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Orthopedic Conditions & Treatments

Orthopedic

Conditions & Treatments

knee replacement

Oxford partial knee arthroplasty is a minimally invasive surgical procedure to resolve knee arthritis problems. Arthritis of the knee in 30% of the cases occurs only or mainly in the inner part of the knee, so a minimally invasive, less traumatic surgery is the ideal surgery in most patients.

 

Because the Oxford Partial Knee is designed to repair only one side of the knee, the incision and the actual procedure it´s much smaller than a total knee implant with less pain, a faster recovery, and more natural motion.

 

Thanks to its unique mobile bearing design, the Oxford Partial Knee prosthesis is the only one of its kind in the U.S. in which research has shown that this type of partial knee replacement with moveable plastic bearings like the Oxford have low wear rates.

 

The actual surgical procedure is very selective to the area of the damaged knee, and thus ends up respecting 70% of the normal anatomy of the knee, and this is why the recovery is faster than with a total knee prosthesis because it is less invasive.

 

Usually it is not necessary to transfuse blood after the operation, which is very frequent in the total prosthesis.

hip replacement

Hip replacement surgery is a procedure in which a doctor surgically removes a painful hipjoint with arthritis and replaces it with an artificial joint often made from metal and plastic components. It usually is done when all other treatment options have failed to provide adequate pain relief. The procedure should relieve a painful hip joint, making walking easier.

 

Who needs a hip replacement?

Patients with hip pain due to several conditions such as osteoarthritis (wear of joints), fractures of the hip, rheumatoid arthritis, hip dysplasia (abnormal anatomy) among others, and whose pain does not improve with medication or physical therapy.

 

When is the best time to get a hip replacement?

If pain and motion of the hip do not improve with medication (oral or injection) or with physical therapy, you might consider this surgery as a definitive treatment. Age is not a restriction, and every patient should be evaluated. The average age this procedure is done is 50-80 years old due to the lifespan of the implants.

 

Day of Surgery

Ready for your new hip joint? Check in to the hospital with your bags packed to stay 2-3 days. The operation should take several hours. Afterward, you'll spend time in a recovery room as you wake up from anesthesia. Once you're alert, you'll be moved to your hospital room.

 

After Surgery

You'll probably feel some pain, but you'll get medicine to help. You'll likely be taking short, shallow breaths at first because of the anesthesia and medicine, and also because you're in bed. But it's important to cough and breathe in deep to clear your lungs. You may have a drainage tube for blood that collects around your hip. Your doctor may give you medicine called blood thinners to prevent clots.

 

Day After Surgery

It's time to get that new hip joint moving. A physical therapist will teach you exercises to strengthen the muscles around it. You will probably sit up on the edge of the bed, stand, and start walking. If your hip replacement surgery was early in the day and went well, there's a chance you may even start physical therapy the afternoon of your operation.

 

1-2 Days After

You'll do more exercises and walk with the help of crutches or a walker. As you hurt less, you'll likely move from IV pain medicine to pills. You should be able to eat normal foods instead of the liquid-only diet you had the first day.

 

2-3 Days After

It should be easier to get around now. If you're doing well, it's time to go home. Make sure you have help lined up, like rides, shopping, and other errands. You won't be able to drive for 3-6 weeks. If you need more help, you might check into a rehab center for a few days or have plans for a home health aide to come to your house.

 

4+ Days After

Take care of the area around your incision. Don't get it wet, and skip creams, lotions, and ointments. You can ease pain by using an icepack on the area for 10-15 minutes at a time. Keep the joint moving, and do the exercises you learned at the hospital. You may get visits from a home health nurse or a physical therapist.

 

10-14 Days

If you have stitches that don't dissolve, it's time to have them removed. Your doctor might suggest you wait another 1-2 days before you shower or get the wound site wet. You should hurt much less now and may no longer need pain medication.

 

3-6 Weeks

You should be able to do most of your normal light activities. But you may still have a little bit of discomfort or soreness afterward, especially by the end of the day. Six weeks after surgery, you should be able to drive again.

 

10-12 weeks

At this point, you should start to feel like yourself again. Most of your pain is likely gone. Your swelling should have eased. Moving will be easier, and you can probably do most of your regular day-to-day activities, whether it's gardening, dancing, or taking long walks. You and your new hip will continue to have follow-up visits with your doctor for the first year after surgery.

The benefits gained by the development of new arthroscopic techniques, in diagnosis and treatment, have been of enormous impact in the quality of patient care. With advantages over the traditional approach, like reduced pain and faster recovery, it is clear why it has become the benchmark of patient care in orthopedic surgery.

 

Shoulder

 

By making smaller incisions in the shoulder joint, arthroscopic surgery has revolutionized the quality and overall better outcome of patients. It reduces the amount of inflammation leading to a prompter recovery and has been proven better that an open approach, as it can incorporate other procedures easily. It is used to treat:

 

  • • Rotator cuff tears
  • • Shoulder (glenohumeral) instability
  • • Subacromial impingement
  • • Instability of the biceps

 

Elbow

 

With over 30 years of accumulated knowledge in elbow arthroscopy, it is a safe and precise tool in the treatment of several orthopedic complaints, like:

 

  • • Fracture osteosynthesis
  • • Loose body or osteophyte removal
  • • Debridement of osteochondral lesions and synovitis
  • • Arthrolysis and joint stabilization

 

Knee

 

Knee procedures are some of the most common in orthopedics, it is the mainstay of injuries like:

 

  • • Meniscal tears
  • • Anterior cruciate ligament (ACL) rupture
  • • Cartilage lesions

 

Hip

 

Hip arthroscopy has become more common in the past years. Usually performed in young people that suffer from:

 

  • • Labral tears
  • • Femoro-acetabular impingement (FAI)
  • • Cartilage lesions

*Prices can vary without prior notice. The patient understands that every medical procedure comes with an inherent risk, any complication during the surgery may generate additional costs.

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