Orthopedic Center

Bones are resilient and robust organs, serving as the foundational framework of the body and safeguarding internal organs from potential harm. They not only provide structural support but also serve as repositories of essential minerals and sites for the production of blood cells. Given their crucial role in the body, it is imperative to provide diligent care to bones and joints to preserve their strength and avert premature degeneration.

Thailand has now officially transitioned into an aging society since 2005. The probability of experiencing orthopedic disorders, including knee and hip osteoarthritis, as well as osteoporosis, tends to increase among individuals aged 65 and above. Moreover, it has become commonplace to observe individuals across all age brackets seeking medical attention for orthopedic issues, whether arising from accidents or abnormalities in bones, joints, soft tissues, muscles, ligaments, tendons, and nerves, attributed to daily activities, lifestyles, age-related degeneration, or congenital anomalies.

Recognizing the significance of addressing orthopedic conditions across all age groups, the Orthopedic Center at MedPark Hospital has strategically assembled a team of seasoned orthopedists. These specialists bring extensive expertise in treating a spectrum of orthopedic disorders, whether congenital, age-related, lifestyle-induced, or from accidents, affecting various aspects of the musculoskeletal system, including bones, joints, ligaments, tendons, and muscles. Patients grappling with such disorders necessitate precise diagnosis, effective treatment, and attentive care, all of which are diligently provided by our highly experienced surgeons and a multidisciplinary team, ensuring a comprehensive approach to facilitate their return to normal daily activities.

Upon identifying an orthopedic disorder, seeking consultation from an orthopedist with substantial experience and expertise in accurate diagnosis, effective treatment, and facilitating patient recovery is strongly recommended. Furthermore, choosing a hospital equipped with advanced medical tools and technology can significantly enhance treatment outcomes. Such facilities play a pivotal role in aiding patients to regain their health and mobility, enabling them to return confidently to their desired activities.

Why the Orthopedic Center at MedPark Hospital?

The Orthopedic Center is the focal point for a team of highly experienced orthopedists led by accomplished teaching faculties boasting over 30 years of expertise in managing high acuity and complex diseases. Additionally, a new generation of surgeons, well-versed in harnessing modern technology, contributes to the expansion of clinical proficiency of the center. With over 40 subspecialists and a collaborative multidisciplinary team, the center offers comprehensive treatment encompassing various disorders of the bone, joint, ligament, tendon, muscular, and skeletal systems. The range of services extends to treatments for bone tumors, hip and knee arthroplasty, nerve grafting surgery, spine surgery, and addressing injuries resulting from accidents, sports, daily activities, orthopedic concerns in children and seniors, and congenital orthopedic issues.
A physician collaboratively discusses with the patient to design a comprehensive personalized treatment plan to facilitate a smooth and safe return to daily life. In conjunction with the Physical Medicine and Rehabilitation Center, the Orthopedic Center offers recommendations for post-treatment recovery, aiming to assist patients in regaining independence and promptly resuming their daily activities.
The center is extensively equipped with state-of-the-art medical technology and instruments, elevating the precision of surgical procedures to unprecedented levels. Among the advanced technologies, a robotic surgical assistant plays a pivotal role, particularly in knee arthroplasty. This robotic assistant generates a 3D avatar of the knee joint, empowering physicians to tailor surgical plans based on individual patient anatomy and movement. It further conducts real-time assessments for prosthesis placement, offering the flexibility to adjust the procedure in real-time. The center deploys additional technologies that significantly enhance precision in diagnosing, treating, and aiding the recovery of patients with orthopedic disorders, operating with millimeter accuracy. These technologies facilitate complex surgeries, including minimally invasive procedures, hip and knee replacements, spine surgery, orthopedic surgery, nerve grafting, sports-related injury treatment, and intricate orthopedic procedures in children. By ensuring enhanced mobility and independence, these cutting-edge technologies contribute to a better quality of life, allowing patients to live freely and pursue their desired lifestyles.

