MEDICAL SECOND OPINION
Orthopedics and Traumatology

What is Orthopedics and Traumatology?

The Orthopedics and Traumatology unit, working on musculoskeletal diseases, is an extremely rich specialty with many different sub-branches, diagnosis and treatment methods. Major areas such as arms, legs, pelvis, and the spine and bones, muscles, vessels, nerves, and spinal cord connection tissues are in the field of interest of the Orthopedics and Traumatology department.

The Orthopedics and Traumatology unit, which works in coordination with other units such as Physical Therapy and Rehabilitation, operates in a wide area from hand surgery to prosthetic procedures.

The procedures performed in the Orthopedics and Traumatology unit are as follows:

Hand Surgery - Microsurgery:The part from the fingertips to the shoulder area is included in the hand surgery. Problems such as bone fractures, tendon-muscle ruptures, nerve compressions occurring in the area between the hand and shoulder area are treated. Hand surgery is an area that needs to be pursued with patience as it requires precise movements and coordination. In addition, hand surgery covers the treatment of hand deformities caused by polydactyly (6 fingers), carpal tunnel syndrome (nerve compression), syndactyly (adhesion of fingers), and CP sequelae.

Thanks to the microsurgery technique, even nerves smaller than 1 mm in diameter can be operated with the help of needles and threads, which are very difficult to see even with the naked eye. In this way, broken organs such as arms, hands, legs and feet can be successfully replaced and very thin nerve fibers can be repaired.

Spinal Surgery (Spine Diseases and Surgery):The most common spinal curvatures and fractures are the main treatment areas. Congenital or acquired scoliosis, spondylolisthesis, spinal stenosis, Schuermann kyphosis, spinal injuries, dislocations and spinal infections are diagnosed and treated.

Knee Surgery:Problems are more common in the knees, which are exposed to the heaviest load compared to other joints. Especially not warming up before doing exercise and forcing the knees excessively can damage the knee health by causing damage to the cartilage tissue in this area, breaking the ligaments or tearing the meniscus. Injuries of areas such as the meniscus, articular cartilage, anterior cruciate ligament and capsule that occur in the knee joint, septic arthritis (intra-articular inflammation), synovitis (thickening of the joint membrane), calcification of the knee joint and fractures occurring in the joint are treated with arthroscopic surgery.

Ankle Surgery:Diseases in the area called the talus dome such as compression of the distal end anterior of the tibia, osteochondral damage, and FHL tenosynovitis are treated. In ankle operations performed with the arthroscopy method, the inner joints are visually examined using fiberoptic instruments, and the diagnosis of the diseases and injuries can be easily made. A few small skin incisions are made with arthroscopy. These scars, which are very small, heal much faster than the ones made in open surgery. The operation takes an average of 1 hour and the patient is discharged in a short time. You can step on your feet or even drive a few days after the operation.

Shoulder Surgery:Problems such as SLAP lesion (biceps tendon damage), frozen shoulder, impingement (pain caused by bone elongation), shoulder joint dislocation, tennis elbow and radial head dislocation are treated with closed or open surgical operations.

Leg Inequalities and Lengthening Treatment:Uneven height problem in the legs or crooked legs are orthopedic problems that can be treated with the Ilizarov method. They can be equated with shortening the long leg or lengthening the short leg with the Ilirazov method. On the other hand; curvature, shortness or soft tissue loss treatments that occur as a result of union in bone fractures can also be treated.

In the Ilizarov method, the bones are fixed with hoops and thin wires, and controlled movement is provided to the bone parts thanks to the added hinges and rods. Bone inequalities that develop after problems such as bone loss, congenital diseases and premature closure of growth cartilage can be treated in both children and adults. With the Ilizarov method, a low-energy fracture is actually created in the bone and 1 mm elongation is achieved per day. Elongation is achieved up to 80% of the bone's own length in the desired area.

Other diseases for which the Ilizarov method can be used include:

•In the treatment of nonunion fractures,

•In closed and open fractures,

•In arm and leg curvatures,

•Bone lengthening processes (lengthening, early closure of growth cartilage after infection, polio sequelae)

•In bone loss that usually develops after trauma, tumor or infection,

•Metabolic diseases,

•In structural bone disorders,

•In bone infections.

Pediatric Surgery:Congenital hip dislocation, Perthes disease, clubfoot (PEV) sequelae, Brachial plexus damage, gait disorders, Torticollis, foot problems and spine disorders are treated.

Oncological Surgery:Benign or malignant tumors that develop in an area of the skeletal system such as muscles, bones, nerves, tendons and joints are treated.

Sports Traumatology:Sports, which increases the organic resistance of the body and improves the physiological capacities of the systems, is an occupation that brings injuries when it is done without proper preparations. The knee joint is among the regions most exposed to trauma in sports activities, with a share of 33%. Other most common injuries occur in the foot-thigh region, hip and groin region, shoulder joints, wrists and the elbow joint of the spine. Emergency diagnosis and treatment of all sports traumas are performed by specialist physicians.

What Diseases Does Orthopedics and Traumatology Treat?

Sports Injuries and Arthroscopic Surgery

•Meniscectomy,

•Reconstruction operations,

•Meniscus repair,

•Microfracture and osteochondral cartilage transplantation,

•Arthroscopic bankart repair (in shoulder dislocation),

•Labral tear repair,

•Rotator sheath repair,

•Shoulder joint osteoarthritis,

•Foreign body removal.

Foot and Ankle Surgery

•Cartilage injuries,

•Ligament ruptures,

•Sports fractures and injuries,

•Degenerative problems in the foot and ankle.

Elbow and Shoulder Surgery

•Rotator cuff diseases,

•Shoulder and elbow arthrosis,

•Recurring dislocations,

•Traumatic diseases such as falls, traffic accidents and work accidents.

Pediatric Orthopedics and Traumatology

•Clubfeet,

•Congenital disorders,

•Fallen arches,

•Dislocation of the hip,

•Tumors,

•Fracture treatment and follow-up.

Calcification (arthrosis)

•Knee calcification (gonarthrosis),

•Hip calcification (coxarthrosis),

•Periacetabular and high tibial reconstructive bone surgeries,

•Hip, knee, shoulder and elbow prostheses,

•Prosthesis infection,

•Revision operations in prosthesis loosening

Hand, Extremity and Upper Extremity Surgery

•Lengthening of the arm and leg bones,

•Bone deformity and infections,

•Non-union fractures,

•Acute soft tissue traumas,

•Repair of cut vessels and nerves,

•Tendon transfers,

•Amputations.


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