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ORTHOPEDIC

Complete range of diagnostic and surgical orthopedic services.

Orthopedic Center

The Orthopedic Center at Oasis Hospital offers a complete range of diagnostic and surgical orthopedic services. The Center’s orthopedic doctors bring training and experience from Mexico, USA and offer patients a broad array of orthopedic surgical services.

Surgical Services

  • Hip Replacement / Resurfacing
  • Knee Replacement / Resurfacing
  • Arthroscopy
  • Shoulder Replacement
  • Rotator Cuff Repair
  • ACL Surgery
  • Meniscus Repair
  • Additional Orthopedic Surgeries

Orthopedic Conditions we treat

  • Knee
  • Waist
  • Back
  • Ankle
  • Elbow
  • Rotator Cuff
  • Shoulder
  • Wrist

Why choose Oasis Hospital for your orthopedic care?

With one of the largest and most advanced orthopedic groups in the country, Henry Ford offers specialists in all areas of orthopedics, including trauma, cancer, spine, joint replacement, and sports medicine.

Our team is supported by trained nurses, physical therapists, athletic trainers and researchers, who are helping identify new options for advanced care.

No matter what orthopedic condition you have, our doctors and surgeons will give you the care and support you need every step of the way.

 

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Hip Replacement

This procedure is sought after by patients who have been experiencing chronic hip pain due to a variety of factors.

For example:

  • Osteoarthritis
  • Rheumatoid Arthritis
  • Arthritis due to trauma

Most patients experience osteoarthritis, which is a condition that comes about due to excessive use of the hip joint. Once the cartilage wears off, the patient will experience pain that may only be alleviated by a total hip replacement.

What is a Hip Replacement?

Conventional Total Hip Replacement is a procedure for the treatment of Hip Arthritis. The purpose of total hip replacement is to remove the worn and damaged parts of the joint – hip socket and replace them prostheses.


How is it done?

Under regional anesthesia, we make a large incision on the lateral aspect of the hip to expose the hip joint. Once we make our dissection and expose the joint, we take the femoral head out of the acetabulum, which is where the femur fits ‘snuggly’ into the pelvis.

We then replace degenerated femoral head with a prosthetic that fits according to the patient’s anatomy. We will then proceed to do the same with the acetabulum to complete the procedure.

 

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Risks & complications

There are possible risks and complications associated with anesthesia, including respiratory or cardiac malfunction.

Other complications include:

  • Infection requiring antibiotics and in some cases hospitalization.  Infection can sometimes occur around the hip joint years after the surgery.
  • Blood clots in the legs (deep vein thrombosis), which can dislodge and move to the lungs (pulmonary embolism).
  • Injury to nerves or blood vessels.
    Fracture or dislocation of the new hip joint may necessitate additional
  • surgeries.
  • Stiffness or instability of the joint caused by extra bone growth.
  • Retention of urine and bladder infection.

With time – sometimes as long as 20 years – the artificial joint will loosen and revision surgery will become necessary.

Risks can be reduced by following the surgeon’s instructions before and after surgery.

If you have a question about a particular procedure, you can send us a message on our contact page or fill out one of our online questionnaire to have a phone consult with one of our doctors.

Knee Replacement

What is a Total Knee Replacement?

Total Knee Replacement is surgery to replace diseased or damaged joint surfaces of the knee with metal and plastic prosthetic devices.

How is it done?

Surgery may be performed under a general or spinal anesthesia. During the procedure the surgeon shaves the joint cartilage at the ends of the femur and tibia (sometimes the cartilage of knee cap) and fits them with prosthetic caps. These are then re-attached to the remaining bone with specialized cement.

You will return from surgery with a large dressing on the knee. A drainage tube will be in place to help drain excess fluids from the joint in the days following surgery. You will be required to wear pressure stockings immediately after surgery to prevent blood clotting.

Why is it done?

Most knee replacements are performed to relieve severe pain from arthritis or injury in the knee that limits an individual’s ability to do the things they want to do. It might also be performed to remove tumors of the knee.

 

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Risks & complications

There are possible risks and complications associated with anesthesia, including respiratory or cardiac malfunction. Other complications include the possibility of:

  • Infection requiring antibiotics and in some cases hospitalization
  • Infection occurring around the joint years after the surgery
  • Blood clots in the legs (deep vein thrombosis), which can dislodge and move to the lungs (pulmonary embolism)
  • Injury to nerves or blood vessels
  • Loosening or dislocation of the prosthetic devices
  • Joint stiffness

Risks can be reduced by following the surgeon’s instructions before and after surgery.

Alternatives

The surgeon may discuss alternative approaches to the total knee replacement procedure, including:

Non-Surgical Alternatives:

  • Walking aids such as a walking stick or cane or fitting with specialized braces.
  • An exercise program to strengthen the muscles around the knee joint to improve positioning and relieve pain.
  • Non-steroidal anti-inflammatory drugs like aspirin, ibuprofen and celebrex to relieve pain.
  • Corticosteroids such as prednisone or cortisone can reduce joint inflammation.
  • Herbal supplements like glucosamine and chondroitin.

Surgical Alternatives:

  • Arthroscopic surgery.
  • Osteotomy.
  • Cartilage transplant.
  • Knee fusion.

Arthroscopy

What is Arthroscopy?

Arthroscopy is a procedure to look inside a joint by using an arthroscope., which is a thin telescope with a light source used to magnify the structures inside a joint allowing evaluation and treatment of problems.

How is it done?

Arthroscopic surgery generally lasts about one hour and may be done under local or general anesthesia depending on the joint being examined and various other considerations. During the procedure the surgeon will pass an arthroscope through a small cut in the skin and into a joint.

