Spinal Fractures and Vertebroplasty

As you age, the bones in your spine become weaker and more brittle, which often develops into a disease called osteoporosis. Although osteoporosis affects all the bones in your body, the most vulnerable area is your spine. In fact, spinal fractures – also known as vertebral compression fractures – are experienced by up to 700,000 elderly individuals each year.

To combat this disease, it is important to first understand the specifics of spinal compression fractures and the risks involved:

Your spine consists of 24 vertebrae, which are separated by inter-vertebral disks for cushioning and shock absorption and held together by the spinal cord. This flexible system remains straight while you are young but gradually bends as the vertebrae weaken and flatten with age. In this weakened state, your spine is at a significantly higher risk of fracture in the case of a fall as well as everyday activities such as reaching, bending or even sneezing and coughing.

If you experience severe back pain or have been previously diagnosed with osteoporosis, there are a number of solutions that your orthopedic physician may recommend. A common surgical solution for a spinal fracture is vertebroplasty. Through a relatively simple outpatient surgery, a specialized bone cement is injected into the weakened vertebrae as a preventative measure against fractures and/or for the purpose of stabilizing existing fractures.

Vertebroplasty is an effective solution with high rates of successful results. Most patients experience immediate pain relief and improved mobility, allowing them to return to their regular daily activities soon after completion of the procedure.

Why let your age dictate what you can or cannot do when solutions for your back pain could be achieved by speaking with a pain management doctor? If you are ready to discuss your concerns and learn whether you require vertebroplasty or another treatment, please do not hesitate to contact your pain management specialist at Ashutosh Hospital, Vadodara, Gujarat.

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Sports Medicine Treatment

It’s a Good move!

Many of us play sports everyday. Some go for a run before work in the morning. Others enjoy a round of golf or a competitive game of basketball on the weekends. Over eight million young men and women play high school and college sports. It’s natural for injuries to happen with physical activity—whether it’s stopping and changing direction too quickly on the cricket field or stretching improperly before a run. No matter the injury, immediate treatment is always the best solution.

At Ashutosh Hospital, we deliver world-class orthopedic care for athletes of all ages. Our sports medicine specialists are skilled and experienced in treating all types of sports-related injuries, from fractures and sprains to tears and concussions. We use state-of-the-art equipment and procedures that enable fast and precise diagnosis, treatment, and recovery.

Personalized Treatment

We understand that each sports-related injury requires a different and exact treatment plan. In addition to developing different approaches to injuries in ​youths versus adults, we also understand that women and men are prone different athletic injuries. For example, young women are 2-8 times more likely to tear their anterior cruciate ligament (ACL) than men. We provide advice and care based on the widest range of knowledge, so you receive the most personalized treatment plan.

Physical Therapy

Physical therapy is also a top priority at Ashutosh Hospital. Our orthopedic doctors work closely with physical therapists to prevent future injuries and to ensure you stay physically active. The medical professionals at Ashutosh Hospital are dedicated to facilitating a healthy, active lifestyle before, during, and after an injury.

When it comes to sports medicine, the orthopedic care at Ashutosh Hospital is a natural choice for injured athletes who want to get back in the game as quickly as possible.

ShoulderHemiarthroplasty

A 58 year old female presented with history of fall at home. She sustained injury to her right shoulder. She had a Previous history of IHD.

X ray of Right shoulder showed Four Part Right Proximal Humerus Fracture.

FACTORS IN CONSIDERATION :

·         - Age of the patient

·        -  Low Demand

·         - Comminution

·         - Osteoporosis

In view of the above factors HEMIARTHROPLASTY was offered to the patient.

OPERATIVE PEARLS:

·         - Separation and preservation of Greater and Lesser Tuberosity

·        -  Modular Prosthesis for achieving perfect fit and tension

·        -  After the prosthesis was fit the tuberosity were fixed with each other and to the prosthesis

·         - Bone graft from the head was packed at the Shaft Tuberosity junction

ShoulderHemiarthroplasty

A 58 year old female presented with history of fall at home. She sustained injury to her right shoulder. She had a Previous history of IHD.

X ray of Right shoulder showed Four Part Right Proximal Humerus Fracture.

