What are orthopedic procedures?
Orthopedic procedures are ways to diagnose, manage or treat musculoskeletal problems. This includes conditions that affect the muscles, bones, joints, ligaments, tendons and nerves. Common procedures and surgeries include:
Arthroplasty is orthopedic surgery to replace a damaged joint with an artificial joint implant. Joint replacement is another name for arthroplasty.
Arthroscopy is minimally invasive surgery using a miniature camera to view the inside of the joint space. With arthroscopy, doctors can diagnose joint problems and make repairs, if necessary, using smaller incisions and smaller surgical instruments than are used in open surgery.
Injections for pain relief including epidural and facet injections for spinal pain and cortisone injections for joint pain and swelling. Both are minor procedures. Spinal injections can treat or help diagnose the source of back or neck pain. These injections can also treat spinal pain that radiates to the arms, legs, or other areas.
Labrum repair treats a torn labrum. A labrum is cartilage present in the ball and socket joints of the hip and shoulder.
Orthopedic stem cell therapy uses your own bone marrow and stem cells to repair injuries and fight disease. The doctor injects the stem cells into the area of injury or disease.
Platelet-rich plasma injection uses platelets from your own blood to promote healing. The doctor injects concentrated platelets into the injured or diseased tissue.
Why are orthopedic procedures performed?
When you first see a doctor for symptoms of a musculoskeletal condition or injury, the doctor will likely recommend an orthopedic solution to the problem because orthopedic treatments can address a variety of bone, joint, and soft tissue disorders. Treatment goals can include correcting physical problems, lessening symptoms, reducing disability, and improving quality of life. Common conditions that may require an orthopedic procedure include:
Joint problems including bursitis, tendinitis, torn cartilage, sprains, and strains
Muscle problems including pulled muscles and muscle tears
Trauma including bone fractures, torn ligaments, and dislocated joints
Tumors including cancerous (malignant) and noncancerous (benign) growths of the muscles, bones and joints
Who performs orthopedic procedures?
Orthopedic surgeons perform orthopedic procedures. Orthopedic surgeons treat, prevent and rehabilitate bone and joint problems. In addition to surgery, they also use medical approaches to manage these types of problems. Foot and ankle surgeons, hand surgeons, sports medicine doctors, and other types of specialists also perform orthopedic procedures.
How are orthopedic procedures performed?
The details of an orthopedic procedure will vary by location, surgical approach, and anesthesia. They can take place in a hospital, surgical center, or doctor’s office. They can also be either open surgery with a large incision or minimally invasive surgery with smaller incisions. Many orthopedic procedures are major surgeries involving significant recovery, but people typically recover faster from minimally invasive procedures compared to open procedures.
These procedures usually require general anesthesia so you sleep through the surgery. Some outpatient procedures will also use general anesthesia. However, it may be possible to use regional anesthesia with sedation. Office procedures, including injections, may only involve local anesthesia at the site of the procedure.
What are the risks and potential complications of orthopedic procedures?
Any surgery or procedure will involve risks and possible complications. These can sometimes be serious and may develop during surgery or while you are recovering. General risks of surgery include bleeding, infection, blood clots, and reactions to the anesthetic. The surgical team will take care of these problems immediately, and there are usually no long-term effects.
Potential complications of orthopedic procedures
In most cases, orthopedic procedures are successful. Potential complications will vary depending on the specific procedure and may include:
Development of arthritis in the joint
Dislocation, loosening, or wear and tear of the new joint, which may require additional surgery
Nerve, muscle, or blood vessel damage
Persistent symptoms including pain and stiffness
Poor healing or failure of a graft or repair
Scarring within the joint or on joint structures, which may lead to stiffness and other problems
Spinal headache from epidural anesthesia or injections
You can reduce your risk of certain complications by following all pre- and postsurgical care instructions. Choosing a surgeon with experience performing the specific procedure you need without complications will also help reduce your risk. Ask your surgeon what complications you are most at risk for and how he or she will treat them if they occur.
How do I prepare for an orthopedic procedure?
The steps you take before surgery can help improve your comfort and outcome. You can prepare for an orthopedic procedure by:
Arranging a ride home and making sure someone can stay with you the first 24 hours.
Getting preoperative testing if your doctor orders it. This will vary depending on the procedure and your medical history.
Losing excess weight before surgery. This can have a positive affect the surgical approach and your recovery.
Making sure all your healthcare providers have your complete medical history. This includes chronic conditions, allergies and medications. When listing medications, include prescriptions, over-the-counter drugs, herbal treatments, and vitamin supplements.
Not eating or drinking before surgery as directed
Stopping smoking as soon as possible to help the healing process
Taking or stopping medications as directed
Questions to ask your doctor
Knowing as much as you can about the procedure can help you approach surgery with confidence and realistic expectations. Make a list of questions and take them to your appointments. Questions you may want to ask your doctor include:
Why do I need the orthopedic procedure you are recommending? Are there any other options we can try first?
What complications might I encounter?
What if the procedure does not improve my symptoms?
How long will the procedure take? When can I go home?
What restrictions will I have after the procedure? What kind of assistance will I need at home?
When can I return to work and other activities?
When will I start physical therapy? How many treatments are typically necessary for recovery?
How will you manage my pain?
What changes, if any, to my medication plan do I need to make?
When should I follow up with you?
What can I expect after an orthopedic procedure?
Knowing what to expect makes it easier to plan and prepare for a successful recovery after an orthopedic procedure.
For office procedures and minor surgeries, you should be able to go home after the procedure. However, major orthopedic procedures, such as total hip replacement, shoulder reconstruction, or spine surgery, may require a hospital stay that can last several days. For all orthopedic procedures, your team will give you instructions with details about activity level, medications (including pain control medicines), and follow-up appointments before you leave.
You may need to wear a cast, brace or sling or use crutches or a walker for a few weeks after surgery. Physical therapy (PT) is also a common part of recovery for orthopedic procedures. PT will help you regain strength, function and flexibility in the area. Full recovery can take several weeks or months, or even a year, depending on your specific condition and procedure, as well as your overall physical health.
When should I call my doctor?
Contact your doctor’s office between appointments if you have questions about your recovery. Call your doctor right away or seek immediate medical care if you have any of the following:
Breathing problems or shortness of breath
Confusion or changes in level of alertness
Chest pain, pressure or tightness
Drainage of pus, redness or swelling around your incision
Fever. It’s common to have a fever right after surgery. Your doctor will give you instructions about when to call for a fever.
Inability to urinate or move your bowels
How might an orthopedic procedure affect my everyday life?
Most orthopedic procedures are successful at returning people to independence and an active lifestyle. Your results will depend on the amount of damage or disease you have before surgery. It is possible you may notice decreased abilities in certain areas or have difficulty with some movements. With joint replacements, you may need to avoid sports and activities that put too much stress on the joint. Talk with your doctor before surgery so you know what to expect from your long-term recovery.