Internal Bracing: The Next Big Thing in ACL Surgery
Dr. Prince Gupta
Sep 23, 2022
Orthopaedics is the medical speciality concerned with diagnosing and treating disorders of the musculoskeletal system. An orthopaedic surgeon specialises in diagnosing and treating ailments of the musculoskeletal system, including bones, joints, ligaments and tendons, muscles and nerves.
Manipal Hospitals is the best hospital for orthopaedic treatment in Gurgaon. We have more than 4000 doctors across 28 hospitals in India and offer the finest doctors for joints and musculoskeletal disorders in Gurgaon. We treat all orthopaedic conditions, including fractures, soft-tissue injuries, sports injuries and Arthritis, using the best-in-class technology and the latest research. We are the best orthopaedic hospital in Gurgaon among national and international patients. Book an appointment with us today.
This is a surgical procedure that removes the Lamina, the rear side of the vertebrae. The surgery is also referred to as a decompression surgery and relieves pressure on the spinal cord caused by overgrowth of bone (bone spur) in the spinal canal. Laminectomies are more common among older people who are prone to developing bone spurs.
The removal of the cast is a very simple procedure, which takes only 15 minutes, and has no pain or side effects and will be performed by the doctor.
An intra-articular injection or joint injection is a procedure used in the treatment of inflammatory joint conditions such as arthritis, tendinitis, bursitis and Carpal Tunnel Syndrome. The procedure may also be used to withdraw excess fluid from the joints.
This is a surgical procedure to correct misalignment in the skeleton where a bone is longer or shorter than its opposite. The misalignment is corrected by cutting or reshaping the bone to bring it back to normalcy. An osteotomy is often done as a way to delay or avoid hip or knee replacement surgery in the future.
Treatment for this condition depends on the cause and severity of nerve compression. Typically, pinched nerves are treated with physiotherapy, steroids (NSAID's corticosteroids, etc. However, in some cases, orthopedic surgery may be required to remove scar tissue or any other obstructive material that is interfering with the nerves.
This condition is also known as a ruptured or slipped disc. It irritates nearby nerves and results in pain, weakness or numbness in the leg or arm. The treatment for herniated discs is generally reduced activity, physiotherapy and surgical repair of the disc.
Advanced surgical procedures are carried out by specialists in the case of complex injuries in the muscles, bones, and ligaments that hinder the performance of professional athletes. Various techniques and specialized programs are developed to treat and avoid injuries related to sports. Specialists aim to restore complete functionality to patients…
What are Orthopaedic Conditions?
Orthopaedic conditions affect the bones, joints, tendons, ligaments, and muscles. They can result from injury, disease, or developmental problems.
Common Orthopaedic Conditions include:
Disease-causing joint pain and stiffness resulting from a breakdown of cartilage, the tissue that cushions and protects joints. This breakdown can lead to structural damage in the joint, which causes inflammation. Many types of Arthritis include Rheumatoid Arthritis, osteoarthritis, gout and lupus. They are most common in the hands, feet and spine. The symptoms of Arthritis vary depending on type and severity.
Overuse injuries are common in sports requiring repetitive movements. Overuse injuries result from excessive use of a particular muscle, joint, or tendon. The lack of stretching before and after exercise is the leading cause of Overuse injuries.
An inflammation of a tendon, which is the cord-like structure that connects muscle to bone.
An injury to the ligaments, which are the rugged, elastic bands that connect one bone to another.
A crack in the continuity of a bone which may be partial or total.
A pain that occurs in the joints, places where bones come together. Inflammation, injury, and disease may result in Joint pain.
An injury when the bones surrounding a joint are damaged and removed from their normal position.
