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Orthopaedics is a specialised surgical discipline that involves the diagnosis and management of conditions concerning the musculoskeletal system. Orthopaedic surgeons use both surgical and conservative measures to treat musculoskeletal trauma, soft tissue injuries and infections, spinal conditions, sports injuries, degenerative diseases as well as congenital disorders, tumours and infections involving the muscles and bones.
Orthopaedic surgery can require working for long hours and being on one's feet for a long duration of time performing physical labour in the operating room. One's resolve needs to be strong, and keeping physically fit is a big advantage for being able to keep up with the demands of this surgical discipline.
Orthopaedic training involves first completing the 5 to 6 year undergraduate degree, depending on which country you live in, of bachelor of medicine and surgery which qualifies a student in becoming a medical doctor. Thereafter internship training of 1-2 years needs to be completed before a doctor can specialise in orthopaedic surgery.
If an orthopaedic surgery post is available at the academic institution the doctors chooses to specialise at, and if there are consultants available to mentor and train new candidates, then the Aspiring doctor can apply for such position. If the doctor's application is accepted and the interview phase is successful, then the candidate can begin training as a specialist orthopaedic surgeon. If a post is not available yet, then the doctor can take a medical officer position where they can work in the orthopaedic department and gain valuable experience while waiting for a post to become available.
The postgraduate training in this discipline lasts 5 years and when it is completed successfully, the doctor is then a specialist orthopaedic surgeon.
Orthopaedic surgeons can then decide to continue in private practice or work in a state run hospital where they diagnose and manage general orthopaedic cases such as simple or complicated fractures, soft tissue infections and trauma cases. These doctors can, however, also decide to sub-specialise further and would therefore need to complete a further 1-2 years of fellowship training in their chosen sub-specialty. Orthopaedic sub-specialties include the following:
- Total joint reconstruction/replacement, known as arthroplasty
- Shoulder and elbow surgery
- Hand surgery
- Orthopaedic trauma
- Spinal surgery
- Foot and ankle surgery
- Pediatric orthopaedics
- Surgical sports medicine
- Musculoskeletal oncology
Most common orthopaedic procedures
The following list mentions the most commonly performed orthopaedic surgeries in order, starting from the most often performed procedure.
- Knee arthroscopy with meniscectomy
- Arthroscopy and decompression of the shoulder joint
- Knee arthroscopy and chondroplasty
- Carpal tunnel release
- The removal of surgical implants
- Knee replacement
- Knee arthroscopy and anterior cruciate ligament reconstruction
- Repair of femoral neck fracture
- Debridement of skin, muscle, bone or a fracture
- Hip replacement
- Knee arthroscopy repair of both menisci
- Repair of rotator cuff tendon in shoulder
- Shoulder arthroscopy with distal clavicle excision
- Laminectomy of spinal vertebra
- Repair fracture of radius and/or ulna
- Shoulder arthroscopy and debridement
- Repair of bimalleolar ankle fracture
- Repair of fracture of the distal part of the radius
- Lumbar spine fusion
- Lower back intervertebral disc surgery
- Repair of femoral shaft fracture
- Repair of fibula fracture in ankle
- Repair of femoral trochanteric fracture