Musculoskeletal injuries are associated with sports injuries, back pain, stiff neck muscles and arthritis, according to the American Academy of Orthopedic Surgeons. Proper assessment, diagnosis, and intervention for such situations are done by health specialists, specifically by orthopedic surgery specialists. They are experts in diseases of the body’s musculoskeletal system.
Orthopedic surgeons cover a wide variety of issues, including trauma, sports medicine, pediatrics, foot & ankle surgery, spine surgery, hip & knee surgery, etc. Surgeons need orthopedic implants and instruments for the surgical procedure, specific to every kind of surgery.
Some Common Conditions Observed By Orthopedic Surgeons:
- Arthritis is the joint inflammation that causes swelling and pain. Women are more prone to arthritis than men.
- Osteoarthritis is a chronic disease of the joints, caused by wear and tear. Rheumatoid arthritis is also a kind of joint inflammation caused by the attack of the body’s immune system.
- Muscle pain can worsen with activity and stress. According to studies, fibromyalgia may be linked to immune problems.
- Fractures occur after an extreme force is applied to the bones caused by falls, trauma, or any direct blow to the body.
- Foot pain and problems are caused due to the inappropriate function of the foot, which an orthopedic surgeon can help to address.
- Carpal tunnel syndrome affects the wrist nerves. Numbness and tingling in the thumb, index and middle fingers are the main symptoms.
- Knee problems are the consequences of the aging process and other sudden movements that stress the knee. Examples are knee sprains and tendonitis (inflammation of tendons).
- Osteoporosis is a medical condition in which the bones are fragile and brittle. People with osteoporosis have signs of vertebral collapse and broken bones, leading to extreme pain and deformity of the spine. Typically, this is caused by the deficiency of vitamin D and calcium.
- Shoulder pain can be localized in one part or can spread on the arms and shoulders. Some kinds of shoulder problems are separation, dislocation, bursitis (inflammation of the bursa), frozen shoulder and impingement syndrome.
Soft-tissue injuries of tendons, ligaments, and muscles may cause bruising, swelling and damage. For example, a contusion is produced by a blunt force. Another example is a sprain that injuries ligaments because of twisting of the ankles, wrists or knees.
One of the most common orthopedic injuries is broken bones. Fractures require treatment which can be as simple as simple as rest, or as invasive as surgery. there are many considering factors to determine the most appropriate treatment of a broken bone including:
- Location of the broken bones
- Alignment of the fracture
- Patient’s expectations
Some most frequently used fracture treatments are following-
The most common type of fracture management is with the immobilization. There are different types of immobilization including casts, braces, splint, slings, etc.
Cast immobilization is the most common method where a material (typically fiberglass or plaster) is wrapped around an injured extremity and allowed to harden. Casts come in an endless number of shapes and sizes and need proper cast care.
Fractures treated with immobilization must be adequately aligned to allow for healing with good results. Further treatment will be needed if the alignment of the fracture is not sufficient.
Resetting or Reducing the broken bone
A process called fracture reduction or reducing a fracture, is an intervention to better align the broken bones. A fracture reduction can be done as a closed reduction (non-surgical) or an open reduction (surgery).
A typically closed reduction is performed either by providing general anesthesia or local anesthetic to the broken bone, followed by a specific maneuver to attempt to realign the broken bone. A splint or cast would be applied to hold the bones in the improved alignment after a closed reduction is done.
Traction is an older form of fracture management that is used less commonly today. However, there are some situations where traction can be a very useful treatment option.
Traction involves gentle pulling of the extremity to align the bones. Mostly a metal pin is placed in the bone on the far side of the fracture, this is known as skeletal traction. Ropes and weights are attached to the pin to gently pull the fragments of bone into alignment.
Skin traction is a similar concept, but instead of a pin being inserted into the bone, the traction is done just by pulling externally on the extremity. Skin traction cannot pull with as much force as skeletal traction, so if traction is used for than a short time, generally skeletal traction is preferred.
Pins are used to stabilizing smaller bones (for example, hands and wrist) when a closed reduction can be used to improve alignment, but a cast is insufficient to hold the bones in its place.
Pins are placed through the skin in a process called a closed reduction with percutaneous pinning (CRPP). The pins are placed in an operating room but can be removed in the doctor’s office and there is a little discomfort in most procedures of pin removal. The removal can be performed in the operating room if there is discomfort.
External fixation uses pins that enter the skin but are held together outside the body with a frame to maintain alignment. An external fixation is a good option with severe trauma as they can be applied quickly, they can be adjusted as required, and they let access to the skin and soft-tissue wounds. External fixation is mostly used with open fractures.
External fixation can also be useful when there is significant swelling that could make surgery too risky. The swelling can improve by temporarily immobilizing the fracture and internal fixation can be considered later. Various type of implants is manufactured for trauma surgery. Siora Surgicals is one of the best names for trauma implant importer. We use stainless still and titanium for manufacturing surgical implants.