The branch of surgery broadly concerned with the skeletal system (bones). Orthopedics is how this field of surgery is listed under Physicians & Surgeons in the telephone Yellow Pages in Jacksonville, Florida. This spelling is quite common today. But it is incorrect, erroneous, flat out wrong. Orthopedics would relate the term to the foot because in Latin pedis means foot. Orthopaedics is not merely old-fashioned. It is the correct spelling. What was meant by the term orthopaedics when it was devised goes back to its roots: ortho-, straight + the Greek paes, child = the practice, literally, of straightening the child. If the child had a crooked spine (scoliosis), it was the job of the orthopaedist to straighten the child, not just the child's foot. That is why there is no American Academy of Orthopedic Surgery but there is an American Academy of Orthopaedic Surgery. And that is also why orthopaedists look after broken bones.
Orthopedic Physical Therapy
Orthopedics is a branch of medicine focused on the muscular and skeletal systems. Learn the various types of disorders and injuries affecting our muscles, bones, and joints while discovering the important role physical therapy plays in managing orthopedic conditions.
Definition
Orthopedic (sometimes spelled orthopedic) surgery is an operation performed by a medical specialist such as an orthopedist or orthopedic surgeon, who is trained to assess and treat problems that develop in the bones, joints, and ligaments of the human body.
Purpose
Orthopedic surgery addresses and attempts to correct problems that arise in the skeleton and its attachments, the ligaments and tendons. It may also include some problems of the nervous system, such as those that arise from injury of the spine. These problems can occur at birth, through injury, or as the result of aging. They may be acute, as in an accident or injury, or chronic, as in many problems related to aging.
Orthopedic surgery addresses and attempts to correct problems that arise in the skeleton and its attachments, the ligaments and tendons. It may also include some problems of the nervous system, such as those that arise from injury of the spine. These problems can occur at birth, through injury, or as the result of aging. They may be acute, as in an accident or injury, or chronic, as in many problems related to aging.
Orthopedics comes from two Greek words, ortho, meaning straight, and pais, meaning child. Originally, orthopedic surgeons treated skeletal deformities in children, using braces to straighten the child's bones. With the development of anesthesia and an understanding of the importance of aseptic technique in surgery, orthopedic surgeons extended their role to include surgery involving the bones and related nerves and connective tissue.
The terms orthopedic surgeon and orthopedist are used interchangeably today to indicate a medical doctor with special training and certification in orthopedics.
Many orthopedic surgeons maintain a general practice, while some specialize in one particular aspect of orthopedics such as hand surgery, joint replacements, or disorders of the spine. Orthopedists treat both acute and chronic disorders. Some orthopedic surgeons specialize in trauma medicine and can be found in emergency rooms and trauma centers, treating injuries. Others find their work overlapping with plastic surgeons, geriatric specialists, pediatricians, or podiatrists (foot care specialists). A rapidly growing area of orthopedics is sports medicine, and many sports medicine doctors are board certified in orthopedic surgery.
Demographics
The American Academy of Orthopedic Surgeons reports that in 2003, there are 15,853 active fellows, 1,829 resident members, and 2,240 candidate members, for a total of 19,922 orthopedic surgeons in the United States.
The American Academy of Orthopedic Surgeons reports that in 2003, there are 15,853 active fellows, 1,829 resident members, and 2,240 candidate members, for a total of 19,922 orthopedic surgeons in the United States.
Description
The range of treatments provided by orthopedists is extensive. They include procedures such as traction, amputation, hand reconstruction, spinal fusion, and joint replacements. They also treat strains and sprains, broken bones, and dislocations. Some specific procedures performed by orthopedic surgeons are listed as separate entries in this book, including arthroplasty, arthroscopic surgery, bone grafting, fasciotomy, fracture repair, kneecap removal, and traction.
The range of treatments provided by orthopedists is extensive. They include procedures such as traction, amputation, hand reconstruction, spinal fusion, and joint replacements. They also treat strains and sprains, broken bones, and dislocations. Some specific procedures performed by orthopedic surgeons are listed as separate entries in this book, including arthroplasty, arthroscopic surgery, bone grafting, fasciotomy, fracture repair, kneecap removal, and traction.
In general, orthopedists are employed by hospitals, medical centers, trauma centers, or free-standing surgical centers where they work closely with a surgical team, including an anesthesiologist and surgical nurse. Orthopedic surgery can be performed under general, regional, or local anesthesia.
Much of the work of an orthopedic surgeon involves adding foreign material to the body in the form of screws, wires, pins, tongs, and prosthetics to hold damaged bones in their proper alignment or to replace damaged bone or connective tissue. Great improvements have been made in the development of artificial limbs and joints, and in the materials available to repair damage to bones and connective tissue. As developments occur in the fields of metallurgy and plastics, changes will take place in orthopedic surgery that will allow surgeons to more nearly duplicate the natural functions of bones, joints, and ligaments, and to more accurately restore damaged parts to their original ranges of motion.
Diagnosis/Preparation
Persons are usually referred to an orthopedic surgeon by a primary care physician, emergency room physician, or other doctor. Prior to any surgery, candidates undergo extensive testing to determine appropriate corrective procedures. Tests may include x rays, computed tomography (CT) scans, magnetic resonance imaging (MRI), myelograms, diagnostic arthroplasty, and blood tests. The orthopedist will determine the history of the disorder and any treatments that were previously tried. A period of rest to the injured part may be recommended before surgery is undertaken.
Persons are usually referred to an orthopedic surgeon by a primary care physician, emergency room physician, or other doctor. Prior to any surgery, candidates undergo extensive testing to determine appropriate corrective procedures. Tests may include x rays, computed tomography (CT) scans, magnetic resonance imaging (MRI), myelograms, diagnostic arthroplasty, and blood tests. The orthopedist will determine the history of the disorder and any treatments that were previously tried. A period of rest to the injured part may be recommended before surgery is undertaken.
Surgical candidates undergo standard blood and urine tests before surgery and, for major procedures, may be given an electrocardiogram or other diagnostic tests prior to the operation. Individuals may choose to donate some of their own blood to be held in reserve for their use in major surgery such as knee replacement, during which heavy bleeding is common.
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