Manipal Hospitals has the best orthopaedic surgeon in Gurgaon. The hospital is known for fast and effective treatment of all Orthopaedic conditions like:
Damaged Knee Joint
Damaged Hip Joint
Compromised Soft Tissues
Congenital Muscular Torticollis
Elbow/ Wrist Deformity
Radial Ray Anomalies
Developmental Dysplasia of the Hip
Legg-Calve-Perthes Disease of Hip
Congenital Coxa Vara
Leg Length Discrepancy
Slipped Capital Femoral Epiphysis
Knee/ Ankle Deformity
Anterior Cruciate Ligament (ACL)
Posterior Cruciate Ligament (PCL)
Medial Collateral Ligament (MCL)
Posterior lateral complex (PLC)
Rotator Cuff Injuries
Dislocation with Bone Loss
Damaged Humerus and Ulna
Dislocation with Fracture
Pain or Numbness
Rupture of Flexor and Extensor Tendon
Curved Fingers Correction
Foot and Ankle
Torn or Damaged Achilles Tendon
Cancer of Bones and Muscles
X-ray uses ionising radiation to produce images of the human body. This radiation has enough energy to knock electrons from atoms, producing a beam of radiation that can penetrate the body.
X-rays diagnose many different orthopaedic conditions, including fractures and degenerative joint disease. An x-ray may be done independently or with other imaging tools, such as MRI or CT scans. X-rays also locate foreign objects in the body and assess their composition.
CT (Computed Tomography) scans use X-rays to produce detailed images of the body. CT scans combine X-rays and computers to examine bones, joints, blood vessels, fat and other internal organs. Visit our top multi-speciality hospital in Gururgram to know more about the treatment.
Magnetic Resonance Imaging (MRI) can image soft tissues in detail, allowing doctors to see cartilage, ligaments, tendons and muscle injuries.
MRI provides high-resolution images showing the body's structures in much more detail than other imaging modalities making it helpful in diagnosing conditions such as Tendonitis, Rotator Cuff Tears, Hip Impingement Syndrome and Osteoarthritis.
Electricalmyography or EMG detects neuropathies and neuromuscular disorders. It evaluates muscle strength and monitors the effects of treatment.
EMG uses electrodes to measure the electrical activity of muscles as they contract and relax, allowing doctors to see how well the nerves are functioning and how well muscles can respond to signals from those nerves.
It can also diagnose nerve conditions, such as Carpal Tunnel Syndrome, when the median nerve in the wrist becomes compressed.
Intra Articular Injection
Intra Articular Injection is performed directly into the joint. This procedure treats various orthopaedic conditions.
The medicine can be injected into one or more joints at once, depending on the treatment and severity of the symptoms.
Cast Removal removes a cast from the affected body area on patients treated for orthopaedic conditions, such as fractures and sprains. The cast removal allows further treatment or healing to occur.
A cast stabilises the injured area and keeps the bones in place while they heal.
A laminectomy removes the laminae of a vertebra to treat Spinal Stenosis, Spondylolisthesis, and other conditions in which the bony vertebral canal narrows or compresses the spinal cord or nerve roots.
A laminectomy can be an open procedure (involving a large incision) or an Endoscopic procedure (using small incisions).
Osteotomy treats various conditions, including fractures and deformities, using a saw or other cutting tool to cut through the bone. The cut bone is then repositioned and held in place with screws or other implants.
The procedure can be performed on any bone in the body, though it most commonly affects the hip, knee and ankle.
Pinched Nerves Treatment
Pinched Nerves can be extremely painful and debilitating, but there are several treatment options to help alleviate the pain.
The first step is to determine its cause. Nerve compression can occur for several reasons; one of the most common causes is scar tissue from previous surgery or injury. Doctors may recommend physiotherapy and steroid injections.
Surgery may remove scar tissue or any other obstructive material that interferes with the nerves.
Herniated Discs Treatment
Herniated Discs can result in pain or weakness and numbness in the leg or arm.
The underlying cause is irritation of nearby nerves, which causes inflammation to occur. This inflammation can lead to a herniated disc.
Reduced activity under the guidance of a doctor, physiotherapy and surgery to repair the disc are some available treatment options.
Sports Injury Treatment
Sports injuries can be severe, with most sports injuries being treatable.
