vertebroplasty and Kyphoplasty are minimally invasive treatments for this kind of fracture.
Clubfoot is a congenital birth defect, when a child is born with the foot pointed inwards and toes pointing towards each other. In severe cases, the foot may look upside down.
It is usually idiopathic (no particular reason) although it could be due to genetics. It has been linked to skeletal abnormalities in fetus like spina bifida or hip dysplasia. It could be due to disruption in the neuromuscular pathway. Studies have shown that the incidence is more, if the mother is at an advanced age, is a smoker or is diabetic.
The patient will have to wear a brace for a while, after the surgery. Physiotherapy and exercises will be recommended for full recovery. It is better to do the surgery as soon as possible as a child responds better and faster to a surgery than an adult. In many cases, for an adult, several surgeries may be required.
Sometimes, limited surgery may be enough to manipulate the foot into proper alignment. The surgeon will lengthen the Achilles tendon near the heel. The joint capsule in the back of the ankle may need to be released (limited posterior release). The tendon that helps to move the foot may need to be repositioned (tibialis anterior tendon transfer).The ligaments and tendons will be loosened.
If the affliction is severe, the surgeon may need to perform an Osteotomy (cut into the bone to turn the foot). This requires insertion of metal plates or screws to hold the foot in place. Your leg will then be put in a cast. Although there is a recovery time involved, the child is certain to go back to normal life.
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