Orthopedics and Traumatology

At Biruni Hospital’s Orthopedic Center, we offer comprehensive care that spans the full spectrum of orthopedic and trauma-related needs. Our team addresses everything from fractures and sports injuries to complex joint, spine, and limb surgeries. Each procedure is tailored to the patient’s condition, using advanced technology and evidence-based techniques to ensure precision, safety, and effective recovery.

What is orthopedics and traumatology ?

Orthopedics and Traumatology address disorders and injuries of the bones, joints, muscles, ligaments, and tendons, the structures that make movement possible. Orthopedics focuses on chronic conditions, degenerative changes, and deformities, while traumatology deals with acute injuries such as fractures or dislocations. The goal is to restore function, relieve pain, and help patients return to daily activities using the most effective and least invasive methods possible. 

Key aspects of orthopedics and traumatology

• Diagnosis through physical examination and advanced imaging.
• Conservative treatments such as medication, physical therapy, and lifestyle modification.
• Surgical interventions ranging from minimally invasive repairs to joint replacement.
• Postoperative rehabilitation and follow-up care.
• Emergency stabilization of acute injuries.
• Long-term monitoring to prevent recurrence or complications.
  

What are the types of orthopedics and traumatology procedures?

Orthopedic and traumatology care covers a wide range of interventions, from urgent fracture repairs to planned corrective surgeries. Each procedure is tailored to address specific injuries or conditions, combining surgical skill, advanced technology, and post-operative rehabilitation to restore mobility and quality of life.

Joint Replacement Surgery

Joint replacement surgery involves removing a damaged joint and replacing it with an artificial implant that functions like the natural one. Commonly performed on hips, knees, and shoulders, it aims to reduce pain and restore movement, especially in severe arthritis or after major injury. Success depends on precise implant placement and a structured rehabilitation program.

Key Steps in the Procedure

• Preoperative health assessment and imaging
• Selecting the appropriate implant
• Administering anesthesia and preparing the site
• Removing damaged bone and cartilage
• Positioning and securing the implant
• Closing and dressing the wound
• Managing pain and preventing infection
• Early physical therapy to regain mobility
• Regular follow-up to monitor recovery

Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive procedure that uses a small camera and specialized instruments inserted through tiny incisions to diagnose and treat joint problems. It is commonly performed on the knee, shoulder, elbow, or ankle to repair cartilage or ligaments, remove loose fragments, or reduce inflammation. Benefits include minimal tissue damage, less postoperative pain, and faster recovery, often allowing same-day discharge.

Key Steps in the Procedure

• Preoperative evaluation with scans and physical examination
• Administering regional or general anesthesia
• Making small incisions to insert the camera and instruments
• Inspecting the joint and identifying damage
• Repairing, removing, or smoothing damaged tissue
• Irrigating and cleaning the joint
• Closing incisions with sutures or adhesive strips
• Starting early movement while controlling swelling
• Scheduling follow-up visits to monitor recovery

Fracture Fixation Surgery

Fracture fixation surgery is performed when a broken bone cannot heal properly with a cast alone. The procedure realigns and stabilizes bone fragments using metal plates, screws, rods, or pins, allowing earlier movement and reducing the risk of improper healing. Fixation can be internal (beneath the skin) or external (with a frame outside the body),depending on the fracture type. The primary goal is to restore the bone’s natural shape and function while protecting surrounding nerves, blood vessels, and tissues.

Key Steps in the Procedure

• Assessing the fracture with imaging to plan the surgery
• Administering anesthesia and preparing the surgical site
• Making an incision to access the fracture
• Realigning bone fragments into their correct position
• Securing the bones with fixation devices
• Verifying alignment with intraoperative imaging
• Closing soft tissue and skin layers
• Immobilizing the area and monitoring for infection
• Beginning gradual rehabilitation to restore strength and mobility

Spine Surgery

Spine surgery addresses conditions affecting the vertebrae, discs, nerves, or spinal cord, including herniated discs, scoliosis, fractures, and tumors. Procedures range from minimally invasive decompressions to complex fusions with instrumentation. The main goals are to relieve nerve pressure, stabilize the spine, and correct deformities. Because spinal structures are delicate, surgeries require advanced imaging, precision tools, and continuous neurological monitoring. Recovery can be lengthy, often involving physical therapy and, in some cases, bracing.

