Tag Archive: orthopedic doctor

An Overview of Ankle Fracture Fixation

The surgical procedure that is done to fix the broken bones of an ankle fracture is known as Open Reduction and Internal Fixation (ORIF). The procedure is carried out with the help of screws, wires, plates and/or pins, which are inserted by the Arizona orthopedic surgeon to keep the bones in place while they heal.

Diagnosis of an ankle fracture is done with the help of the patient’s complete history of the problem, a detailed physical exam, and after carrying out diagnostic ankle%20fracture%201tests such as MRIS, X-rays etc. A CT scan may be also needed if a much more complex fracture is suspected.

Most of these procedures are performed acutely, so you may already be in the hospital. Your procedure may be performed acutely, or it could be that the swelling needs to be allowed to go down first. The last thing you would want is a procedure performed on damaged soft tissues that are swollen and susceptible to infection. It’s also wise to arrange for transport after the completion of the surgery as you won’t be fit to drive your own car.

Discuss the type of anesthesia you will receive during the operation and if there are any options. Also, a form of consent will be provided to you which either you or a family member will have to sign. Be sure to ask your orthopedic surgeon any and all questions regarding the surgery, before signing the form.

What to Expect During the Procedure

This procedure is carried out with the help of screws, wires, plates and/or pins as stated above. First, the fracture specialist will make a small incision on or near the ankle. In the case of defects, bone grafts may be required, which will make the grafting process much stronger.

Ankle_fractureLoose bone fragments will be removed, and the fractured pieces will be put back into place as accurately as possible. If the joint surface has been damaged, the orthopedic surgeon will attempt to accurately put those pieces back together as well to minimize the chance of post-traumatic arthritis. Sutures are then used to close the operation site, but before that, several x-rays are taken to make sure all the bones are in their proper place.

Helpful Guidelines for Home Care

In-home care management after an open reduction and ankle fracture fixation generally requires that patients follow the RICE method to help reduce the swelling and pain. The use of crutches is highly encouraged; ice should be applied on the operated site 3-4 times in a day for 10-20 minutes, and the leg should be elevated at all times so that the fluid inside the joint can resume its normal circulation and swelling is minimized.

To help ease the pain and inflammation that normally follows after this procedure, you will be given pain medication and crutches as well. It may take a few months for the fracture to heal properly. The end result may be a pain free existence, or chronic aches and pains may occur as a result.

The Board Certified orthopedic doctors at OSPI are experts in  fracture care and most insurance is accepted. If you or a loved one is suffering from a suspected fracture, call the top doctors today serving Mesa, Gilbert, Chandler and Mesa AZ.

The Diagnosis and Treatment of Arthritis in Gilbert and Chandler AZ

Arthritis; Its Treatment and Diagnosis

There are many nonoperative treatment options for arthritis; such as alternative therapies, occupational therapy, and medications. Here is a short list of potential those treatments:

  • Anti-inflammatory Medications
  • Topical Prescription Pain Medication[ File # csp11032144, License # 2179054 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / pixologic
  • Bracing
  • Physical Therapy
  • Exercise program such as CrossFit
  • Cane
  • Injections with Hyaluronic Acid, Steroid, PRP Therapy, Stem Cell Therapy
  • TENS Unit

Arthritis Patients Opting For Joint Replacements

As a last resort, an orthopedic surgeon in  Mesa AZ may perform a joint replacement. For the hip and knee, these have been incredibly successful. But they should only be performed as an elective procedure after considerable conservative options have been tried. One of the most common forms of surgery when it comes to arthritis patients is joint replacement surgery, with hip and knee replacements being particularly popular among older patients.

Over 500,000 hip and knee replacements are performed annually in the US and it rises every year. Considered to be far more successful than any other surgery, joint replacements can last up to 20-30 years after which a revision surgery may be required.

