ORTHOPAEDICS AND TRAUMATOLOGY
Our experienced academic staff and specialist physicians, who benefit from vast opportunities of the modern technology, provide all patients with world-class medical and surgical treatments through a scientific approach.
Our physicians examine congenital or developmental abnormalities of the musculoskeletal system through a multidisciplinary approach. Moreover, our center, that offers a healthcare service in a wide range of fields such as spinal surgery, hand surgery, bone tumors, hip and knee arthroplasty, sports injuries, fractures and dislocations, and pediatric orthopaedics, successfully performs diagnostic and treatment procedures of all musculoskeletal diseases, especially the diseases related to Orthopaedics and Traumatology.
In general, the fields of study can be summarized as traumatology (musculoskeletal system disorders occurred due to hit-impact-accident), arthroplasty (joint replacement surgery), arthroscopic surgery (closed surgery procedures performed for intra-articular problems), hand surgery-microsurgery (including repair of severed organs through sutures), spinal diseases and surgery, pediatric orthopaedics (including congenital musculoskeletal disorders), musculoskeletal tumour surgery, and sports medicine.
SPINAL DISEASES AND SURGERY
Spinal diseases and surgery is our another field of study. Spinal curvatures and fractures are the main parts of the treatment. Spinal curvature disorders may be congenital or developmental. Though spinal fractures usually develop after high-energy injuries, sometimes osteoporosis or tumour dissemination may have a role in development of spinal fractures. The nerves, that pass through the vertebrae and move from the brain to the locomotor system, increase the risks of this region. Diagnosis and treatment of spinal diseases are performed successfully in our hospital.
How is scoliosis treated?
There are many causes that may lead to scoliosis. However, different treatment methods have been developed for nearly 80 percent of patients who are diagnosed with scoliosis, in other words, spinal curvature. The methods that are commonly used for treatment of scoliosis in our day are divided into three groups as scoliosis exercises, scoliosis corset, and surgery for scoliosis. The most appropriate treatment method for scoliosis is determined after a detailed examination to be made by a specialist doctor. The treatment methods vary by person to person and the degree of spinal curvature.
Scoliosis in Adults
Scoliosis can be seen not only in children, but also in adults. However, scoliosis in adults is usually seen as it could not be diagnosed in childhood and has been brought into adulthood. Scoliosis may also be observed after the age of 50 due to spinal degeneration. Unlike scoliosis in childhood, the most common complaint of adults with scoliosis is pain. The pain is usually relieved with painkillers and physical treatment methods. As skeletal growth has ended, brace procedure with scoliosis corset is rarely performed. Surgical treatment may be required in some cases that are resistant to the relevant treatment methods.
Surgical treatment is preferred if spinal curvature is advanced. Surgery should be considered if an individual’s curvatures on the back are more than 45 degrees or curvatures on the waist are more than 35 to 40 degrees. It is an extremely important surgery that requires a great attention. Therefore, surgery for scoliosis should be performed by an experienced and specialist doctor.
Traumatology can be defined as a sub-branch that deals with treatment of musculoskeletal system diseases caused by hits, impacts, falls and traffic accidents that are frequently encountered especially in our country. Even though fractures are the first thing to come to mind, cranial fractures are examined and treated by different departments. Facial fractures are treated by the department of Plastic-Reconstructive and Aesthetic Surgery and the department of Otorhinolaryngology Surgery. On the other hand, fractures of other cranial bones are treated by the department of Brain and Nerve Surgery. In addition, rib fractures that are frequently seen are treated primarily by the department of Thoracic Surgery. Fractures do not always develop after trauma. Injuries of the structures such as muscle-tendon-ligaments, that are generally called soft tissue injuries, are repaired and treated by the department of Traumatology. As we are a surgical department, surgical interventions are performed successfully by our team in cases where a surgical procedure is needed.
Arthroscopic surgery can be defined as a procedure that is used in diagnosis and treatment of diseases inside a joint through a closed surgical method. Closed surgery refers to an intervention in which a pen-shaped camera is entered into the joint and the procedure is performed with pen-shaped tools from the other side. The most important advantage of the closed surgery is that it is a procedure performed without any surgical incision. The patient can return to her/his work earlier than an open surgery. Another advantage of this procedure is that it allows the doctor to make a detailed and functional examination of the synovial membrane, ligaments, cartilage structures, tendons and bone structures. Even though the interventions are most frequently performed for the knee and shoulder joints, arthroscopic interventions can also be performed for the elbow, wrist, hip and ankle joints. All arthroscopic interventions are performed successfully in our clinic.
