The service manages all major, complex, musculoskeletal injuries, including spine and pelvis.
- Spine Surgery of Degenerative, Traumatic Disorders and Tumors:
Including disc surgery, spinal stenosis, spondylolisthesis, instability of different etiologies and scoliosis using state-of-the-art instrumentation. Vertebroplasty is one of the new treatments added to the armentarium. Instrumentation of the spine was introduced in 1975 for anterior and posterior fusions and now encompasses all types and modalities.
- Limb Salvage Malignant Tumor Surgery:
In collaboration with the Children's Cancer Center of Lebanon (CCCL) which is affiliated with St Jude Children's Research Hospital. The CCCL has become a referral, regional center for handling this difficult problem. The service provides comprehensive evaluation and staging studies for both benign and malignant bone and soft tissue tumors. The team is formed of dedicated nurses, oncologists, radiation therapists, radiologists, pathologists and physical therapists. Metastatic, bony lesions in adult patients are also being handled by our experienced surgeons to help in pain control and preserve independent ambulation in those fragile patients.
- Reconstructive Surgery:
Total joint replacement: hip, knee, shoulder. The first joint replacement of the hip in the Middle East was done at AUBMC in 1968, and this program has continued and expanded to include other major joints. Mini invasive and resurfacing techniques are commonly used, as well as reconstructive hip, knee and other types of osteotomies,
Ilizarov technique, circular or monolateral fixators, Taylor frame, self-lengthening rods for correction of traumatic and congenital deformities. They include: fibular hemimelia, Congenital Femoral Deficiency (PFFD), radial clubhand, malalignement: genu varum or valgum, constitutional short stature and dwarism, soft tissue contracture, knee flexion contracture and ankle equinus.
- Sports Medicine:
Backed by a good Physical Therapy Department. Rehabilitation is essential for proper care in our field. ACL ligament repairs following injuries, bony sport injuries, meniscal tears and rotator cuff tears are all managed expertly and professionally. Shoulder arthroscopy is widely used for shoulder pathologies.
- Arthroscopic Surgery:
Has been developed and used widely in different joints.
Limb Lengthening and Reconstruction:
Including congenital, developmental, post-traumatic and infectious origins which are handled competently. The treatment follows the concepts of Dr. Ilizarov and their applications in the correction of musculoskeletal disorders. It deals with all types of limb deformities in pediatric and adults, including:
- leg length discrepancy
- malalignment: genu varum or valgum
- constitutional short stature and dwarfism
- non union and osteomyelitis
soft tissue contracture
- knee flexion contracture, ankle equinus
- relapsed clubfoot in older child
- Pediatric Orthopaedics:
In fact, this was the cornerstone of the specialty of orthopaedic surgery when Nicolas Andre, a French surgeon, coined the term "Orthopédie" from the Greek meaning to straighten a child. The three common conditions that were recognized at that time and still exist with us today are:
- club foot using the Ponsetti Method or surgical procedures for the recalcitrant cases
- developmental hip displasiaa
- idiopathic scoliosis
- other varied diseases such as cerebral palsy, meningomyelocoele and deficient limb
- Hand and Upper Extremity:
- injuries of the shoulder, arm, elbow, forearm, wrist and hand
- arthritis and reconstructive surgery for aquired or congenital anomalies
- nerve and tendon lesions