What is Orthopedics and Traumatology?
The Orthopedics and Traumatology Department examines congenital and acquired diseases in the musculoskeletal system in cooperation with all other departments in our hospital, carries out diagnostic procedures by using advanced technology equipment, and plans and applies the most appropriate medical and surgical treatment to the patients. Patients are informed in detail about their treatment plans by our specialist doctors. Orthopedics and Traumatology is one of the most rapidly developing and changing branches of medicine in the light of technology and scientific advances. Büyük Anadolu Hospitals Orthopedics and Traumatology Departments serve with experienced academic staff, diagnosis and treatment units equipped with advanced technology, and multidisciplinary treatment approaches.
What Diseases Does Orthopedics And Traumatology Treat?
- Bone fractures
- Neck hernias
- Lumbar hernias
- Leg inequalities
- Congenital hip dislocations
- Meniscus injuries
- Joint pains
- Nerve compressions
- Sprains and crushes in joint ligaments
- trigger finger disease
- Joint calcifications
- Heel spur
- Cartilage injuries
- Tennis elbow
- Fiber breaks
- Bone inflammations
- Dislocations in different joints
- Arthroplasty surgery (joint prostheses)
- Sports traumatology
- Lengthening and leg inequalities
- Pediatric orthopedics and traumatology
- Hand surgery and microsurgery
- Knee surgery and arthroscopic surgery
- Shoulder and elbow surgery
What Are the Procedures Performed in the Department of Orthopedics and Traumatology?
Arthroscopy is a method that provides the diagnosis and treatment of diseases and injuries that occur in the joint by visually examining the inside of the joints using fiberoptic devices. Arthroscopy is performed with a few small skin incisions and causes a very small scar and minimal pain, a rapid recovery is observed compared to open surgery. The operation takes about 1 hour and the patient is discharged a few hours after the operation. The patient can step on his foot after the surgery and drive 3 days later. There is no need to remove the sutures as they are made from soluble material. In a wide range from professional athletes to housewives; knee-shoulder-hand and ankle arthroscopies, ligament-cartilage-meniscus-tendon operations, cartilage transplants are successfully performed using modern surgical techniques.
Sports increases the body's organic resistance, improves the physiological capacity of the systems, preserves and maintains it. However, not making enough preparations before starting sports also brings injuries. Among the regions exposed to sports trauma, the knee joint ranks first with 32.9%. After the knee joint, the most injury during sports; It is seen in the ankle, hip and groin area, shoulder joint, foot-thigh region, spine, elbow joint, wrist and hand. Emergency diagnosis and treatment of all sports injuries are done in the Department of Sports Traumatology.
Height Augmentatio and Leg Length Discrepancy
Crooked legs, functional disorders caused by inequality between the legs, short stature are orthopedic problems that can be treated with the Ilizarov method today. Thanks to this method, which has been successfully applied in Büyük Anadolu Hospitals Orthopedics and Traumatology Departments, the difference in length in the legs; Shortness compensation can be fixed with shortening the long leg and lengthening the short leg. The Ilizarav method is also successfully applied in the treatment of soft tissue loss, curvatures and shortenings that occur as a result of non-union in bone fractures.
What is the Ilizarov Method?
"Distraction osteogenesis", which is defined by Ilizarov, one of the revolutions of orthopedic science in the 20th century, the technique of creating new bone by stretching the repair tissue between the broken bone ends, and then lengthening, restructuring of bone cavities and nonunion. This method of treatment that emerged with this concept are the main solutions used in orthopedic surgery today. With the tool called Ilizarov external fixator, acute shortening of the nonunion area and lengthening from the other area in the same bone are performed together with the applications of creating new bone by stretching the tissue that helps the bodies repair systems. With the Ilizarov method, the union is performed without limiting the daily activities of the patient, the joint functions are preserved, and the length is restored by correcting the curvature. Thanks to this technique, other structural and functional disorders such as closure of bone cavities and infection that may cause disability in the patient are eliminated, and the shortness is also compensated.
In Which Diseases Is The Ilizarov Method Used?
- In closed and open fractures,
- In non-union fractures,
- In the treatment of bone lengthening (lengthening, sequelae of polio, post-traumatic, post-infectious, shortness due to premature closure of growth cartilage and leg length discrepency),
- Correction of arm and leg curvatures,
- Bone losses (usually occurs after tumor, trauma or infection),
- In the treatment of untreated developmental hip dysplasia,
- In foot diseases,
- In bone infections,
- In joint movement limitations,
- In metabolic diseases,
- It can also be used in structural disorders of bones.
Pediatric Orthopedics and Traumatology
Treatment of children under the age of 16 in the Büyük Anadolu Hospitals Orthopedics and Traumatology Departments The follow-up and treatment of gait disorders, foot problems, congenital deformities, short stature, developmental hip dysplasia and spine disorders are carried out by experienced orthopedic specialists.
