The human body is made up of 206 bones, more than 200 joints, 4000+ tendons, around 160 bursae and about 900 ligaments. These together make up our muscular and skeletal structure. While the bones make up the skeletal framework for our body, the muscles help us perform all our bodily functions like sitting, standing and running.
The movement between the muscles and bone and avoiding friction is the work of bursae. Tendons help transmit the force generated during movement from muscles to the bones. They are a fibrous band of tissue connecting muscle and bone.Ligaments help seal joints spaces while providing stability. They are a fibrous band of tissues that connect bones.
Using all these various parts the human body is able to maintain form, stability and achieve movement for the human body. The Orthopaedic center at Shaiv Hospital provides the best in house care for our patients who come with complaints regarding the bones, muscles or tendons.
The services provided by Shaiv Hospital are:
Spine Surgeries
Having back surgery can be a difficult choice. Typically, people consider surgery for back pain only after all other treatments have failed to provide relief.
The primary reason for most back surgeries is to get relief from back pain. And for many people, the result is less pain. Less pain comes with many additional benefits, including
- » Increased activity
- » Better physical fitness
- » Improved mood
- » Less need for pain medicines with fewer drug side effects
- » Ability to go back to work
- » Increased productivity at work
Our doctors provide different treatment options to the patients based on the evaluations and tests conducted
The different kinds of spinal surgeries we provide to our patients are :
Open / Minimally invasive Discectomy
Surgery should always be the last resort when it comes to treating spinal conditions in the neck and back. However, if various non-operative treatments have been attempted without improvement or worsening over a 6-12 month period, then surgical treatment seems reasonable for certain specific conditions such as spinal stenosis, sciatica, spondylolisthesis or degenerative scoliosis. The decision for surgery should be individualized to the patient and the patient's symptoms, along with their level of function.
The field of minimally invasive spine surgery continues to grow. Most surgeries today can be treated with some aspect of minimally invasive surgery. However, there are certain conditions that require standard open treatment, such as high-degree scoliosis, tumors and some infections.
The best options should be individualized to the patient's diagnosis and overall patient condition. At Shaiv, we perform both minimally invasive spine surgery, as well as open-surgery, and choose the type of treatment that is best suited for the individual patient.
- » Decompression and stabilization for Tuberculosis of spine
- » Posterior lumbar interbody fusion surgery for degenerative disorders of lumbar spine
- » Instrumented correction of spinal deformities
- » Surgeries for Craniovertebral junctional anomalies
- » Management of Traumatic injury to spine
- » Management of degenerative conditions of cervical spine
Arthroplasty
Arthroplasty is a surgical procedure to restore the integrity and function of a joint. A joint can be restored by resurfacing the bones. An artificial joint (called a prosthesis) may also be used.It is done to relieve pain and restore function to the joint after damage by arthritis or some other type of trauma.
The different types of Arthoplasty done by us are:
- » Simple Primary
- » Complex Primary
- » Revision Surgery
Replacement Surgeries
Our team is committed to providing comprehensive services for joint preservation, reconstruction and partial or total joint replacement
Our doctors specializing in joint preservation and replacement are experts in surgical techniques designed to help you get back to living as close to normal as possible.
Medical conditions that can benefit from primary joint replacement of the hip or knee include osteoarthritis, inflammatory arthritis, osteonecrosis, and post-traumatic arthritis amongst many others. A new alternative to total hip replacement for some younger patients usually 60 years of age or younger who are highly active is hip resurfacing. This procedure may benefit patients with osteoarthritis as well as hip dysplasia or avascular necrosis (damage to bone as a result of an insufficient blood supply).
Rehabilitation for those undergoing either joint reconstruction or replacement begins immediately after surgery. Our team will help you progress through a range of rehabilitation exercises to enhance range of motion and strengthening around the joint. Programs are individualized for each patient based on their condition and type of surgery.
Primary and revision Total Hip Replacement
Conventional, primary total hip replacement is a durable operation in the majority of patients. A hip replacement is a mechanical device with parts that are assembled before and during the operation, most commonly referred to as a “ball and socket.” After surgery, the prosthetic ball and socket restore movement in the hip during the lifespan of the prosthesis.
As with any other mechanical device, a total hip replacement can be subject to various forms of mechanical or biological failure. Some of these conditions may require a re-operation of the hip replacement to address the cause of failure and its consequences. A re-operation of a total hip replacement is called a “revision.”
Primary and revision Total Knee Replacement
Total Knee Replacement (TKR) is one of the most successful orthopedic procedures of the twentieth century. This is due to the substantial pain relief and restoration of function after TKR. Improvements in surgical materials and techniques have greatly increased its effectiveness.
With newer implant designs and improved surgical techniques, total knee replacements can be expected to function well for at least 15 to 20 years in more than 85-90% of patients. However, some procedures will require a second surgery, called revision knee replacement.
Other joint replacements e.g. shoulder, elbow, small joints of hands and feet.
