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Orthopedic Surgery and Knee Traumatology

Knee orthopedic surgery is a surgery of the musculoskeletal system: bones, muscles, cartilage, ligaments, tendons, joints and connective tissues that hold organs and tissues together.

Traumatology is the study of injuries and injuries caused by accidents and surgery to repair these injuries.. It is a subspecialty of orthopedic surgery

The knee is the largest joint in the body and healthy knees are required for most daily activities..

The knee is made up of the lower end of the thigh bone (femur), the upper end of the shin (tibia) and the kneecap. The ends of these three bones where they touch are covered with cartilage, a soft substance that protects bones and allows them to move easily.

The menisci are located between the femur and the tibia. These C-shaped wedges act as “shock absorbers” that cushion the joint.

Long ligaments hold the femur and tibia together and provide stability. Long thigh muscles give strength to the knee.

Trauma and orthopedic surgeons diagnose and treat a wide range of conditions of the musculoskeletal system. This includes bones and joints and their associated structures that allow movement.: ligaments, tendons, muscles and nerves. Trauma and orthopedic surgery is often abbreviated as T surgery&O.

There are two aspects of the job:

  • trauma: injuries to the musculoskeletal system, like broken bones, fractured or dislocated injuries and soft tissue
  • congenital and degenerative conditions of the musculoskeletal system, as well as infections and tumors

Trauma can range from low energy fractures (often in elderly patients) up to multiple injuries, like those caused by a traffic accident. Bone and joint infection may also require hospitalization and emergency treatment.

Orthopedic Surgery and Knee Traumatology in Bogotá

Trauma is defined as an injury caused by an external source and, often, can be life threatening. In the field of orthopedic medicine, orthopedic trauma or trauma is classified as a serious injury to the elements of the musculoskeletal system (muscles, joints, ligaments, bones and soft tissues). These traumatic injuries are usually the result of a sudden accident, like a fall, requiring immediate medical attention. While these injuries are not all life threatening, yes they alter them. Therefore, the help of an orthopedic surgeon is essential.

Arthroscopic cartilage injury surgery

Treatment of cartilage injuries depends on the extent of the damage and the exact location of the injury.. In general, involves making two incisions of 0,5 cm around the knee and insert a small camera and instruments. Depending on the condition being treated, more incisions may be required.

You will likely be given spinal anesthesia to numb the lower half of your body.. The procedure lasts between 30 Y 60 minutes and will most likely spend a night in the hospital.

Removal of loose bodies around the joint using arthroscopy.

When the cartilage of the knee softens, peeling may occur, cracking and ulceration and cartilage fragments may break off. Arthroscopy is a procedure used to remove these loose bodies and treat the area from which they have become loose to promote healing..

The procedure generally involves making two incisions of 0,5 cm around the knee and insert a small camera and instruments. Depending on the condition being treated, more incisions may be required.

You will likely be given spinal anesthesia to numb the lower half of your body.. The procedure lasts between 30 Y 60 minutes and will probably spend a night in the hospital.

Knee Ligament Repair (LCA y LCP)

Knee Ligament Repair, ligamentplasty, is a minimally invasive procedure to repair the anterior cruciate ligament and / the later (LCA y LCP).

The procedure consists of replacing the torn ligament with a graft. There are different types of grafts and different methods to fix the graft to the knee bone..

Knee ligament injuries can be treated arthroscopically, that only uses two very small incisions. Nevertheless, an additional incision is often required to remove the tendon and create the graft to replace the torn ligament.

You will likely be given spinal anesthesia to numb the lower half of your body.. The procedures take about an hour and you will most likely spend one night in the hospital.

Meniscal Injury Repair Using Arthroscopy (meniscectomy)

The meniscus is a wedge-shaped ring of cartilage that stabilizes the knee when bent., stretch or twist. The most common meniscal injury is the meniscal tear, produced by torsion, bad support, glide, etc.

The most common treatment for a meniscus injury is surgery to remove all or part of the meniscus.. This is done through a minimally invasive procedure known as knee arthroscopy.. In general, involves making two incisions of 0,5 cm around the knee and insert a small camera and instruments. Sometimes more incisions are required.

You will likely be given spinal anesthesia to numb the lower half of your body.. The procedure lasts between 30 Y 60 minutes and will most likely spend a night in the hospital.

