Most Common Orthopedic Surgeries

6 Most Common Orthopedic Surgeries

Unintentional injuries account for 30.8 million emergency department visits each year. These include injuries ranging from strains, sprains, and dislocations to concussions and fractures, most of which affect the musculoskeletal system.

The musculoskeletal system includes the bones, cartilage, ligaments, tendons, joints and bursae–the lubricated cushions between a bone and the surrounding soft tissue. When looking at all musculoskeletal injuries, fractures (broken bones) account for 16%.

When possible, non-surgical treatment methods are always preferred. However, in many cases, surgery is necessary to correct these orthopedic injuries. Based on data from the American Academy of Orthopaedic Surgeons, these are the six most common orthopedic surgeries:

#6 Partial Shoulder Replacement (15,860)

Shoulder replacement surgeries are significantly less common than knee or hip replacements. While they may be performed to treat an injury such as a severely torn rotator cuff, shoulder replacement surgery is often used to relieve painful conditions such as osteoarthritis. A partial shoulder replacement, or hemiarthroplasty, is a procedure during which the head of the humerus bone (long bone in the upper arm) is replaced with a prosthetic ball, but the natural socket is left intact.

#5 Total Shoulder Replacement (29,414)

In cases where the shoulder socket is affected, a total shoulder replacement is necessary. There are two different methods–traditional arthroplasty and reverse arthroplasty. In a traditional shoulder replacement surgery, the original ball-and-socket surfaces of the shoulder are replaced with similarly shaped prosthetics. During a reverse, the positions of the shoulder joint’s ball and socket are switched–the ball at the top of the upper arm bone (humerus) is replaced with a socket-shaped prosthetic and the socket is replaced with a prosthetic ball.

#4 Partial Hip Replacement (105,509)

Partial hip replacement surgery is most often performed to repair certain types of hip fractures. Like the shoulder, the hip is comprised of a ball and socket joint. With a partial replacement, the femoral head (or ball) is removed and replaced with either a ceramic or metal ball that is attached to a metal stem. The stem, called a hip implant, is set into the femur. The socket is left intact.

#3 Total Hip Replacement (306,600)

The hip is one of the body’s largest joint and hip replacement surgery is considered one of the most successful surgical procedures in all of medicine. A total hip replacement includes replacement of the femoral head (ball) and neck, and removal of any damaged cartilage in the pelvis. There are three types of bearing surfaces available for total hip replacements–metal ball on plastic liner, ceramic on ceramic, and metal on metal. Metal on highly cross-linked polyethylene (plastic) is the most recommended for its durability. Around 98% of this type of replacement last around 20 years in young, active patients.

#2 Spinal Fusion (465,070)

Spinal fusion may help relieve back pain symptoms caused by conditions such as degenerative disc disease, spondylolistheses, spinal stenosis, and scoliosis, as well as fractured vertebrae, a herniated disk, infection or a tumor. With this procedure, two or more vertebrae are fused together and heal into a single, solid bone in order to restore the stability of the spine or eliminate painful motion. It is based on the theory that if the vertebrae causing the pain cannot move, they should no longer cause pain.

#1 Total Knee Replacement (645,062)

Knee pain is the second most common cause of chronic pain in the United States. For those who are unable to perform everyday tasks, such as sleeping, without difficulty and pain, joint replacement surgery is often recommended. It may also be used to correct a knee deformity.

The procedure name, total knee replacement, can be misleading. What many people may not realize is that the bones themselves are not actually replaced, but rather their surfaces. The bones (tibia and femur) are prepared by removing any damaged cartilage from their surfaces along with a small amount of underlying bone. Metal implants are then used to recreate the surface. The patella (kneecap) is also resurfaced before a medical-grade spacer is inserted between the metal components. This space creates a smooth gliding surface to restore joint function.

Contact Paris Orthopedics

Paris Orthopedic and Sports Medicine’s team of board-certified physicians offer comprehensive orthopedic and musculoskeletal services for patients throughout Northeast Texas and Southeast Oklahoma. Their services include both surgical and non-surgical treatments for sports injuries and a broad range of bone, muscle, and joint problems. For more information or to schedule an appointment call (903) 737-0000.

*The figures listed in parentheses next to each procedure represent hospital discharges