Orthopedic Surgery offers a range of surgical treatments for orthopedic problems. Orthopedic surgeons at Rancho Springs Medical Center include specialists in a number of areas.
Hip and Knee Surgery
Evaluation and treatment of hip and knee problems, including arthritis surgery and joint replacement. A team of orthopedic surgeons, nurses and staff perform hundreds of consultations, surgeries and other treatments each year with an emphasis on positive patient outcomes.
A total hip replacement is a surgical procedure in which the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. Total hip replacements are performed most commonly because of progressively severe arthritis in the hip joint. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis is generally seen with aging, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the hip joint, and death (necrosis) of the hip bone. Hip bone necrosis can be caused by fracture of the hip, drugs (such as alcohol or corticosteroids), diseases (such as systemic lupus erythematosus), and conditions (such as kidney transplantation).
The progressively intense chronic pain together with impairment of daily function including walking, climbing stairs and even arising from a sitting position, eventually become reasons to consider a total hip replacement. Because replaced hip joints can fail with time, whether and when to perform total hip replacement are not easy decisions, especially in younger patients. Replacement is generally considered after pain becomes so severe that it impedes normal function despite use of anti-inflammatory medications. A total hip joint replacement is an elective procedure, which means that it is an option selected among other alternatives.
Total knee replacement is generally done when a person has a severe degenerative joint disorder such as osteoarthritis in which the articular, or moving, surfaces of the knee deteriorate, leading to severe pain, limitation or loss of function and/or deformity of the joint. The surgery is also performed to replace a badly fractured knee and when previous joint replacements have failed. Bilateral replacement means that both knees are replaced at the same time.
Other treatments are usually used before knee replacement surgery. These include:
- Acetaminophen or anti-inflammatory drugs if the joint has degenerated
- A procedure called synovectomy, which is surgical removal of inflamed synovial tissue, the tissue that lubricates moving parts of a joint osteotomy, which is restructuring of the bones to shift stresses from diseased tissue to more healthy tissue
Foot and Ankle Surgery
Evaluation and treatment of many problems of the foot and ankle, including deformities, bunions, hammer toes, ankle injuries, diabetic foot disorders, ligament fractures and other traumas to the ankle and leg.
Orthopedic surgeons offer expertise in the diagnosis and treatment of problems of the foot and ankle, with emphasis on adult reconstruction and revision surgery, traumatic and post-traumatic problems; congenital and developmental disease and deformities, including:
- Forefoot abnormalities, deformities, or painful conditions;
- Midfoot and hindfoot deformities (congenital, developmental or arthritic);
- Tendon and ligament problems (traumatic or degenerative);
- Diabetic foot evaluation and care (bracing, fusion, amputation, etc);
- Ankle fractures, arthritis, instability, deformities
- Treatment of non-united fractures (Ilizarov technique, grafts, internal fixation, electrical stimulation.
- Reconstruction of traumatic, developmental or congenital deformities
Traumatic Orthopedic Injuries
Evaluation and treatment of fractures and dislocations of joints and the extremities of the body.
Our trauma service offers expertise in management of patients who have sustained orthpaedic trauma and post-traumatic complications. Special emphasis is placed on the team approach and surgical management of complex orthopaedic trauma as well as post traumatic reconstruction, including:
- Complex open and closed factures and dislocations
- Blunt and penetrating bone, joint, muscle, and tendon injuries
- Nonunions, malunions, and infections
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