Acute sports injuries occur suddenly, such as when a player suffers a concussion or breaks a bone during a game. These injuries require immediate medical professional attention to prevent further damage or complications. Chronic sports injuries are more long-term issues that do not necessarily require immediate medical attention but require physical therapy treatments to heal properly. To know more about sports injury treatment in Gurugram, visit Manipal Hospitals.
Total Knee Replacement
A Total Knee Replacement repairs the entire knee joint in a surgical procedure that replaces the thigh bone's end with a metal or plastic implant and the cartilage between the thigh bone and shin bone with an implant.
This procedure aims to reduce pain, improve function, and increase mobility.
At Manipal Hospitals, surgeons use a minimally invasive approach by making small incisions in the knee area for less pain during recovery and a faster return to regular activity than traditional surgery methods.
Total Hip Replacement
Total Hip Replacement is an Orthopaedic surgery to replace a damaged or diseased hip joint. The procedure involves removing the damaged or diseased bone and replacing it with an artificial joint made of metal and plastic.
Total Hip Replacement helps people with Osteoarthritis, Rheumatoid Arthritis, Avascular Necrosis (AVN), Juvenile Idiopathic Arthritis (JIA), or previous fractures.
Total Hip Replacement surgery happens on either side of the body, usually through a single incision in the front of the hip. The surgeon removes the damaged joint and inserts an artificial joint made of metal, ceramic or plastic.
Limb Deformity Correction
Limb deformities are common in children, including congenital disabilities and infections. Limb deformities can affect the bones, joints, muscles, tendons, and nerves. Many different limb deformities include Clubfoot, Congenital Dislocation of the Hip (CDH), Perthes disease, and Osteomyelitis.
Surgery (for example, lengthening bones),
Casting or Bracing (to hold an unstable joint in place while it heals),
Physiotherapy (to strengthen weakened muscles), and
Therapy to help adjust to the new mobility
Physiotherapy uses physical exercises and movements to help improve a person's health. It treats joint pain, back pain, Arthritis, and sports injuries. Physiotherapy helps people recover from surgery and injuries.
Physiotherapists are healthcare professionals who have studied how the body moves and how injuries and illnesses affect movement. They often work with patients with joint or muscle problems, such as those with Arthritis or Fibromyalgia. They may also use exercise to help people who have had surgery for hip replacements or knee replacements regain mobility and strength in their joints.
Physiotherapy aims to help people regain their ability to move around without pain or limitations to live more actively.
Arthroplasty is a medical procedure that restores joint functions. The procedure involves replacing the damaged joint with an artificial one. Knee, Hip and Shoulder are common Arthroplasty treatments.
Orthobiologics provide effective, nonsurgical treatments for broken bones and injured areas of the body—Substances naturally found in the body make these treatments. Doctors administer Orthobiologics topically (gel, cream or spray) and via injections.
Cartilage Restoration is a procedure used to replace or repair the cartilage in the knee.
Cartilage is a soft connective tissue that covers the ends of bones where they meet. Cartilage cushions the knee joint and helps it move smoothly. The most common injury to the knee joint is a tear in the meniscus, cartilage that absorbs shock within the knee joint.
Joint Preservation Procedures
Joint Preservation Procedures preserve a deteriorating joint using nonsurgical or surgical means by delaying or avoiding a joint replacement surgery. They also reduce the complications from surgery and cartilage deterioration due to osteoarthritis resulting in joint pain and mobility restrictions.
Fracture surgeries correct a fracture that has not healed correctly or treat a fracture causing pain. They use either internal or external fixation devices, which are placed in the body during surgery and remain in place until the bone heals.
Different surgical techniques include:
Open Reduction and Internal Fixation (ORIF). Realigning broken bones and stabilising them with an internal device such as a plate or nail.
Closed Reduction and Internal Fixation (CRIF). A minimally invasive procedure involving fracture in one bone segment.
Intramedullary Nailing (IMN). A procedure for long bones like those found in legs and arms where there is insufficient space for ORIF
Complex Articular Reconstructions
Complex Articular Reconstructions use a combination of different surgical procedures to treat complex joint injuries and restore mobility and motion in the injured joint.
