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Orthopedic surgery

life science Maturity 11-13 Next article →

Orthopedic surgery is a specialized medical branch focused on the musculoskeletal system. This system includes the bones, muscles, joints, ligaments, and tendons that allow the body to move.

X-ray3
X-ray3

Orthopedic surgeons address a wide variety of conditions through both surgical and nonsurgical methods. They treat musculoskeletal trauma, such as broken bones, and various diseases affecting the spine. Surgeons also manage sports injuries, degenerative diseases, infections, tumors, and congenital disorders. These are conditions that people are born with. By treating these issues, orthopedic specialists help maintain human mobility and physical function.

Treatment methods vary depending on the specific injury or disease. Some surgeons use nonsurgical means like exercise, manipulation, or bracing to correct alignment. One early surgical method was percutaneous tenotomy, which involved cutting a tendon, such as the Achilles tendon, to treat deformities.

In modern practice, surgeons often use implants to stabilize the body. For example, intramedullary rods are metal rods placed inside the bone to treat fractures of the femur or tibia. Another method is external fixation, where hardware is placed outside the body to hold bones in place. This can include devices like the Ilizarov apparatus, which uses rings and wires to realign or lengthen bones.

There are many different subspecialties within the field of orthopedics. Surgeons may undergo fellowship training to become experts in a specific area. Some focus on pediatric orthopedics, which is the care of children's skeletal issues. Others specialize in hand and upper extremity surgery, or foot and ankle surgery. Some surgeons focus on orthopedic oncology, which involves treating bone tumors. Other specialized paths include spine surgery, shoulder and elbow surgery, and sports medicine. There are even specialists for orthopedic trauma and total joint reconstruction, known as arthroplasty.

The history of orthopedics began with a focus on children. In 1741, Nicolas Andry, a professor in France, coined the term "orthopedics." The word comes from the Greek words for "correct" and "child."

Hugh Owen Thomas
Hugh Owen Thomas

Early treatments were often unsanitary, such as using bandages soaked in horse blood during the Middle Ages. In 1780, Jean-André Venel opened the first orthopedic institute specifically for children. He developed special shoes for club-foot and methods for spinal curvature. Over time, the field expanded from treating children to managing bone and spinal issues for people of all ages.

Many innovators have shaped modern orthopedic techniques through wartime experience and research. Hugh Owen Thomas, a Welsh surgeon, developed the "Thomas splint" to stabilize fractured femurs. During the First World War, his techniques helped reduce the mortality rate of open femur fractures from 87% to less than 8%.

Hip replacement Image 3684-PH
Hip replacement Image 3684-PH

Sir Robert Jones, his nephew, organized the first comprehensive accident service for workers at the Manchester Ship Canal. In the 1960s, Sir John Charnley pioneered modern total hip replacement. He used a stainless steel femoral stem and a polyethylene component held by bone cement. This work created the foundation for almost all modern hip implants used today.

Technological advances continue to change how surgeons approach complex repairs. In the USSR, Gavriil Ilizarov used parts from a bicycle shop to create ring external fixators. These devices allowed for the healing and lengthening of bones in difficult conditions. In the United States, researchers at Harborview Medical Center popularized intramedullary fixation without opening the fracture site.

Repair-of-fracture-to-right-acetabulum
Repair-of-fracture-to-right-acetabulum

Modern research also focuses on making implants more durable and making surgeries less invasive. Surgeons are also working to balance effective pain management with the need to decrease the prescription of opioid medications.

Becoming an orthopedic surgeon requires extensive and competitive medical training. In the United States, students typically complete four years of undergraduate study and four years of medical school. After earning an MD or DO degree, they must complete a five-year residency in orthopedic surgery.

This training is highly competitive, with roughly 700 physicians completing residency each year in the U.S. Currently, there are about 20,400 actively practicing orthopedic surgeons and residents in the country. This specialized training ensures that surgeons can handle the complex mechanics of the human musculoskeletal system.

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🖼️ Images & Media (6)
File:Hugh Owen Thomas.jpg
Hugh Owen Thomas.jpg
File:Hip replacement Image 3684-PH.jpg
Hip replacement Image 3684-PH.jpg
File:Repair-of-fracture-to-right-acetabulum.jpg
Repair-of-fracture-to-right-acetabulum.jpg
File:Xraymachine.JPG
Xraymachine.JPG
File:X-ray3.jpg
X-ray3.jpg
File:X ray internal fixation leg fracture.jpg
X ray internal fixation leg fracture.jpg
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