What is Ankle Fusion Surgery

Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.

Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.

Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.

Candidates for Ankle Fusion Surgery

Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:

• Joint wear and tear
• Rheumatoid arthritis
• Post-traumatic arthritis
• Infection in or around the joint
• Neuromuscular disease
• Failure of previous non-surgical treatment

Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:

• Insufficient quantity and quality of bone
• Severe deformity in the leg
• Vascular diseases that prevent proper healing

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.

Damage to the ACL Surgery 

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

• Collision with a football
• Slowing down while running
• Landing incorrectly after a jump
• Twisting of the knee and the foot in opposite direction

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

• Carpal tunnel decompression, popularly referred to as carpal tunnel release, is a surgical procedure conducted to relieve symptoms of carpal tunnel syndrome.
• A nerve called median nerve along with many tendons pass through a small tunnel called carpal tunnel from the forearm to the upper hand. This nerve controls the movement of your fingers except for the little finger.
• Sometimes there is tremendous pressure on the nerve and it presses the nerve against the tunnel. This results in specific symptoms such as numbness, weakness, tingling sensation, or pain in the fingers. This is known as carpal tunnel syndrome.
  
  
  

Is carpal tunnel surgery compulsory?

The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.

A carpal tunnel treatment surgery is recommended in case:

• You experience loss of function in fingers or hand because of nerve damage confirmed in a median nerve test.
• Your symptoms do not subside. Wait for two to seven weeks after starting non-surgical treatment.
• You have difficulty in performing daily activities ranging from reduced strength in the thumb, loss of feeling, and loss of coordination.
• You are not able to get sleep properly because of the pain.
• The main cause of this situation is rheumatoid arthritis.

The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.

Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.

Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.

When is knee arthroscopy required?

Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:

• Inflammation of the knee
• Injuries such as :
  
  
  • Fractures
  • Ligament tear
  • Tendon damage
  • Torn meniscus
  • Misalignment of kneecap
  • Bakers cyst
  • Meniscus tear
  • Loose fragments of bone or cartilage

Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient.

This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.

There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.

The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.

 A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.

 Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.

 Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.

Different Approaches to Meniscus Repair Surgery

 Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.

Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:

• Meniscectomy: It can be partial meniscectomy or complete, that is, the torn meniscus can be partially removed or completely. It can be done as an open surgery or arthroscopic surgery.
• Meniscal Repair: It can be performed open or arthroscopically and the preservation of the meniscus involved three aspects:
  • Repair of the torn meniscus
  • Non-surgical treatment of asymptomatic meniscal pathologies
  • Partial meniscectomy and resection

• Meniscal Regeneration: Meniscal transplantation (MAT) can be performed to restore the meniscus. In this case, a graft is usually taken from the hamstring muscle to reproduce the meniscus.

A shoulder arthroscopy is a minimally invasive procedure conducted to inspect, diagnose, and rectify the problems involving the shoulder joint. During a shoulder arthroscopy, a small device attached to a camera is inserted into the shoulder to diagnose the reason for pain in the shoulder, among other problems.

Miniature surgical instruments are also inserted into the shoulder to rectify the identified problem. Such a surgery is known as arthroscopic shoulder surgery. When shoulder replacement is conducted with the help of arthroscopy, the procedure is known as arthroscopic shoulder replacement.

At each stage of the arthroscopic shoulder surgery, the surgeon is guided by an image displayed on the television screen. This is a minimally invasive procedure that ensures a quick recovery.

The shoulder has three bones, namely:

• the clavicle (the collarbone),
• scapula (the shoulder blade),
• and humerus (the upper arm bone). 

 A rotator cuff tear, articular cartilage, labrum and surrounding soft tissues can be the cause of pain in the shoulder joint. These areas can get damaged or distorted as a result of some accident. The actual cause of pain can be diagnosed with the help of a shoulder arthroscopy. Sometimes, age-related wear and tear can is also responsible for shoulder joint-related pain and problems.

Symptoms of a shoulder injury include excessive pain in the shoulder joint and stiffness in the shoulder joint that may hinder easy movement of the arm around the shoulder joint. The patient may experience trouble while sleeping with the affected shoulder on one side. Slight swelling can also be observed physically in the joint region. 

 A physician may recommend a shoulder arthroscopy if your shoulder does not respond well to other alternative treatments such as exercising and physiotherapy. Common rotator cuff surgery can be used to conduct rotator cuff repair, removal or repair of the labrum, repair of ligaments and recurrent shoulder dislocation, and bone spur removal. Some of the less common procedures may include fracture repair, cyst excision, and nerve release.