Sports Medicine
For us, Sports Medicine isn’t just restricted to taking care of the professionals. We seek to provide help to anyone who ranks physical fitness high on their priority list. We provide a vast spectrum of multidisciplinary services through a multitude of programs right from preventive medicine to reconstructive surgery. At our Centre, you will find the complete range of treatment options for the following:
Ligament reconstruction
Ligaments are bands of tough, elastic connective tissue that surround a joint to give support and limit the joint's movement. When ligaments are damaged, the knee joint may become unstable. The ligament damage often occurs from a sports injury. A torn ligament severely limits knee movement, resulting in a person’s inability to pivot, turn, or twist their leg. Those individuals who cannot return to normal activities with medical treatments for a torn ligament may have the ligament repaired or reconstructed (replacing the ligament) with surgery.
Arthroscopic shoulder stabilization
The most common cause of shoulder instability is a shoulder injury. Falling or running into something, a sporting tackle or lifting something a long way can over stretch your shoulder joint. This loosens the part of the joint which keeps it tight in a way which does not allow it to heal. Once the shoulder has been out of joint once it is very likely to slip out of the socket again and again.
The treatment of shoulder instability is to get your shoulder back under control. This removes the sensation that the shoulder is slipping out of place. For some patients this will mean a physiotherapy program and for others it will involve an operation. After you shoulder is stabilised, regular exercise can help keep it that way.
Surgery helps restore shoulder stability by tightening and repairing the shoulders static stabilisers. The principles of the operation are to reduce the size of the stretched capsule of the shoulder joint and to reattach the torn labrum back to the bone. The procedure is designed to tighten and repair the shoulder joint which means that physiotherapy after the procedure is often necessary to help you regain flexibility. It also helps regain strength while the shoulder is healing.
Factors that are Important in the Determination of Treatment are:
How long you have had an unstable shoulder.
The direction in which your shoulder is slipping.
The extent of damage to the joint.
Whether there is any damage to muscles or nerves.
What kind of lifestyle you lead and/or sporting activity you want to be able to get back to.
You have elected to undergo an operation to stabilise your shoulder for recurrent dislocations or subluxations of your shoulder.
Arthroscopic Rotator Cuff Repair
A complete rotator cuff tear will not heal. Complete ruptures usually require surgery if your goal is to return your shoulder to optimal function.
A rotator cuff repair involves stitching the torn tendon back onto its attachment to the arm bone (Humerus). This may be performed either through keyhole surgery (arthroscopy) or open surgery, using sutures and bone anchors. The advantages of repairing a rotator cuff tear arthroscopically (keyhole surgery) are:
- » Less postoperative pain
- » Less time in hospital (usually can be performed as a day-case operation)
- » Quicker return to work and sports
- » Usually no stitches to remove
- » Less wound complications
Arthroscopic Meniscus Repair/Excision
Arthroscopic meniscus repair is an outpatient surgical procedure to repair torn knee cartilage. The torn meniscus is repaired by a variety of minimally invasive techniques and requires postoperative protection to allow healing. Physical therapy is useful to regain full function of the knee, which occurs on average 4-5 months after surgery.
A torn meniscus is diagnosed with a thorough history and physical exam. Traumatic meniscus tears often occur with twisting type or hyper-flexion injuries. Physical exam maneuvers that reproduce these symptoms may include squatting and rotational manipulations. MRI is useful to confirm the diagnosis, but the most accurate test is diagnostic arthroscopy.
The different Treatments provided by us are:
Medications
Anti-inflammatory medications, taken by mouth or injected directly into the knee, can be useful to reduce the pain and swelling symptoms associated with meniscus tears, but do not improve healing. No medications or nutritional supplements have been scientifically documented as beneficial for meniscus healing.
Exercises
Quadriceps strengthening exercises are useful to reduce swelling and restore normal muscular control to an injured knee. They useful to reduce symptoms and speed rehabilitation.
Possible benefits of arthroscopic meniscus repair
The meniscus is an important structure for load transmission and shock absorption in the knee. The knee is subjected to up to 5 times body weight during activity, and half this force is transmitted through the meniscus with the knee straight, and 85% of the force goes through the meniscus with the knee bent ninety degrees. Loss of the meniscus increases the pressure on the articular (gliding) cartilage, which leads to degenerative changes. A successful meniscus repair preserves meniscus tissue and mitigates these changes.
Types of surgery recommended
Arthroscopic surgery is recommended for meniscus tears. The basic principle of meniscus surgery is preservation of healthy meniscus. Since meniscus repair is only feasible in the peripheral area of meniscus that has adequate blood supply, most meniscus tears are treated with arthroscopic meniscectomy
Diagnostic arthroscopy and biopsy
Arthroscopy is a surgical procedure orthopaedic surgeons use to visualize, diagnose, and treat problems inside a joint. The word arthroscopy comes from two Greek words, "arthro" (joint) and "skopein" (to look). The term literally means "to look within the joint."
In an arthroscopic examination, an orthopaedic surgeon makes a small incision in the patient's skin and then inserts pencil-sized instruments that contain a small lens and lighting system to magnify and illuminate the structures inside the joint. Light is transmitted through fiber optics to the end of the arthroscope that is inserted into the joint.
By attaching the arthroscope to a miniature television camera, the surgeon is able to see the interior of the joint through this very small incision rather than a large incision needed for surgery.
The television camera attached to the arthroscope displays the image of the joint on a television screen, allowing the surgeon to look, for example, throughout the knee. This lets the surgeon see the cartilage, ligaments, and under the kneecap. The surgeon can determine the amount or type of injury and then repair or correct the problem, if it is necessary.