Hand surgery and microsurgery
Thanks to the developed microsurgical techniques, vessels and nerves smaller than 1 mm in diameter can be operated on using needles and threads that are difficult to see with the naked eye. Like this; Organs such as severed hands, arms, feet and legs can be replaced, and by repairing very thin nerve fibers, the sensation and movement in the limb can be peserved. The best evaluation of your problems, diagnosis and treatment of acute soft tissue traumas (vessel, tendon and nerve cuts, skin and muscle tissue losses and amputations caused by crushing and compression), hand and wrist pain, trigger finger, nerve compressions, tennis elbow, ganglion cysts, are made swiftly at our clinics.
Knee Surgery and Arthroscopic Surgery
Knees are exposed to more load than any other joint. Not warming up before sports and forcing the knees excessively during sports cause damage to the cartilage tissue, tear in the meniscus, rupture of the ligaments and impair the overall health of the knee. Injuries of structures such as meniscus, anterior cruciate ligament, articular cartilage, capsule in the knee joint, intra-articular inflammation called septic arthritis, synovitis, thickening of the joint membrane, moderate knee joint calcification, intra-articular fractures are treated with arthroscopic surgery.
Bone Tumor Surgery
Bone tumors are seen as one in a million orthopedic disorders. Malignant soft tissue and bone tumors, which are more common in men and approximately 100 new cases are detected every year in Turkey, occur most frequently with the effect of genetic factors, although the exact cause is unknown.
The most common type of bone cancer in the bone is called Osteosarcoma. Soft tissue tumors occur 2-3 times more often than bone tumors. Bone cancer, which mostly occurs in the bones of the legs and arms, is frequently seen in the parts of the leg and thigh bone close to the knee and in the arm close to the shoulder joint. Rarely, bone cancer can also be found in different bones such as the hipbone (pelvis), scapula or jaw. Bone tumor may not be noticed initially. It usually comes out with the complaint of bone pain, which is ordinary but does not go away for a long time. It can cause swelling, especially in the bones just under the skin, such as the shinbone and ribs. In some cases, it manifests itself with bone fractures.
In most cases, malignant (cancerous) bone tumors must be surgically removed. Often surgery is used in conjunction with radiation and chemical treatments to reduce the risk of the cancer spreading or returning. This approach is called limb salvage surgery. Surgery is needed to remove part of the cancerous bone, but sometimes amputation may be required. But it is usually possible to regenerate or replace the removed bone.
Soft Tissue Cancer Surgery
Soft tissue cancer is seen in muscle, adipose tissue, connective tissue, veins and nerves. Since soft tissues are found all over the human body, soft tissue tumors can occur anywhere in the body. As the tumor grows, it can cause swelling or lumps. Later, if it puts pressure on nerves and muscles, it can cause pain. Genetic transmission, long-term failure of the lymphatic system, exposure to chemicals such as vinyl chloride and arsenic, and traumas can be counted among the factors that cause the disease.
Biopsy is of great importance in terms of definitive diagnosis, staging of the tumor and planning of treatment. Biopsy can be performed directly or with ultrasound, and in some difficult areas, it is performed by taking a sample with a special biopsy needle under CT guidance. Soft tissue sarcomas are examined in four stages according to their appearance and the way they spread in the body. Stages 1 and 2 are local. In stage 3, the tumor has spread to nearby lymph nodes, and in stage 4, it means it has spread to a distant site. Pet-CT is an invaluable study used for staging tumors.
Since the tumor is often located in the arms and legs, the intervention of the orthopedic oncologist should be expected. However, in tumors located in and around the head-neck, chest and abdomen-pelvis; General surgery, thoracic surgery, plastic surgery and vascular surgery specialists make significant contributions to the required intervention. The benefit of radiotherapy is important in stopping the growth of the tumor. Early diagnosis, treatment and teamwork with physicians experienced in orthopedic oncology are of great importance in the treatment of soft tissue tumors.
Robotic Orthopedic Surgery
One of the topics that have come to the fore in the Department of Orthopedics and Traumatology recently is robotic orthopedic surgery or robotic prosthesis surgery. Thanks to the robotic arm supported orthopedic surgery system, many orthopedic surgeries are now more comfortable and precise. Today, hip, knee prosthesis and knee cap prosthesis surgeries can be performed with robotic technology with significant advantages for both the surgeon and the patient. It is stated that this technology will also be used in shoulder, spine and oncological surgeries in the future. Thanks to these applications, the recovery time of the patient is shortened after surgery, the potential occurrence of pain and blood loss is reduced, and prostheses can be used for longer period of time.