Posts in surgery
Flexor Tendon Injuries

Flexor tendons are the strings of tissue that allow you to move and curl your fingers and thumbs. Injury to them usually means that the hand is incapable of moving through its normal range of motion. For instance, a deep cut to the finger or the palm can interfere with the action of the flexor tendons.

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Carpal Tunnel Syndrome

Carpal tunnel syndrome is a problem involving the nerves, bones, and ligaments that connect the arm and the hand. It’s caused by pressure on the median nerve, which runs the length of the arm, goes through a passage in the wrist called the carpal tunnel, and ends in the hand. The median nerve controls the movement and feeling in all the fingers, except the pinky.

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Knee Revision

The knee is made up of four bones. The femur or thighbone is the bone connecting the hip to the knee. The tibia or shinbone connects the knee to the ankle. The patella (kneecap) is the small bone in front of the knee and rides on the knee joint as the knee bends. The fibula is a shorter and thinner bone running parallel to the tibia on its outside. The joint acts like a hinge but with some rotation.

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surgerySamantha Pennknee
Custom Knee

The ConforMis iTotal® CR is an individualized patient specific implant for replacement of all the three compartments of the knee. It is thus most appropriate for patients with knee arthritis and knee damage requiring implant for not one or two but all the three compartments of the knee. It is designed specifically to match the natural shape of the articulating surfaces of the patient’s knee. This is done by mapping the articulating surfaces of the femur and tibia using the data from the CT scan of the patient’s knee. It also comes with disposable patient specific iJig instrumentation with built-in image guidance which simplifies the surgical procedure and improves the outcome.

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surgerySamantha Pennknee
Partial Knee Replacement

(Unicondylar) knee replacement simply means that only a part of the knee joint is replaced (i.e. Partial Knee) through a smaller incision than would normally be used for a total knee replacement. Implant design, instrumentation and surgical techniques have improved markedly making it a very successful procedure for unicompartmental arthritis. Recent advances allow us to perform this through smaller incisions and therefore the procedure is not as traumatic to the knee making recovery quicker.

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surgerySamantha Pennknee
A Total Knee Replacement (TKR) or Total Knee Arthroplasty

A Total Knee Replacement (TKR) or Total Knee Arthroplasty is a surgery that replaces an arthritic knee joint with artificial metal or plastic replacement parts called the ‘prostheses'. The procedure is usually recommended for older patients who suffer from pain and loss of function from arthritis and have failed results from other conservative methods of therapy. The typical knee replacement replaces the ends of the femur (thigh bone) and tibia (shin bone) with plastic inserted between them and usually the patella (knee cap).

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surgerySamantha Pennknee
Hip Revision

Revision Hip Replacement means that part or all of your previous hip replacement needs to be revised. This operation varies from very minor adjustments to massive operations replacing significant amounts of bone. Total Hip Replacement (THR) procedure replaces all or part of the hip joint with an artificial device (prosthesis) with a plastic liner in between to restore joint movement.

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surgerySamantha Pennhip
Hip Joint Resurfacing

The surgery (Hip Resurfacing) will be performed using general, spinal or epidural anaesthesia. A combination of techniques is often used. The surgeon makes an incision along the affected hip joint, exposing the hip joint. The femur is separated from the hipbone socket. The socket of the hip joint is exposed. It is reamed to a hemispherical surface and prepared to take the new cup (acetabular component). The new cup is a press-fit; the back of this cup is roughened to allow bone to grow into it. The femur is then exposed and the femoral head is either trimmed or reamed down to an accurate shape to take its new metal component. The metal component is attached to the reshaped femur. This new metal ball will act like the hip joint’s original ball. Then the new ball and the new socket components are joined together to form the new hip joint. The muscles and tendons are then repaired and the skin is closed. Drains are usually inserted to drain excessive blood.

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surgerySamantha Pennhip
Total Hip Replacement

A Total Hip Replacement is one of the most successful operations that orthopedic surgeons perform. A hip replacement is an elective surgery, which means patients decide if and when to have their hip replaced. As a physician, I never tell patients they have to have a hip replacement surgery, but many times surgery may offer the only possibility for pain relief

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surgerySamantha Pennhip
Anterior Hip Replacement

Direct Anterior Hip Replacement is a minimally invasive, muscle sparing surgery using an alternative approach to traditional hip replacement surgery. Traditionally, the surgeon makes the hip incision laterally, on the side of the hip, or posteriorly, at the back of the hip. Both approaches involve cutting major muscles to access the hip joint. With the anterior approach, the incision is made in front of the hip enabling the surgeon to access the hip joint without cutting any muscles. A special operating table is used that facilitates various anatomical positions enabling the surgeon to replace the hip joint anteriorly.

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SuperPath Hip Replacement

Supercapsular Percutaneously-Assisted Total Hip surgery or SuperPATH ® surgery is a novel method of hip replacement where your surgeon can perform total hip replacement through 2-3 inch incision into the tip of the hip and without dislocating the hip or damaging the surrounding soft-tissue (muscles and tendons). This technique is also referred to as the Northern Approach or Northern Exposure.

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surgerySamantha Pennhip