Why is it done?

Arthroscopy may be done to investigate symptoms such as

  • Pain
  • Swelling
  • Instability of a joint.
  • An arthroscopy may show damage to cartilage or ligaments within a joint, fragments of bone or cartilage, which have broken off, or signs of arthritis.
  • Arthroscopic surgery can often treat and repair joints without the need for more traditional ‘open’ surgery of a joint which involves a large cut.

 

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Risks & complications

Although rare, complications do occur during or following arthroscopy.  They include:

  • Accidental damage to structures inside or near the joint- Excessive bleeding inside the joint, which can cause swelling and pain
  • Infection within the joint
  • Risks and complications associated with anesthesia, including respiratory and cardiac malfunction

Patients undergoing arthroscopy can have varying diagnoses and pre-existing conditions.  Surgeries vary widely and are patient specific.

Shoulder Replacement

At Oasis Hospital, our doctors handle multiple Shoulder problems on a daily basis.  Our orthopedic doctors always conduct an analysis of the best treatment plan for our patients, based upon the severity of your problem. Treatment and/or surgical plans may very from physical therapy, surgery, medication or a combination.

 

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We regularly treat issues such as:

  • Shoulder Instability and Dislocation
  • Shoulder separation or Sprain
  • Shoulder Tendonitis
  • Bursitis
  • Rotator Cuff Injury
  • Stiff shoulder

Some surgical options for shoulder issues are:

  • Total Shoulder Replacement
  • Reverse Shoulder Arthroscopy
  • Shoulder Resurfacing Arthroscopy
  • Arthroscopy

Rotator Cuff Surgery

What is Rotator Cuff Surgery?

Surgery to repair a torn rotator cuff most often involves re-attaching the tendon to the head of humerus (upper arm bone). A partial tear, however, may need only a trimming or smoothing procedure called a debridement. A complete tear within the thickest part of the tendon is repaired by stitching the two sides back together.

When is it Recommended?

Your doctor may recommend surgery for a torn rotator cuff if shoulder pain does not improve with nonsurgical methods. Continued pain is the main indication for surgery.
Other signs that surgery may be a good option for you include:

  • Your symptoms have lasted 6 to 12 months
  • You have a large tear (more than 3 cm)
  • You have significant weakness and loss of function in your shoulder
  • Your tear was caused by a recent, acute injury

 

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How is it done?

There are a few options for repairing rotator cuff tears.

Arthroscopic Surgery

  • During arthroscopy, your surgeon inserts a small camera, called an arthroscope, into your shoulder joint. The camera displays pictures on a television screen, and your surgeon uses these images to guide miniature surgical instruments
  • Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions (cuts), rather than the larger incision needed for standard, open surgery.

Open Repair

During an open repair, the surgeon typically removes bone spurs from the underside of the acromion (this procedure is called an acromioplasty). An open repair may be a good option if the tear is large or complex or if additional reconstruction, such as a tendon transfer, is indicated.

ACL Surgery

What is ACL Surgery?

In anterior cruciate ligament reconstruction, a doctor can use fine instruments that are passed into the joint via an arthroscope and into the knee in order to reconstruct torn ligaments.

 

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Why is it done?

ACL injuries do not heal by themselves. Arthroscopic ACL Surgeries allows for a minimally invasive procedure that can restore secure motion with a minimum amount of time needed for recovery.

How is it done?

  • ACL surgery generally takes between one and two hours and is performed under general anesthesia in the Operating Room.
  • Surgeries vary widely and are patient specific.
  • The most common method of ACL repair utilizes a segment of tendon that is removed and then grafted in the same position as the damaged ACL.
  • A three to five inch incision is made in the knee in order to harvest the ligament graft. The rest of the operation is done arthroscopically.

Meniscus Repair (arthroscopic)

Arthroscopic meniscus repair is an outpatient surgical procedure to repair torn knee cartilage. The torn meniscus is repaired by a variety of minimally invasive techniques: usually an arthroscope is used to repair the meniscus tear and to trim irreparable part of the meniscus that may cause pain or catching inside the knee.

 

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Goal of Arthroscopic Meniscus Repair

The goal of meniscus surgery is to preserve healthy meniscus tissue. A meniscus tear requires a blood supply to heal. Only the outer third portion of the meniscus has blood supply to enable healing of a tear. Repairs are generally limited to this peripheral region of the meniscus.

Effectiveness

When performed by an experienced surgeon, meniscus repair is highly successful , with good results in approximately 90% of patients. Any knee that is injured has a higher likelihood of developing arthritis. A successful repair slows the development of arthritic changes. Factors associated with higher rates of meniscus healing include repair within 2 months, more peripheral tear location, and concomitant ACL reconstruction.

Additional Orthopedic Surgeries

Oasis Hospital can assist our patients with the treatment services for any kind of orthopedic disease, services in areas such as musculoskeletal system tumors, spinal diseases, hand and upper extremity surgery and foot health are also provided by our experienced specialists.

 

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  • Carpal tunnel release
  • Knee arthroscopy and chondroplasty
  • Removal of support implant
  • Repair of femoral neck fracture
  • Repair of trochanteric fracture
  • Debridement of skin/muscle/bone/fracture
  • Shoulder arthroscopy/distal clavicle excision
  • Repair fracture of radius (bone)/ulna
  • Repair fracture of radius (bone)/ulna
  • Laminectomy
  • Repair of ankle fracture (bimalleolar type)
  • Lumbar spinal fusion
  • Repair fracture of the distal part of radius
  • Low back intervertebral disc surgery
  • Incise finger tendon sheath
  • Repair of ankle fracture (fibula)
  • Repair of femoral shaft fracture
  • Repair of trochanteric fracture

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