Orthopedics

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.
Trauma services for a variety of skeletal injuries, is available, based upon rich experience, including cases of fractured pelvis and the acetabulum. Treatment for a variety of open and closed fractures is performed using advanced techniques e.g. intramedullary nailing. Some of the most sophisticated modes of treatments have been developed here in Israel, such as the Ilizaroff technique.
Sports Medicine is a unique, multi-disciplinary profession, designated to aid all those who participate in sports - professionals and amateurs, adults and children - providing solutions to problems resulting from athletic activity.

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

Shoulder

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
 
Treatment Methods

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:
1. Stabilization of recurrent shoulder dislocations.
2. Repair of full and partial tears of the rotator cuff tendons.
3. Debridement of diseased tissue in cases of extended bursitis.
4. Partial or complete replacement of the shoulder joint necessary in cases of severe arthritis, distortion or shattered shoulder fractures.
5. Fracture fixation in the shoulder area.

Back Surgery

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.

Treatment Methods

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:
 Scoliosis straightening.
 Disc prosthesis transplants.
 Slipped disc resection.
 Inter-vertebral fusion.
 Tumor resection.
 Treatments using percutaneous techniques (in cases of osteoporosis fractures).
 Fixation of vertebral fractures resulting from accidents.
 Mechanical disc transplants.

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.

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.