The Departments of Orthopedic surgery treat a wide variety of surgical orthopedic problems: complex, orthopedic traumatic injuries; back surgery; joint replacement surgeries; surgery of the hand; arthroscopy surgery; sports medicine; treatment of foot and ankle diseases; and treatment for diabetic foot conditions.
The clinical activity is conducted through sub-units:
Shoulder and Elbow Unit
Joint Replacement Service
Foot and Ankle Unit
The Spine Deformity Unit
Orthopedic Traumatology Unit
Sport Injuries & Arthroscopic Surgery for Knees and Ankles
Pediatric Orthopedics Unit
Hand Surgery provides diagnosis, treatment and correction of a variety of traumatic hand injuries - fractures, dislocations, injuries to the tendons and nerves, as well as degenerative diseases of the hand. Surgeries are performed in order to restore nerve function, tendon transplantation, tendon translocation, prosthesis implantation of the hand, and others. Quite frequently arthroscopic surgery is executed for wrist injuries and for carpal tunnel syndrome release.
Shoulder Surgery specializes in arthroscopic surgery of the shoulder and provides diagnosis and treatment of various shoulder problems:
Chronic shoulder impingement syndrome, including treatment, monitoring and arthroscopy;
Shoulder instability (recurrent shoulder dislocation) because of shoulder arthroscopy;
Complicated bone fractures of the shoulder girdle;
Atrophic changes of the shoulder - total shoulder displacement;
Prosthetic joint replacement of the shoulder.
Many of the surgeries are performed utilizing modern microscopic techniques, while placing an emphasis on reduced hospitalization and accelerated rehabilitation of the patient. The majority of the surgeries are performed on an outpatient basis.
Shoulder pain and limitations of shoulder mobility caused by injury to the ligaments of the shoulder rotator cuff (generally not caused by trauma).
Shoulder instability, predominantly among young people, caused by full or partial dislocation of the shoulder joint
Shoulder fracture (in the joint itself), fractures of the arm or of the shoulder bone itself
"Frozen Shoulder": limited mobility of the shoulder accompanied by pain
Degeneration and infections of the shoulder joint
Shoulder specialists diagnose and treat a wide range of problems.
Most shoulder problems do not require surgery and are well treated by a multifaceted plan which includes guided physical treatment plan, medication, and injections.
However, when there is a need, the physicians perform arthroscopic or open surgery in order to resolve the problem. The surgical procedures performed include:
Back surgery units deal with a wide range of problems in infants, children, adolescents and adults, involving multiple disciplines.
Degenerative problems related to morbidity of the inter-vertebral discs, deterioration of the joints between spinal vertebra, and narrowing of the spinal canal are the most common.
Spinal distortion (scoliosis, kyphosis) which generally appears during childhood and is related to other diseases is prevalent, but less common.
As in all skeletal systems, the spinal column is exposed to trauma and tumor processes. These and other problems are treated by the Back Unit.
Back problems are generally treated by a combination of physical therapy, physiological and drug treatments, and treatments in the pain clinic. A minority of patients require surgical interventions which are performed in the unit.
Back and spinal surgery performed include:
All the physicians work in close cooperation with Physical Therapy Institutes and Pain Clinics, as well as Imaging Units, allowing for some of the most advanced imaging techniques including X-ray, MRI, CT, and nuclear medicine.
Foot and Ankle
Foot and Ankle specialized units treat various problems including: flat foot; improper posture; ankle, heel and foot dislocations and fractures; in-grown toenails; diabetic feet; keratosis; and fungus infections of the feet
Hip and Knees
Diseases of the hip or knee joint, most of which are advanced degenerative injuries including cartilage deterioration, usually require surgical intervention, particularly joint replacement.
Surgical replacement of knees and other joints has become very common practice. The patient begins to put weight on the joint the day after surgery and very quickly becomes mobile. Today, approximately 95% of first time joint replacement patients are satisfied with their surgery results. Due to recent technological and biological developments the longevity of transplants is increasing and today ranges between 15 – 20 years. In recent years, there has been a move to performing hip replacement using a reduced incision of approximately 5-6 cm. This incision minimizes tissue damage and patients recuperate much more quickly, with some being discharged after only 5 days.
During the past year an Israeli team performed, for the first time in the world, a non-invasive computer guided hip replacement without any need to cut the muscles.
Joint reconstructive surgery is also performed. This surgery is geared towards young people with congenital or developmental diseases of the joints. This prevents degenerative changes and the need to replace the hip or the knee at a later stage in life.
Team including physicians, nurses, social workers, physical and occupational therapists, begin working with the patients a month before surgery, guide him/her, and aims to ease the hospitalization and discharge. This system has proven effective in preventing superfluous fear and increasing patient satisfaction.