Orthopedic Surgery and Knee Traumatology in bogota
Orthopedic Surgery and Knee Traumatology bogota

Orthopedic Surgery and Knee Traumatology in Colombia

A knee replacement (also called knee replacement) could be more accurately called a “resurfacing” knee, because only the surface of the bones is actually replaced.

There are four basic steps to a knee replacement procedure.

  • Bone preparation. The damaged cartilage surfaces at the ends of the femur and tibia are removed along with a small amount of the underlying bone.
  • Positioning of metal implants. The removed cartilage and bone are replaced with metal components that recreate the surface of the joint.. These metal parts can be cemented or “pressurized driveways” on the bone.
  • Patella resurfacing. The surface under the kneecap is cut and resurfaced with a plastic button. Some surgeons do not resurface the patella, depending on the case.
  • Insert a spacer. A medical grade plastic spacer is inserted between the metal components to create a smooth gliding surface.

The most common cause of chronic knee pain and disability is arthritis. Although there are many types of arthritis, most knee pain is caused by only three types: osteoarthritis, rheumatoid arthritis and post-traumatic arthritis.

  • Osteoarthritis. This is a type of arthritis of “wear and tear” age related. It usually occurs in people of 50 years of age or older, but it can happen in younger people too. The cartilage that cushions the bones of the knee softens and wears away. The bones then rub against each other, causing knee pain and stiffness.

  • Rheumatoid arthritis. This is a disease in which the synovium surrounding the joint becomes swollen and thickened.. This chronic inflammation can damage cartilage and eventually cause cartilage loss., pain and stiffness. Rheumatoid arthritis is the most common form of a group of disorders called “inflammatory arthritis”.

  • Post-traumatic arthritis. This can develop after a serious knee injury. Fractures of the bones around the knee or tears to the knee ligaments can damage articular cartilage over time., causing knee pain and limiting knee function.

Orthopedic trauma physicians are unique because of their knowledge of the anatomy of the human body., while other orthopedic specialists may focus on a specific area. Orthopedic trauma physicians have received training in the field of orthopedic surgery with a specialized focus on treating fractured bones and joint realignment., in order to promote safe recovery and return of function to injured body parts. Therefore, these trauma surgeons often treat patients with multiple broken bones and fractures near a joint, like hip, knee or shoulder.

Total knee replacement

A total knee replacement involves replacing a knee joint with a prosthesis.. This eliminates pain and allows the knee to move normally again..

Today there are different types of knee prostheses. The main procedures are:

  • Primary total knee replacement : a rod is inserted into the tibia (shin bone) and another in the femur (thigh bone). If required, a third part is attached to the kneecap (ball joint).
  • Knee prosthesis unicompartimental : only part of the knee is replaced. This may be part of the joint between the femur and the tibia. (unicondylar knee replacement) or the back of the kneecap (pallet prosthesis)
  • revision prosthesis : this procedure is used if a prosthesis needs to be replaced or if there is severe deformation

The truth is that anyone can suffer orthopedic trauma, like fractures, anytime. In particular, treating a fracture focuses on restoring function as quickly and completely as possible. While many fractures will heal on their own, some must be treated surgically for optimal results. Although orthopedic physicians prefer to treat injuries with non-surgical methods such as physical therapy, in the event of trauma, surgical treatment often ensures a more complete recovery and restores function more quickly. Although fracture care has been a part of orthopedics since its inception, trauma and fracture care specialists are committed to using techniques to ensure your recovery is the best it can be.

Orthopedic trauma surgeons can follow their patients through all stages of recovery and will refer their patients to other specialists when necessary.. By maintaining open communication with all providers, can ensure that each patient receives the comprehensive care necessary to resume their active lifestyle.

Orthopedic Surgery and Knee Traumatology Procedure

Orthopedic trauma care covers the spectrum from simple fractures to serious life-threatening accidents with multiple broken bones. While many fractures and injuries can be treated by general orthopedic surgeons, some may benefit from fracture specialists. The most important injuries with multiple bone fractures, Compound fractures and joint fractures are more difficult to treat and will benefit the most from receiving specialized care.

Traumatology is both a medical and a surgical specialty (orthopedic surgery).

