Specialties > Trauma

Trauma

Trauma 

Trauma is the part of medicine devoted to the study of musculoskeletal injuries, the study also includes those congenital or acquired, in preventive, therapeutic, rehabilitation and research and affect locomotor December childhood to old age.

The Trauma focuses on diagnose, treat, rehabilitate and prevent diseases and injuries of the musculoskeletal system. Unlike the rheumatologist, the orthopedist can offer a different view of the injury because its purpose is to try and ortopèdicament surgical lesions or abnormalities of tendons, bones and joints

Arthroscopy

Arthroscopy is a surgical procedure used in Trauma and Orthopaedic Surgery to diagnose and at the same time, often treated, several problems and diseases that are located inside a joint.

The novelty of arthroscopy compared with usual surgical procedures is that the surgeon can see the joint in its entirety through a small optimum instrument called arthroscope, the image is collected by a television camera even with minimal incision just leaves scar on the patient. It is, therefore, a little invasive method that will allow, in general, limit the time of hospital admission (there may be high on the same day in many cases) and get an early recovery. With arthroscopy can try:

1. - Knee meniscal injuries, ligament, cartilage.
2. - Shoulder: rotator cuff tendon ruptures, recurrent shoulder dislocations, tendinitis calcificantes.
3. - Round: incipient osteoarthritis - moderate, femoroacetabular impingement, the labrum injuries.
4. - Ankle: the cartilage injuries, Achilles tendonitis.
5. - Elbow: epicondylitis, injury cartilage stiffness.
6. - Nina: nerve release, synovial cysts

Advantages of arthroscopy

  • Safe and effective technique 
  • Less postoperative pain 
  • Faster recovery 
  • Best viewed by the surgeon. 
  • Low rate of complications. 
  • Shorter payment

What is a total knee or hip? 

Prosthetic replacement joints has been one of the major achievements for orthopedic surgery in this century. The joint efforts of engineers and surgeons to orthopedists has enabled the development of materials and techniques to make this possible. Prosthetic replacement involves replacing an injured joint or arthritis artificial joint called a prosthesis.

The most common reason for placing a knee replacement is to eliminate knee pain and disability caused by a large joint destruction (arthritis). The surfaces of the joint can be damaged by osteoarthritis, a process that causes the wear of the articular cartilage. Because of knee pain and stiffness prevents the patient to use the joint. The muscles that surround this helps to weaken and hinder the mobility of it. When joint destruction is important, the total knee may allow the patient to return to perform their daily activities.

FAQ

1. - Knee meniscal injuries, ligament, cartilage.
2. - Shoulder: rotator cuff tendon ruptures, recurrent shoulder dislocations, tendinitis calcificantes.
3. - Round: incipient osteoarthritis - moderate, femoroacetabular impingement, the labrum injuries.
4. - Ankle: the cartilage injuries, Achilles tendonitis.
5. - Elbow: epicondylitis, injury cartilage stiffness.
6. - Nina: nerve release, synovial cysts

Growth factors (FC) (Growth factor), as its own name have the ability to stimulate proliferation of the cells of some tissues. Platelets are rich in a type of factors. (Platelet Derived Growth factor PDGF). As a result of these events began studies on degenerative processes showing improvement trophism these tissues (bone, cartilage, tendon, skin, etc.). Halt the degenerative process and restoring some damaged tissue.

Repair is the restoration of a fabric without being preserved its original architecture or its function so that the physical and mechanical properties are inferior to the original. It is a transformation that occurs naturally and the result is healing.
However, tissue regeneration is to obtain tissue restored properties are indistinguishable from the original tissue. So what matters is not repaired but Regenerate: Rebuild Restore Form and Function.
Not all cells in the body have the ability to regenerate, so for example, neurons in the nervous system are permanent, ie, once damaged are not allowed to regenerate.

1. - Removing the blood from the patient (between 10-40 ml)
2. - Radial, processing and obtaining of PRGF. Sterile closed circuit.
3. - Application of the same on the site of the lesion (joint, tendon, muscle) guided by ultrasound for precise application.

The process in completely sterile conditions.
This whole process can be done with adequate means to query or in the same surgery.

A surgical technique, an operation performed by orthopedic surgeons or Traumatologists. With the patient under anesthesia the surgeon replaces the damaged joint by artificial materials. The knee bone ends of the femur and tibia are replaced with prosthetic components that are articulated and the patella (casserole), which in most cases is also replaced. A prosthesis can be implanted in other joints although they are usually implanted knee and hip.
The materials used in implants are designed to allow total mobility similar to that of the normal joint. The prosthetic components are usually composed of a metallic element that fits exactly in a polyethylene (plastic). Used various metals, titanium, cobalt alloys, titanium and chromium. Fixing components typically used in bone cement, although there are uncemented prostheses, which are anchored directly to the bone.
There are techniques that allow a smaller less aggressive postoperative knee pain and early recovery.

Most older people can expect that the prosthesis should not be recanviada for the rest of his life. Will provide years of being pain-free, which otherwise could not get. In young and active is likely to need another operation for prosthetic replacement. Materials and surgical techniques improved rapidly thanks to the joint work of orthopedic surgeons, engineers and other scientists. The future is promising for those patients operated on for a total knee.


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