Internal fixation of the bone is a type of fixation where the fixing device is not exposed to outside environment as it is buried under the soft tissue. This is in contrast to external fixation. Bone acts as a supporting structure and transmits load. Different forces that act on bone are compression, tension and shear. […]
Procedures
External Fixation of Pelvis – Indication and Procedure
External fixation of pelvis is indicated for temporary or definitive stabilization of unstable pelvic ring injuries. Temporary external fixator applied to a fractured pelvis can reduce internal hemorrhage dramatically and literally save someone’s life who is at risk from loss of blood. Advantage of External Fixation of Pelvis Pelvis bleeding after fracture of the pelvic […]
Cervical Spine Surgery in Disc Disease
Cervical spine surgery for is most commonly performed for radiculopathy and cervical degenerative disc disease. The goal of cervical spine surgery is similar to lumbar spine surgery – adequate decompression of the nerve roots and stabilization of the spine Anterior cervical discectomy Anterior cervical discectomy and fusion Anterior cervical discectomy and fusion with internal fixation […]
Lumbar Spine Surgery
Lumbar spine surgery is a broad term used for any type of surgery in the lumbar spine or the lower back. [Read more about spine anatomy] Lumbar spine surgery can be broadly classified into two types Lumbar Decompression Lumbar fusion These two comprise the most common type of lumbar surgeries which are most commonly performed […]
Quantitative Ultrasound or QUS
Quantitative ultrasound is an ultrasound-based modality to measure bone mineral density in osteoporosis. DXA is considered the gold standard for measurement of bone mineral density. In fact, the quantified definition of osteoporosis is based on the measurement of bone mineral density and its comparison with the healthy young-adult reference population. The values os expressed as […]
Hip Arthrodesis – Indications and Procedure
Hip arthrodesis is a procedure where hip joint is surgically fused. It is used for management of advanced hip arthritis in a selected group of patients. A common procedure earlier, its utility has decreased with the success of total hip replacement surgery. The procedure aims to provide stable, painless hip at the cost of hip […]
Shoulder Arthrodesis Indications and Procedure
Shoulder arthrodesis is end-stage salvage joint fusion surgery for a joint that has failed, is about to fail or a painful joint that cannot be reconstructed. The term shoulder arthrodesis is used for fusion of the glenohumeral joint. Though the indications for arthrodesis are diminishing, it is still an important method of shoulder management. It […]
Knee Arthrodesis – Indications and Procedure
Knee arthrodesis stands for surgical fusion of the knee joint. Arthrodesis is one of the last options available to obtain a stable, painless knee in a diseased or damaged knee joint which cannot be reconstructed or replaced. Indications of knee arthrodesis are mentioned below. Today, there is a reduction in the number of arthrodesis surgeries […]
Synovectomy Knee – Indications and Procedure
Synovectomy knee is a surgery where synovium of the knee joint is removed surgically. Synovectomy of knee classically was done with open incision but with increasing success of arthroscopic synovectomy, arthroscopic synovectomy of knee offers an option where there is minimal soft tissue trauma. The goal in synovectomy is total synovectomy which means complete removal […]
Girdlestone Procedure or Excision Arthroplasty of Hip
Girdlestone procedure is excision arthroplasty of the hip in which femoral head, neck, proximal part of the trochanter and the acetabular rim are removed. The procedure was described for chronic deep-seated infections of the hip joint. After the surgery patient is put on skeletal traction followed by gradual mobilization. Girdlestone procedure also goes by name […]