[ File # csp9997688, License # 2179057 ] Licensed through http://www.canstockphoto.com in accordance with the End User License Agreement (http://www.canstockphoto.com/legal.php) (c) Can Stock Photo Inc. / Andreus

The Procedure

Total hip and knee replacement procedures take approximately two hours, and involve removal of the arthritic joint spaces. In their place, the orthopedic joint replacement doctor will implant a combination of plastic and metal for the new joint surfaces. Modern joint replacement procedures allow patients the ability to start walking the day after surgery with physical therapy assistance. Recovery takes approximately three months in total.

Outcomes

Overall, joint replacements have some of the best outcomes imaginable at 90% good to excellent. It is crucial for patients to participate in their post-surgical physical therapy regimen, as that is “half the battle.”

The Board Certified providers at OSPI offer expert joint replacement procedures for the hip and knee. Some can even be done as an outpatient depending on the patient’s baseline health. Most insurance is accepted at the practice, with physical therapy being offered at the office as well.

For the top hip and knee replacement doctors in Gilbert, Chandler and Mesa AZ, call OSPI today!

 

Are Orthopedic Knee Braces Helpful In Preventing Or Treating Injuries?

This has been a controversial topic for a very long time. On one hand, knee braces can be used and are suggested by most orthopedic surgeons to help in a variety of conditions and problems, but there’s still the question of “Do they really help?”; which needs to be answered.

There are two types of basic knee braces that your orthopedic surgeon might suggest depending on the situation; Functional and Prophylactic knee braces.knee brace

Functional Knee Braces

Patients who are already suffering from a ligament injury are the ones concerned about the effectiveness of knee braces. In such cases, they are usually interested in the functional knee brace type, because they are specially designed to support a torn knee ligament. This means the knee braces can prove beneficial if the patient’s already suffering from a ligament injury, as further confirmed by a number of studies done on the subject.

In summary; functional knee braces are fully able to provide at least some protection to the knee, particularly when force is applied. The studies done, further examined that the knee with the brace is more stable as compared to without it.

Prophylactic Knee Braces

Specifically designed to prevent knee injuries from happening in healthy athletes, these knee braces were first made available and highly popularized in the late 1970s when they were tried and tested by NFL players. Since then, use of prophylactic knee braces has only increased with the positive results shown by several studies, regarding the injury rate of athletes wearing the braces as compared those who don’t.

Although the difference isn’t questionably large, they do show that athletes of certain sports such as football; have a much lower rate of contraKnee Bracecting an MCL injury, when wearing the brace. Some important factors however, should be taken into account as well when determining the likelihood of injury, such as;

  • The sport played
  • The position of the player
  • The conditioning of the player
  • The size and weight of the player

At first; there was a huge concern with regard to usage of prophylactic knee braces. It was said that they could potentially alter the force on the knee which could very well become problematic. This isn’t the case at all, because when fitted and worn properly, they have shown to decrease the rate of ankle injuries.

OSPI offers bracing for clients for both types. This includes braces that are either custom made or potentially “off the shelf”. Insurance often covers them. Call OSPI today at (480) 899-4333.

What Are The Treatment Options For Frozen Shoulder?

A disorder characterized by pain, loss of motion/or stiffness in the shoulder, is known as frozen shoulder. The disorder affects about 2% of the general population, which means that it’s not that common but you can still suffer from it. Research done on the disorder shows that, women who are between the ages of 40 to 70 years old are generally more affected than other age groups or gender, although men can also develop the disorder.Shoulder pain

What are the Risks of Frozen Shoulder?

People who have been diagnosed with diabetes are at much higher risk of developing the disorder. In fact nearly 10% to 20% of such individuals develop frozen shoulder at some point in their lives. Some other medical conditions that increase the chances of developing the disorder are:

  • Hypothyroidism
  • Hyperthyroidism
  • Parkinson’s Disease
  • Cardiac Disease or Surgery

What Are The Symptoms of Frozen Shoulder?

The pain that is experienced by sufferers of this disorder is usually aching and dull, as compared to other joint injuries, although attempted motion can make the pain worse. The outer shoulder areas as well as the upper arm are the main locations when it comes to pain points, but a restricted shoulder motion and stiffness should also raise alarm bells about the possibility of the disorder.

