ORTHOPEDICS AND TRAUMATOLOGY

 What are orthopedics and traumatology?

The Orthopedics and Traumatology Unit, which works on musculoskeletal diseases, is an extremely rich specialty with many different sub-branches, diagnoses and treatment methods. Major areas such as arms, legs, pelvis, spine, bone, muscle, vessel, nerve 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 and Microsurgery: The part from the fingertip to the shoulder area enters the hand surgery area. Bone fractures, tendon-muscle ruptures and nerve compressions that occur between the hand and the shoulder are all 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 the fingers) and CP sequelae.
Thanks to the microsurgery technique, it can be performed on nerves smaller than 1 mm in diameter 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 in the spine.
Knee Surgery: The incidence of problems is higher in the knee, which is exposed to the highest load compared to other joints. Not warming up before beginning the sport, as well as pushing the knees too hard, can harm the knee’s health by damaging the cartilage tissue in this area, breaking the ligaments or tearing the meniscus. Injuries to 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: In the area called the talus dome, diseases 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, using fiberoptic instruments, the inside of the joint is visually examined, and the diagnosis of diseases and injuries can be easily detected. A few small skin incisions are made with arthroscopy. This very small scar heals much faster than an open surgery. The operation takes an average of 1 hour, and the patient is discharged within a short time. After a few days, you should be able to stand and even drive.

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 problems in the legs or crooked legs are orthopedic problems that can be treated with the Ilizarov method. It can be equated with shortening the long leg or lengthening the short leg with the Ilirazov method. On the other hand, treatments for curvature, shortness or soft tissue loss that occur as a result of union in bone fractures can also be performed.
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 the 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 of elongation is achieved per day. Up to 80% of the bone’s own length is elongated in the desired area.

Other diseases for which the Ilizarov method can be used include:
• In the treatment of nonunion fractures,
• In both closed and open fractures,
• In arm and leg curvatures,
• In bone lengthening procedures (lengthening, early closure of growth cartilage after infection, polio sequelae),
• Usually, in bone loss that develops after trauma, tumor or infection,
• In metabolic diseases,
• structural bone disorders,
• It is used in bone infections.

Pediatric Surgery: Congenital hip dislocation, perthes disease, clubfoot sequelae, brachial plexus damage, gait disorders, torticollis, foot problems and spinal disorders are treated.
Oncological Surgery: Treatment of benign or malignant tumors developing in an area of the skeletal system, such as a muscle, bone, nerve, tendon or joint, is performed.
Sports Traumatology: Sport, 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 started without appropriate preparations. The knee joint is among the regions most exposed to trauma in sports activities with a share of 33%. Other common areas for injuries are the foot-thigh region, hip and groin regions, shoulder, wrist and elbow joints of the spine. All sports injuries are treated by specialists who perform emergency diagnosis and treatment.

What Diseases Do Orthopedics and Traumatology Treat?

Sports injuries and arthroscopic surgery

• Meniscectomy,
  • Reconstruction operations,
  • Meniscus repair,
  • Microfracture and osteochondral cartilage transplantation,
  • Arthroscopic bankart repair (in the event of a shoulder dislocation),
  • Labral tear repair,
  • Rotator sheath repair,
  • Shoulder joint osteoarthritis,
  • Removal of foreign bodies.

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

Pediatric Orthopedics and Traumatology

• Crooked feet,
  • Congenital disorders;
  • Flat sole,
  • Hip dislocation,
  • Tumors,
  • Fracture treatment and monitoring calcification (arthrosis),
  • Knee calcification (gonarthrosis),
  • Hip calcification (coxarthrosis),
  • Periacetabular and high tibial reconstructive bone surgeries,
  • Hip, knee, shoulder, and elbow prostheses,
  • Prosthesis infection,
  • Prosthesis loosening revision operations.

Hand surgery, extremity and upper extremity

• Lengthening of the arm and leg bones,
  • Bone deformity and infections,
  • Non-union of the fractures,
  • Acute soft tissue traumas,
  • Repair of cut vessels and nerves,
  • Tendon transfers,
  • Amputations.

In our Orthopedics and Traumatology Departments, diseases in the musculoskeletal system are treated by our specialist physicians using state-of-the-art devices. Body damage caused by injuries and accidents can be corrected with surgical interventions.
Orthopedics includes all joints, bones, muscles and related tissues (vessels, nerves, spinal cord) from the arms, legs, spine and pelvis and from the skull base to the nail tip.

Our orthopedics and traumatology departments work in coordination with other branches such as physical therapy and rehabilitation.
With our experienced academic staff in our hospitals, we offer personalized treatments in a wide range from hand surgery to prosthetic surgery.

The procedures performed in the Orthopedics and Traumatology Department in our hospitals are as follows:

HAND SURGERY

It is an area that requires serious patience, hand coordination and precise hand movements. It deals with hand injuries that require microscopic vascular nerve repair, tendon repair and bone joint restoration. It also deals with trigger finger, polydactyly (6 fingers), syndactyly (adhesive fingers), carpal tunnel syndrome (nerve compression) and hand deformities (tendon transfer) due to CP sequelae.

KNEE SURGERY, ARTHROPLASTY, AND ARTROSCOPY APPLİCATİONS

In the knee joint, it is the application of treatment methods such as closed (arthroscopic) or open surgery (knee prosthesis) in common diseases such as meniscus tear, ligament tear, cartilage damage, joint narrowing and osteoarthritis.

ANKLE SURGERY AND ARTROSCOPY SURGERY

It deals with the treatment of diseases such as osteochondral damage in the talus dome, impingemen synovitis of the tibia distal end anterior and FHL tenosynovitis.

SHOULDER SURGERY, ARTROPLASTY, ARTROPSCOPY, AND ELBOW SURGERY

It deals with the treatment of diseases such as shoulder joint dislocation, SLAP lesion (biceps tendon damage), impingement (compression and pain due to bone lengthening), frozen shoulder, tennis elbow, and radial head dislocation with arthroscopic (closed) or open surgery.

HIP SURGERY ARTHROPLASTY AND ROBOTİC SURGERY

It deals with the treatment of diseases such as congenital hip dislocation, impingement (bon

e compression), labral defect, osteocondral defect, and osteoarthritis (calcification) with open surgery or closed (arthroscopic) surgery.

PEDIATRIC SURGERY

It deals with the treatment of diseases such as congenital hip dislocation, perthes disease, torticollis, brachial plexus damage and clubfoot sequelae.

ONCOLOGICAL SURGERY

It deals with tumors, benign or malignant, in one area of the skeletal system, such as bones, muscles, tendons, nerves and joints.