Arthroplasty can be shortly defined as joint replacement surgery that is performed with prosthesis. The word ‘’prosthesis’’ can be considered as the prostheses used in dentistry. Dental prostheses used in patients who have missing or highly deformed teeth replace the teeth and function. Similarly, prostheses are used in the treatment of cartilage degeneration that appears after the age of 40 in average or secondarily to any previous trauma. The prostheses replace the joints impaired. Though knee and hip replacement surgeries are usually more common, there are replacement procedures performed also for the shoulders, elbows, ankles, wrists and fingers. However, these prostheses should not be confused with the prostheses used to provide an appearance and function after any loss of a part of the body (amputation). For instance, the devices used externally to provide walking in a case of amputation of the leg are also called prosthesis. After the arthoplasty surgeries, the patient’s joint pain is removed and her/his mobility is increased. The prostheses can be permanent up to 15-20 years. These surgeries are performed successfully in our hospital.
Diagnosis, treatment and follow-up of musculoskeletal tumours are made successfully in our clinic. The word ‘’tumour’’ refers to all kinds of cells that grow in the body. Moreover, tumours are divided into two groups as benign tumours and malignant tumours depending on their dissemination and ability to deteriorate the relevant structure. Musculoskeletal tumours can be basically classified as soft tissue tumours and bone tumours. In addition to surgical treatment, medication and radiation therapy are sometimes included in the relevant treatments.
As the name suggests, Pediatric Orthopaedics that is a sub-branch of medicine deals with musculoskeletal system diseases of children. However, it should not be forgotten that children are not miniature adults. Diagnosis, treatment and follow-up procedures of pediatric diseases are very different from the procedures performed for adults. Moreover, there are some interrelated disorders in which the department of pediatric orthopaedics can follow together with the departments of traumatology, spinal surgery and other sub-branches. However, when pediatric orthopaedics is considered, congenital gait abnormalities such as hip dislocation, that is a common disorder seen especially in our country, come to mind. Even though the incidence rate of hip dislocation has decreased gradually in recent years, it is still a problem. However, hip ultrasonography is a revolutionary development on this matter. Early diagnosis and nonsurgical treatments can yield very successful results. Ultrasonography of the hip is performed within the standard newborn screening procedure in our hospital.
HAND SURGERY – MICROSURGERY
Even though surgical suture procedure performed for severed parts of the body with microsurgical methods primarily comes to mind when hand surgery-microsurgery is considered, it can be said that hand surgery covers a wide range of areas from the fingertip to the shoulder. When microsurgery is considered, the procedure, in which the vascular and nerve structures that are almost invisible with the naked eye are sutured with very thin sutures and special suture tools under a microscope, should come to mind. Even though this intervention has become highly popular especially in the recent years, it is not a method that can be performed for every severed part of the body. Successful results can be achieved only if this procedure is performed for appropriate patients. It is very difficult to achieve successful results in patients with highly damaged vascular and nerve structures. Hand surgery should not be understood simply as a procedure in which the severed parts of the body are sutured. In hand surgery, all musculoskeletal injuries of the region between the hand and the shoulder are also treated. In addition, many examples that include bone fractures, nerve compressions and muscle-tendon tears in that region can be given. In our department, it is possible to successfully benefit from all opportunities of hand surgery and microsurgery.
Sports medicine, as the name suggests, is a sub-branch of medicine that deals with musculoskeletal injuries in athletes. Athletes may return to sport activities only after a true diagnosis, treatment and rapid rehabilitation program. Here, the most critical problem is the shortened time for return to sport. Some musculoskeletal disorders require a surgical treatment only in athletes. Return to sport is provided only through such procedure.
PROSTHESES (ARTHROPLASTY PROCEDURES)
Hip Replacement (Arthroplasty)
Replacement surgeries are also known as arthroplasty procedures. Hip replacement procedure is performed in cases where the hip joint is disrupted. Hip replacement surgery is necessary if the joint is disrupted due to arthritis of known or unknown origin, previous treatment performed for hip dislocation in childhood, hip-related fractures and dislocations, medication-related osteonecrosis of the hip joint, or previous Perthes disease in children.
Knee Replacement (Arthroplasty)
Knee replacement procedure is performed to correct the knee deformities caused by calcification of the knees and rheumatic diseases in elderly patients, fractures related to the knee joint, and sometimes the use of cortisone or similar cases that result in osteonecrosis that lead to a progressive destruction of the knee bones.