Key Steps in the Procedure

• Comprehensive evaluation with MRI, CT, and neurological tests
• Planning the surgical approach and required hardware
• Administering anesthesia and positioning the patient for optimal access
• Exposing the targeted spinal segments
• Removing damaged or compressive tissue
• Stabilizing with rods, screws, cages, or bone grafts
• Closing tissues with meticulous care to avoid nerve damage
• Managing pain and preventing infection
• Supporting recovery with rehabilitation and bracing
• Conducting ongoing imaging and neurological follow-up

Limb Lengthening and Deformity Correction

This procedure increases bone length or corrects alignment issues caused by congenital conditions, trauma, or disease. It is typically performed using external frames or internal rods that gradually stretch the bone over weeks to months. The slow, controlled distraction stimulates new bone formation. Success depends on precise surgical technique, rigorous follow-up, and patient cooperation to prevent complications such as infection or nerve injury. Rehabilitation is an integral part of the process to restore full function and strength.

Key Steps in the Procedure

• Comprehensive evaluation with imaging and gait analysis
• Surgical placement of fixation devices and bone cutting (osteotomy)
• Daily, gradual adjustment of the device to lengthen bone
• Frequent monitoring through scans and clinical assessments
• Maintaining joint mobility and soft tissue flexibility during lengthening
• Allowing new bone to consolidate and harden
• Removing fixation devices once healing is complete
• Intensive physical therapy to restore movement and strength
• Long-term follow-up to detect and address late complications

Preparations Before an Orthopedics and Traumatology Procedure

Before undergoing orthopedic or traumatology surgery, proper preparation helps ensure the procedure is safe and recovery is smooth. This includes medical evaluations, imaging tests, medication adjustments, and both physical and mental readiness.

1. Medical Evaluation
Your surgical team will review your medical history, examine the affected area, and order tests such as blood work, heart assessments, or lung function checks. This is to detect any risks that could affect surgery or recovery.

2. Imaging and Diagnostics
Scans such as X-rays, MRIs, or CT scans provide detailed views of bones, joints, and soft tissues, allowing surgeons to plan the procedure precisely. In some cases, nerve or muscle tests are also done.

3. Preoperative Planning
Once your condition is fully understood, the team will plan the surgery in detail, choosing implant types, surgical techniques, and anesthesia methods. You’ll also be informed about the risks, benefits, and recovery process.

4. Medication Management
Some medicines,especially blood thinners and anti-inflammatory drugs, need to be stopped or adjusted before surgery. You’ll receive clear instructions to minimize bleeding risks and avoid withdrawal effects.

5. Physical Conditioning
Strengthening muscles around the affected area, maintaining good nutrition, staying hydrated, and quitting smoking all improve surgical outcomes and speed recovery.

6. Fasting and Anesthesia Preparation
You may need to avoid food and drink for several hours before surgery to ensure anesthesia safety. The anesthesiologist will review your medical history and choose the safest sedation or anesthesia plan.

7. Logistical Arrangements
Plan your hospital transport, home support, and living space adjustments for limited mobility. Organizing these ahead of time makes recovery easier.

8. Mental and Emotional Readiness
Understanding the procedure, having questions answered, and feeling confident in your care team can reduce stress and support better healing.

Post-Operative Period in Orthopedics and Traumatology

Recovery begins immediately after surgery and can last weeks to months. The first phase focuses on pain control, wound healing, and gentle movement. Later, the goal shifts to regaining full strength, flexibility, and function.

Short-Term Recovery

• Pain management with medication or nerve blocks
• Swelling control using ice, compression, and elevation
• Wound care and infection prevention
• Early, controlled movement to avoid stiffness and blood clots
• Use of supports such as crutches, braces, or walkers
• Gentle physiotherapy for basic mobility and strength
• Monitoring vital signs to detect complications early
• Adequate nutrition to support tissue healing
• Addressing post-surgery stress or discomfort

Long-Term Recovery

• Ongoing physiotherapy to restore full function
• Gradual increase in weight-bearing and activity
• Imaging and check-ups to ensure proper healing and implant stability
• Managing lingering issues such as stiffness, pain, or hardware complications
• Adopting protective lifestyle habits to prevent reinjury
• Long-term pain management if needed
• Emotional adjustment to any lasting changes in mobility
• Regular follow-up with the surgical team for progress assessment

Your Path to Recovery Starts Here

At Biruni Hospital, every procedure, whether minor or complex, is guided by a commitment to precision, safety, and compassionate care. From your first consultation to your final follow-up, our specialists combine advanced surgical techniques with personalized rehabilitation plans to help you regain mobility, strength, and independence. With modern facilities, a multidisciplinary team, and patient-centered support, we aim to make your orthopedic journey as smooth and successful as possible.