Guanacaste Orthopedic Surgery

Guanacaste Orthopedic treatments

We provide all major medical treatments and surgeries for different orthopedic procedures. Costa Rica boasts a number of specialist orthopedic surgeons who have made their mark across the world.

Knee Arthroscopy

Knee ArthroscopyKnee arthroscopic surgery is a procedure performed through small incisions in the skin to repair injuries to tissues such as ligaments, cartilage, or bone within the knee joint area. The surgery is conducted with the aid of an arthroscope, which is a very small instrument guided by a lighted scope attached to a television monitor. Other instruments are inserted through three incisions around the knee. Technical advances have led to high definition monitors and high resolution cameras. These and other improvements have made arthroscopy a very effective tool for treating knee problems. According to the American Orthopedic Society for Sports Medicine, more than 4 million knee arthroscopies are performed worldwide each year.

Arthroscopic surgeries range from minor procedures such as flushing or smoothing out bone surfaces or tissue fragments (lavage and debridement) associated with osteoarthritis, to the realignment of a dislocated knee and ligament grafting surgeries. The range of surgeries represents very different procedures, risks, and aftercare requirements. While the clear advantages of arthroscopic surgery lie in surgery with less anesthetic, less cutting, and less recovery time, this surgery nonetheless requires a very thorough examination of the causes of knee injury or pain prior to a decision for surgery.

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Knee Replacement

Knee ReplacementKnee replacement, or knee arthroplasty, is a surgical procedure to replace a damaged knee with a prosthesis (an artificial joint). It is most commonly performed for osteoarthritis, and also for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. In patients with severe deformity from advanced rheumatoid arthritis, trauma, or long-standing osteoarthritis, the surgery may be more complicated and carry higher risk. Knee replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee. The operation typically involves substantial postoperative pain, and includes vigorous physical rehabilitation. The recovery period may be 6 weeks or longer and may involve the use of mobility aids (e.g., walking frames, canes, crutches) to enable the patient’s return to preoperative mobility. According to the Agency for Healthcare Research and Quality, more than 600,000 knee replacements are performed each year in the United States.

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Shoulder Replacement

Shoulder ReplacementShoulder replacement (arthroplasty) is a surgical procedure in which all or part of the glenohumeral joint is replaced by a prosthetic implant. Such joint replacement surgery generally is conducted to relieve arthritis pain or fix severe physical joint damage. Shoulder replacement surgery is an option for treatment of severe arthritis of the shoulder joint. Arthritis is a condition that affects the cartilage of the joints. As the cartilage lining wears away, the protective lining between the bones is lost. When this happens, painful bone-on-bone arthritis develops. Severe shoulder arthritis is quite painful, and can cause restriction of motion. While this may be tolerated with some medications and lifestyle adjustments, there may come a time when surgical treatment is necessary.

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Total Hip Replacement

Hip ReplacementHip replacement is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopedic surgery is generally conducted to relieve arthritis pain or fix severe physical joint damage as part of hip fracture treatment. A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopedic operation.

Osteoarthritis of the hip is the most common diagnosis that leads to hip replacement. Osteoarthritis is caused by wear and tear and affects the cartilage surfaces of the ball-and-socket joint of the hip. When the cartilage wears out, pain and stiffness result. Patients with hip arthritis have difficulty walking, climbing stairs and performing routine daily activities. Other conditions that can cause destruction of the hip joint include loss of blood supply to the head of the thighbone, rheumatoid arthritis, previous injury or trauma, infection or developmental abnormalities in the hip.

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Repair Ulnar Claw

Repair Ulnar ClawAn ulnar claw, also known as claw hand, is an abnormal hand position that develops due to a problem with the ulnar nerve. A hand in ulnar claw position will have the 4th and/or 5th fingers drawn towards the back of the hand at the first knuckle and curled towards the palm at the second and third knuckles.  The ulnar nerve runs from the shoulder to the little finger. If there is damage to the ulnar nerve, it can affect one’s ability to make fine movements and can cause the hand to appear claw-like. Surgery to relieve pressure on the nerve is often the best method to reduce the symptoms of claw hand.

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Bunion Repair

Bunion RepairA bunion is one problem that can develop due to hallux valgus, a foot deformity. The term “hallux valgus” is Latin and means a turning outward (valgus) of the big toe (hallux). The bone which joins the big toe, the first metatarsal, becomes prominent on the inner border of the foot. This bump is the bunion and is made up of bone and soft tissue.

Bunion surgery generally involves an incision in the top or side of the big toe joint and the removal or realignment of soft tissue and bone. This is done to relieve pain and restore normal alignment to the joint. Small wires, screws, or plates may be used to hold the bones in place. A regional anesthetic that affects only the foot is commonly used for bunion surgery and a sedative may also be used during the procedure. The procedure usually takes an hour or more, depending on the type of surgery. Bunion repairs are usually done on an outpatient basis. There are over 100 surgeries for bunions. Research does not show which type of surgery is best—surgery needs to be specific to the condition. More than one procedure may be done at the same time.

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