Our joints are the parts of our body that allow action during the movement of the body and move on certain axes. Spine and pelvis in the main skeleton; Hip-Shoulder connecting with the peripheral skeleton, knee, elbow, ankle and wrist joints are different to the highest degree. Hands and feet constitute systems of joints.
The common tissue in all joints is the cartilage. Diseases that involve the cartilage tissue influence the joint function and impair the movement. Cartilage diseases might be caused by infections, traumas, metabolic factors and congenital factors. Majority of joints are covered by a membranous structure that releases fluid and is called synovial membrane. The fluid released by this membrane nourishes and also lubricates the joints. Synovia and cartilage interact with one another; therefore, disorders associated with each one of them might influence and impair both structures. Some joints might contain discs, meniscus and ligaments. Every element contained within the joint might lead to disorders in individual elements or in the whole system. For example, meniscus tear abrades the cartilage in time while at the same time might lead to synovial reaction. If not intervened on time, permanent cartilage damage can occur although meniscus is treated.
Orthopaedic joint surgery aims to treat the consequences of joint diseases that result in mechanical impairment. With the introduction of “Arthroscopy” technique in orthopaedic joint surgery, the joints can be accessed with less harm, while it can assess the intraarticular elements in a short time and simultaneously provide the treatment.
The word arthroscopy is derived from two words: Arthro (joint), scopy (optical imaging). It means the optical imaging of the joints. The optical instruments are used to access the joints through safe channels and the mechanical causes are repaired and removed by means of 3-5 mm- diameter devices. The injured tissues can also be repaired. The magnification property of the optical system enables the identification of the lesion well and detailed treatment.
Operation being performed on a stomach by surgeons
80% of people suffer from low-back, back and neck pain that requires impatient treatment at least once in a lifetime irrespective of race, age and sex. Although the spinal pains are so common, only 27% of such pains are disc-related. The intervertebral discs not only transmit the weight but also can change shape flexibly as we are standing and move around. The nucleus of the disc and the surrounding annulus create this dynamic effect. Like the horizontal car tyres, discs receive the loads in tilting and loading, diffuse, reduce and transmit the force of gravity, and then go back to their initial positions. This suspension action is repeated thousands of times in a day. The aim is to receive the loads and also preserve the intervertebral relation and stability. Discs keep the intervertebral space at a fixed height while the muscular, connective and nervous tissues are stretched to a certain degree to achieve dynamic stability.
The water retention capabilities of the matrix proteins in the disc decline due to the morphological changes that aging brings. Diminished disc elasticity decreases the water retention capability. Decreased nourishment by diffusion increases the matrix cracks. Plastic deformations occur as the morphological changes become permanent in the disc that has become fragile and lost its elasticity in time. Disc height is decreased, the joints are worn out due to excessive mobility and the disc surface is ruptured in a way that the nucleus moves and compresses the nerves. As a result, SPINAL PAIN occurs. devamı için tıklayınız
Percutaneous Endoscopic Decompression for Foraminal Spinal Stenosis
Percutaneous endoscopic decompression for spinal canal stenosis (percutaneous endoscopic foraminoplasty) releases the nerve root in the intervertebral foramen from the surrounding osteophytes and fibrous tissues. Radicular pain in the form of sciatica radiating to the lower limbs can be relieved immediately after the surgery.
Wear of the hip joint is most often associated with the loss of elasticity of intraarticular healthy elements after an injury and recovery phase. It does not give a pathological signal in radiological imaging. This continues in the form of painful hip while the cartilage is grinded and worn out. However, this can be revealed at an early stage through an arthroscopic investigation following a thorough physical examination. #eklemdostu #drtolgaysatana
Minimally Invasive Spinal Surgery
Endoscope-assisted surgery helps us access the problematic area of the spine through a hole with a diameter of 5-7 mm. Herniated disc, spinal stenosis and compression of the sciatic nerve can be corrected without bleeding and tissue damage. The operation is performed under local anesthesia or in the operating theatre under general anesthesia.
Patients can be discharged or return to their work on the same day following the treatment.