FACTORS IN CONSIDERATION :

·         - Age of the patient

·        -  Low Demand

·         - Comminution

·         - Osteoporosis

In view of the above factors HEMIARTHROPLASTY was offered to the patient.

OPERATIVE PEARLS:

·         - Separation and preservation of Greater and Lesser Tuberosity

·        -  Modular Prosthesis for achieving perfect fit and tension

·        -  After the prosthesis was fit the tuberosity were fixed with each other and to the prosthesis

·         - Bone graft from the head was packed at the Shaft Tuberosity junction

MIO Tibial Plating

A 24 year old male had a RTA and sustained a Femur fracture with a Comminuted Tibia Fracture and Compound Foot injury.

Tibia Fracture was Comminuted in the Mid shaft for about 2/3 rd of the tibial length. There was segmental fracture of the fibula

Pre Op Xray :

Considering the Comminution MIO/MIPPO plating was planned.

The length of the Plate could have been a problem and hence X rays were taken with the longest plate available.

PLATE XRAY

OPERATIVE PEARLS :

·         MIO Plating was performed spanning the Comminuted Shaft fragment.

·         Segmental Fibula fracture was fixed with One proximal and one distal Rush nail.

 10 WEEKS                                                                            10 WEEKS 

 Fianl 10 WEEKS                                                                   Final 10 WEEKS 

   

After 24 Weeks                                                                       After 24 Weeks                                                                 

Fracture united at 5 months and patient has excellent Functional Range of movements.

Post OP Xray

Post OP Xray

Hip Replacement in Acetabular Fracture

A 78 year old Patient had an RTA and sustained a Hip injury. He was diagnosed as having a Central fracture dislocation (Bicolumnar Fracture). He was not operated by the treating Orthopedic Surgeon considering the Risks involved at the Age. He presented to us after 7 months with ProtrusioAcetabuli with AVN of Femoral head.

His major Complaints were:

•             Severe restriction of daily activities
•       Night pain and Rest Pain
•        Difficulty in Sitting and Getting up

Pre Op Xray

Discussing the risks involved, the Patient was asked to undergo a hip replacement to alleviate his symptoms.

CT Pelvis was done to get a better understanding of the defects.

CT 1

CT 2

CT 3

CT findings :

·         Defect in anterosuperior wall

·         Posterior wall was intact

·         Defect in anterosuperior part of head

Challenges of Surgery :

·         Defect Reconstitution

·         To get the Perfect Rim fit

·         Early mobilization considering the advanced age

·         Restoring near normal Hip Centre

Operative Pearls:

·     It was decided to use a Trabecular Metal cup and Uncemented Stem on the Femoral side Head and neck

·       The graft was Fixed with the Screws through the cup

·       Rim fit Gription Cup was placed and sufficient lateralization was achieved

Post Op Xray

Colle’s Fracture / Broken Wrist

Colle’s fracture is a wrist fracture which occurs within an inch of the wrist joint involving the forearm bone’s distal end of the radius.

The fracture runs transversely just above the wrist joint and displays this distal end of the bone more dorsally giving the wrist the classical “dinner fork” deformity look.

Colle’s fracture is named after Abraham Colles, an Irish surgeon, who first described the condition. Another name for this fracture is the “Pouteau” fracture. It mostly results from a “slip and fall” on an outstretched hand.

Usually the incidence goes up after the rains or after the first snow fall in winter when the roads are icy and slippery or. Typically, when people fall they try and prevent injury to their head or other parts of the body by putting their hands out to hit the ground first. A bad fall results in fracture of the wrist with bruise of the skin over it. As the bone is a living hard tissue it is supplied by blood vessels and nerves. This causes the fracture to be very painful.

Although this fracture occurs in all age groups it tends to be more common in two age groups – the elderly people and in children. In Children the bones are soft and supple and hence tend to bend easily. Here the fracture is usually incomplete while in adults it is a complete fracture. These fractures are also seen in menopausal women with osteoporosis, in whom it is second only to vertebral fractures.

Wrist arthritis can occur as a Colles fracture complication, either from cartilage injury, or from wear and tear in the joints after the fracture is healed. Carpel tunnel syndrome, characterized by numbness and tingling, may also set in after the fracture.