Traumatology is a specialty that encompasses both musculoskeletal injuries (congenital as well as acquired) from a multifactorial point of view. Namely, both preventive, therapeutic (including rehabilitation), as from the research field. Includes musculoskeletal pathologies that affect all stages of life.

This specialty has two names: Orthopedics and Traumatology. Orthopedics deals with the study and treatment of abnormalities of the locomotor system, both congenital and infectious or due to sequelae after trauma.

Our Orthopedic Surgery Service, Traumatology and Sports Medicine treats any type of condition of the musculoskeletal system.

The orthopedic surgery in general it treats a type of surgery which is connected with various conditions involving our system musculoskeletal and that basically provides support to humans, its stability, body shape and movement. The human body is made up of bones, muscles, cartilage, ligaments, tendons, joints and various connective tissues that unite our organs and tissues.

Moving on to traumatology per se, the term means the study of the wounds and injuries caused by accidents, just like him surgical treatment to repair the damage. It is commonly known as a subspecialty of orthopedic surgery.

We are at the forefront in the treatment of orthopedic and trauma injuries, with the most advanced technological support. We are firmly committed to regenerative medicine, minimally invasive surgery, arthroscopic, percutaneous and prosthetic.

Orthopedic Surgery and Knee Traumatology in colombia

Orthopedic Surgery and Knee Traumatology

Orthopedic trauma care covers the spectrum from isolated simple fractures to serious life-threatening accidents with multiple broken bones. While many fractures can be treated very well by general orthopedic surgeons, some may benefit from fracture specialists. Major injuries with multiple broken bones, compound fractures and fractures near a joint and pelvic fractures are more difficult to treat and benefit the most from specialized care. What's more, problems with healing, like pseudoarthrosis, infections (osteomielitis) and scarring with misalignment (defective consolidation), are usually treated by fracture specialists.

The orthopedic surgery in general it treats a type of surgery which is connected with various conditions involving our system musculoskeletal and that basically provides support to humans, its stability, body shape and movement. The human body is made up of bones, muscles, cartilage, ligaments, tendons, joints and various connective tissues that unite our organs and tissues.

Moving on to traumatology per se, the term means the study of the wounds and injuries caused by accidents, just like him surgical treatment to repair the damage. It is commonly known as a subspecialty of orthopedic surgery.

Frequently Asked Questions about: Orthopedic Surgery and Knee Traumatology

Common Questions and Answers about Orthopedic Surgery and Knee Traumatology

Damage or degeneration of any of these structures can affect or restrict your ability to walk., kneel down, bend over and turn. Pain and loss of mobility in the knee can affect your ability to continue with your typical activities of daily living.. For the active athlete or patient, that pain and limited mobility can be devastating.

  • Tendon injuries
  • Arthritis
  • Plica syndrome
  • Medial and lateral collateral ligament tears
  • Cruciate Ligament Injuries
  • Chondromalacia
  • Osgood-Schlatter disease
  • It is an operation aimed at relieving pain and maintaining function in patients with severe damage to their knees.. A new knee made of special materials is placed to provide a long-lasting implant. It is the equivalent of when you have a tooth so severely damaged that it cannot be repaired and the dentist extracts it and places a dental prosthesis..
  • The most frequent are Osteoarthrosis or Arthrosis, Rheumatoid Arthritis or Psoriasis, Necrosis or Bone Infarction of the Femoral Condyle (N.A.V.). Patients must have a condition that cannot be ameliorated by other means, like weight control, analgesics, visco-supplementation, knee rehabilitation or arthroscopy.

And, there are prostheses for a single knee compartment, well be the external, the internal or the patella. These prostheses are reserved for patients who are in the age group between 55 Y 65 years and have only one compartment of their knees affected.

A prosthesis does not last forever, can wear out and loosen over time, but currently most can remain between 20 a 25 years without causing symptoms, after this date symptoms of loosening may appear. It is for this reason that they are avoided as much as possible in young patients., since they must have a replacement at some point in their life.

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It is important not to uncover the wound or apply any cream, ointment, ointment or lotion on the wound. The patch that is placed should not be removed until the new evaluation by the doctor. The wound should not get wet.

It is a method of diagnosis and treatment used in different diseases that affect the knee. A camera is inserted into the joint through a small incision.. Once in the joint, water is introduced and the interior of it will be seen, then confirm if there is a problem.