According to most physicians, the normal course of a frozen shoulder can be described in 3 stages:

Stage 1: This is known as the ‘freezing stage’ and is known to last as long as 6 weeks to 9 months, depending on the nature of the injury. In this stage, the patient experiences a slow but gradual onset of pain, which worsens and results in the shoulder losing all motion.

Stage 2: The ‘frozen stage’ is characterized by a slow improvement in pain, although the stiffness of the shoulder still remains. This stage lasts for over 4 to 9 months.

Stage 3: This is the final stage, i.e. ‘thawing’ when motion in the shoulder returns back slowly towards its normal state. The thawing stage generally takes about 5 to 26 months to complete.

What Are The Treatment Options For Frozen Shoulder?

While the disorder can be effectively treated with the help of physical therapy and anti-inflammatory medicines, in extreme cases of the disorder, surgical intervention is needed when the pain doesn’t subside and/or shoulder motion doesn’t return to its normal course.Shoulder Arthroscopy

The surgery that is done to treat frozen shoulder effectively, aims at releasing or stretching the contracted joint capsule in the shoulder. Commonly tried methods are;

Shoulder Arthroscopy: In this, the orthopedic surgeon makes small cuts or incisions around the shoulder. With the help of a small camera and instruments attached to an arthroscopic device, the insides of the shoulder and the joint capsule are examined and operated upon.

Manipulation under Anesthesia: In this method, the surgeon gives the patient anesthesia and then manipulates the defected shoulder, i.e. forces it to move.

Of course, your designated Gilbert orthopedic surgeon will take you through the entire process and inform of the risks involved, before conducting the surgery which will make it easier for you to make the right decision.

OSPI is the top orthopedic practice in the East Valley serving Gilbert, Chandler, Mesa, Queen Creek, Maricopa and Casa Grande. There is also a physical therapy department, chiropractic, massage therapy and CrossFit too! Call (480) 899-4333 to receive treatment.

When to Meet with a Gilbert Orthopedic Surgeon

Many people sustain a variety of injuries through regular wear and tear or through sports or even just through repetitive motions associated with hard work. In many cases regular inflammation and pain might just be circumstantial, something which results from regular use of your body. In other cases these small indicators might represent a much more serious condition, something which must be treated immediately.

Many people wonder when they should meet with an orthopedic surgeon. Meeting with a Hip Replacement PhoenixGilbert orthopedic surgeon should be something reserved for injuries which you have already diagnosed with your primary care physician and what you have already attempted to treat using nonsurgical methods. An orthopedic surgeon is a great person with whom to meet after you have exhausted all nonoperative methods of repair and treatment.

An orthopedic surgeon in Gilbert and Chandler is somebody who can help complete minor and major surgical procedures on your joints. If you have already exhausted all nonsurgical methods of treatment you can ask your primary care physician for a referral and meet with an orthopedic surgeon to discuss your situation and evaluate what options you now have it your disposal.

If you have torn your cartilage, your tendon, or suffer from other serious joint conditions it may be in your best interest to meet with an orthopedic surgeon. An orthopedic surgeon can resurface your joint or repair your joint using minor surgery such as arthroscopic surgeries. This type of surgical procedure involves a small incision in the affected area through which a tube is inserted. This tube has connected to a small camera which sends a live feed directly to the monitors in the operating room.

The Arizona orthopedic surgeon can use this to locate the damaged area and repair it immediately. In cases where you are referred to an orthopedic surgeon but the extent of the damage cannot be known at the time, an arthroscopic procedure can be used to first locate the site of the damage, the type of the damage, and the size of the damage, after which the surgeon can immediately repair the problem through a secondary incision.ospi_small

Prior to undergoing any surgical treatment for joint injuries you will of course have a consultation with the orthopedic surgeon so that you can review your current medical conditions and your medical history to determine if you qualify for certain procedures. The consultation is an excellent time to review which options you have your disposal given your particular situation and to discuss any potential problems you may encounter during your surgical processes.

OSPI is the top orthopedic practice in the East Valley, including Gilbert, Chandler, Mesa, Queen Creek and surrounding areas. Most insurance is accepted, call 480-899-4333 today!

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