Complex Articular Reconstructions involve using Bone Grafts, Artificial Materials, and Synthetic Replacements to restore the damaged elements of a joint via an Open Surgery or Arthroscopic Surgery.
Salvage Procedures for Neglected Trauma
Salvage Procedures prevent further damage to the patient's body.
The first step in a salvage procedure is to ensure the patient's safety and stabilise their condition by checking vital signs, ensuring they are breathing without assistance, and preventing any blood loss or other complications that could arise from the injury.
The next step is to assess the extent of damage done by the trauma using X-rays and examining wounds closely for signs of infection or other problems that could affect healing time.
Once no other physical problems remain, it is time for surgery. Surgery might be necessary for internal injuries or bones broken during the incident.
Polytrauma combines traumatic injuries that can lead to extreme trauma and disabilities. The most common types are Orthopaedic, Vascular, and Neurological. A single event or multiple events can cause it. Managing fractures, permanent disability and tissue loss, is an essential aspect of Polytrauma Management. Consult with our experts to have the best treatment.
Polytrauma often includes specialists from multiple departments.
Limb Preservation aims to save the limb being operated on by avoiding or removing damaged tissues.
Limb Preservation can be achieved by removing a portion of the damaged tissue and leaving the rest of the limb intact. In other cases, it may require removing all of the damaged tissue and replacing it with new tissue.
Oncological Reconstruction helps patients recovering from cancer or other conditions where treatment has left the patient with scars or immobile body parts.
Oncological Reconstruction may use autologous cells (cells taken from the patient) or allogenic cells (from another person). The latter option is more common, allowing easier access to reliable tissue.
Manipal Hospitals has the best orthopaedic surgeon in Gurgaon, with facilities like:
Shoulder Injury Management
Knees Injury Management
Joint Replacement Surgeries
Total Hip Replacement.
Joint Preservation Procedures
Complex Articular Reconstructions
Salvage Procedures for Neglected Trauma
Congenital and Developmental Disorders in Children
Hand and Wrist Disorders
Minimally Invasive Procedures
Pre-surgery and Post-Surgery Assistance
After gathering general information about the patient's health, our orthopaedician will review the patient's medical history, and do a complete physical examination. Then the doctor might order the necessary investigations to determine the health of your body.
A sprain occurs with an injury in the ligament—a band of tough, fibrous tissue that connects bones to other bones or one of the tendons that attach muscles to bones. If these symptoms do not disappear, one must see the best orthopaedic doctor in Gurgaon. A delayed or ignored treatment may often result in disability.
Frequent Joint Dislocation occurs when the bones of the joint move out of place frequently.
If an injury causes frequent joint dislocation, it may be treated with physical therapy and other treatments to restore range of motion. If a congenital disorder causes frequent joint dislocation, medical professionals may recommend surgery or other procedures to resolve the problem.
At Manipal Hospitals, doctors for joints and Musculoskeletal Disorders in Gurgaon help patients identify and treat the root cause.
Treating a muscle tear promptly and adequately is the best way to overcome it. Seek medical attention immediately at the best hospital for orthopaedic treatment in Gurgaon. Some treatment options are:
Rest as much as possible with therapy
Use a brace or sling to support until the swelling decreases
Use medications if advised by the doctor
Strengthen muscles under the guidance of the doctor, visit our best orthopaedics hospital in Gurugram to know more.
Any number of issues can cause chronic elbow pain. The most common cause is overuse. Another common cause is Arthritis, an inflammation of the joints that can cause pain, swelling, and stiffness. Other causes include fractures, dislocations, and nerve injuries.
Having an orthopaedic condition like arthritis, ligament tears and cubital tunnel syndrome can affect the quality of life. Manipal Hospitals has dedicated to providing high-quality, personalized care and building long-term partnerships with its patients. Contact us to know more about orthopaedic problems and book an appointment with one of our orthopaedic specialists today.