Orthopedics

All patients receive top-notch medical and surgical treatments from our skilled academic staff and specialists, who take use of the advanced technological options available today

Through a comprehensive approach, our doctors evaluate congenital or developmental musculoskeletal system disorders. In addition, our facility successfully carries out diagnostic and therapeutic procedures for all musculoskeletal diseases, particularly those connected to orthopedics and traumatology. Some of the medical services we provide include spinal surgery, hand surgery, bone tumor removal, hip and knee replacement, sports injuries, fractures, and dislocations.

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 orthopedics (including congenital musculoskeletal disorders), musculoskeletal tumor surgery, and sports medicine. 

ARTHROPLASTY
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 arthroplasty 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.
 
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.

Surgical Treatment
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.

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.

 ARTHROSCOPIC SURGERY
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.
 
 MUSCULOSKELETAL TUMOURS
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.

PEDIATRIC ORTHOPAEDICS 
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.
 
SPORTS MEDICINE
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.