First, An evaluation by the Orthopedist is required to determine if you are a candidate for surgery. Have an X-ray or MRI diagnosis, is not synonymous with requiring surgery. Common indications for surgical treatment are:

  • Meniscus tear
  • Rupture of the anterior and / or posterior cruciate ligament
  • Injury at the cartilage level
  • Recurrent patella / patella luxation
  • Synovial inflammation
  • Baker's cyst
  • Knee level fractures

In the knee joint, there is a layer of soft cartilage at the lower end of the femur (thigh bone), the upper end of the tibia (bobbin) and the lower surface of the patella. This cartilage serves as a cushion and allows smooth movement of the knee.. Arthritis is the wear and tear of this soft cartilage. Possibly, erodes bone. The friction of one bone against another causes pain, swelling and stiffness.

A total knee replacement is actually the replacement of cartilage with an artificial surface.. The knee itself is not replaced, as is commonly believed, Instead, an artificial cartilage substitute is inserted into the end of the bones. This is usually done with a metal alloy in the femur and a plastic spacer in the tibia and patella.. This creates a new soft cushion and a joint that works and does not hurt.

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Schedule your Appointment with him Dr. Danilo Velandia to be able to provide you with information and guidance about our Procedures. All the necessary information will be explained to you from: how to prepare for surgery, what will happen to you at the Clinic or Hospital, how you should take care of yourself at the end of the Procedure, as well as the changes that must occur in your lifestyle.

Testimonials from our patients

I broke my left rotator cuff while falling. I tried to put up with it for almost a year with medications, physical therapy and basically it didn't help . I was scheduled for surgery elsewhere. I did not like the atmosphere, so I looked for another opinion. I am happy to have done it !! all nursing staff, ambulatory surgical units, postoperative care and now the final results: I have no pain I have a full range of motion, I have strength and continue to develop it while following a very detailed therapy regimen. I can only recommend Dr.. Danilo Velandia and elite staff, professional, personal, warm and friendly.

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Camila cardenas Orthopedics and Traumatology Patient

I am so impressed and grateful for the care that Dr.. Danilo, that every time I get a chance to give a positive review, I can not resist! The level of care he provides far exceeds that of any other doctor I have ever seen. I am so impressed. He patiently explained every detail of the treatment plan for my broken Knee to me and really took the time to listen and answer all the questions I had.. If I ever have to refer someone I know to an orthopedic surgeon, I will insist that they see Dr.. Danilo Velandia. There is no one else I would turn to if I needed one again. Thank you Dr. Danilo for the great care you have given me!

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Raul CespedesOrthopedics and Traumatology Patient

I have seen Dr.. Danilo Velandia a couple of times in Bogotá and I'll be back, it's been great so far. No pressure to rush to surgery, great advantage. Gives good information and options from the first day to the surgery process. All staff are friendly and helpful highly qualified, He has been the most proactive and helpful medical person I have dealt with and I am really very happy. Your diligence has made sure you get the help you need, and it even helped me avoid forgetting things. Thank you very much indeed! I am very happy with my visits with him. Highly recommended Dr. Danilo Velandia and his team of professionals!

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Pedro Mutis Orthopedics and Traumatology Patient

My experience as a patient of Dr.. Daniel has been extremely positive. Performed surgery on my right shoulder, completely relieving my symptoms. He patiently listened to my concerns, answered my many questions and provided insightful information, but not too technical. The doctor. Danilo made himself available both before and after my surgery to address my pre-surgery nerves and my post-surgery expectations.. He was always professional, patient and attentive. I feel very lucky that when I could no longer suffer with the symptoms, my husband, who recommended me to Dr.. Danilo Velandia.

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Maria lopezOrthopedics and Traumatology Patient

After playing competitive soccer for several years, I broke my anterior cruciate ligament and meniscus. I was very nervous about the long process of surgery and recovery really is a life changing process, I thought I would lose everything since sport is my life and my passion, but Dr.. Danilo Velandia was very helpful, informative and reassuring, he really knew how to handle the situation. My surgery went smoothly and my recovery went according to plan. The doctor. Danilo was present every step of the way and showed his medical competence, as well as his natural compassion, Thank you very much and very grateful, I have been able to continue with my day to day.

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Andres PereaOrthopedics and Traumatology Patient

Traumatologist Orthopedist

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