Diseases and Conditions

Trauma
- Bone fracture
- Malunion
- Clavicle fracture
- Femoral fracture
- Hip fracture
- Pelvic fracture
- Patella fracture
- Compression fracture
- Comminuted fracture
- Dislocation
- Wrist fracture
- Ankle fracture
- Traumatic amputation
Hand
- Trigger finger
- De quervain's disease
- Entrapment neuropathy
- Carpal tunnel syndrome
- Lateral epicondylitis (Tennis elbow)
- Osteoarthritis of hand
- Polydactyly
- Dupuytren’s contracture
- Hand and wrist pain
- Ulnar wrist pain
- Ganglion cyst
- Ulnar-sided wrist ligament tears
- Hand numbness
- Elbow dislocation
- Congenital hands deformities
- Nerve injury due to accidents
Disorders of spine
- Disc herniation
- Ankylosing spondylitis
- Spinal stenosis
- Cervical spondylosis radiculopathy/myelopathy
- Pinched hip nerve
- Adult scoliosis
- Spinal infection
- Spinal osteophytes
- Spina bifida
- Spinal cord injury
- Kyphosis
Disorders of foot and ankle
- Plantar fasciitis
- Flatfeet
- Hallux valgus
- Foot deformities
- Diabetic foot osteomyelitis
- Abnormalities in forefoot and hindfoot
- Ankle osteoarthritis
- Foot bone spurs
- Heel pain
- Achilles tendonitis
Disorders of hip and knee
- Avascular necrosis of femoral head
- Hip impingement
- Sciatica pain
- Trochanteric bursitis
- Dislocation of the hip
- Hip fracture in the elderly
- Knee osteoarthritis
- Hip osteoarthritis
- Osteoarthritis
- Patellar subluxation
- Patella tendinitis
- Pain after hip replacement
Bone and soft-tissue tumors
- Bone and soft-tissue tumors in any age group
- Bone cancer
- Tenosynovial giant cell tumor
- Skeletal metastases
Pediatric orthopedic
- Congenital muscular torticollis
- Rickets
- Syndactyly
- Clubfoot
- Pediatric foot deformities
- Talipes valgus
- Pediatric flatfoot
- Overlapping toes
- Juvenile idiopathic arthritis
- Cervical spondylosis in children
- Legg-Calve-Perthes disease
- Upper extremity fractures
- Bowed legs
- Bowing of the upper tibia
- Tibial deficiency and fibular deficiency
- Congenital pseudarthrosis of the tibia
- Congenital deformity of the tibia
- Idiopathic scoliosis in children
- Scheuermann´s disease (juvenile kyphosis)
- Pediatric and adolescent scoliosis
- Pediatric leg length discrepancy
- Elbow fracture due to accidents
- Hip dislocation in children
- Pediatric fracture
Sports medicine: This involves treatment for injuries due to sports and age-
- related degeneration of ligaments and nerves in ankles, knees, hips, elbows,
- and shoulders. Conditions related to sports medicine include:
- Post-traumatic arthritis
- Golfer's elbow
- Compartment syndrome
- Shoulder dislocation
- Recurrent shoulder dislocation
- Rotator cuff degeneration
- Septic arthritis of the hip joint
- Ankle sprains
- Foot and ankle fracture
- Stress fracture
- Osteoporosis
- Shoulder impingement syndrome
- Ankle cartilage injury
- Meniscus tears
- Achilles tendinitis
- Achilles rupture
- Achilles tendon tightness
- Anterior cruciate ligament rupture
- Posterior cruciate ligament rupture
- Medical collateral ligament injury
- Elbow pain
- Elbow dislocation
- Frozen shoulder
- Sport-related shoulder subluxation
- Bicep tendinitis
- Brachial plexus injury
- Rotator cuff tears
- Hip labral tears
- Hip impingement
- Pincer lesion hip or Cam lesion hip
- Athletic hip injury
- Adductor tendinopathy/tear
- Proximal hamstring tear
- Snapping hip
- Abductor / Gluteus minimus / Medius tear
- Piriformis syndrome

Tests and procedures

Whole-spine MRI screening
Knee osteoarthritis screening
Body composition and bone mineral density test
PRP Injection
Vertebroplasty
Treatment for diabetic foot deformity
Treatment for orthopedic conditions of hands
Treatment for orthopedic conditions of the foot and ankle
Treatment for orthopedic conditions of the knee and hip
Treatment for orthopedic conditions of the spinal cord
Treatment for pediatric orthopedic conditions
Treatment for sports medicine conditions
Treatment for bone and soft-tissue tumors
Splinting
Surgery for traumatic fractures
Minimally Invasive Chevron and Akin (MICA)
Arthroscopic Ankle and Endoscopic Foot Surgery
Ankle reconstruction
Surgical correction of foot deformity
Ankle joint osteoarthritis surgery
Heel spur surgery
Endoscopic plantar fascia release technique
Endoscopic Achilles repair
Total knee and total hip replacement
Partial knee replacement
ACL reconstruction
Arthroscopic surgery
Anterior/posterior cruciate ligament reconstruction
Cartilage repair
Limb lengthening
Femoral osteotomy
Acetabular osteotomy
Bankart repair
Growing rods
Bone reconstruction
Brachial plexus surgery
Congenital hand deformity correction
Arthroscopic rotator cuff repair
Shoulder replacement surgery
Reverse shoulder replacement
Finger reattachment
Wrist arthroscopy
Hand microsurgery

Specialties

Failed back surgery syndrome: Individuals suffering from Failed Back Surgery Syndrome (FBSS) necessitate intricate and challenging surgical interventions conducted by a seasoned and highly skilled surgeon. The primary objective of these surgeries is to alleviate the discomfort resulting from unsuccessful back surgeries. Before proceeding with the surgery, a comprehensive diagnostic investigation is crucial. This meticulous diagnostic process is instrumental for making precise corrections, ultimately aiding patients in their journeys to regain regular lives.
Endoscopic discectomy: This procedure involves making a 1-inch skin incision to access the bone, utilizing an endoscope and small-sized surgical tools. This approach results in minimal bleeding, reduced collateral damage to muscles and soft tissues, and less back pain than traditional procedures. Additional advantages are a swift recovery process, smaller incisions, and a faster return to daily activities.
Minimally invasive spine surgery (MIS): This surgical procedure entails the insertion of screws and rods through small incisions facilitated by an endoscope. The advantages of this approach include reduced bleeding and a speedy recovery process. Minimally Invasive Surgery (MIS) is particularly suitable for patients with spinal stenosis and spondylolisthesis due to less soft tissue damage. Typically, patients undergoing this procedure require only a brief hospital stay and can swiftly resume their daily routines.
Cervical spondylosis radiculopathy/myelopathy: Given that the cervical region houses the nerve plexus responsible for controlling upper limb movement, surgery in this area is inherently challenging. The microscope is frequently employed to deal with the anatomic complexity during the procedure to enhance precision and minimize the risk of errors. Furthermore, some patients may require artificial discs to replace degenerated ones. These artificial discs closely mimic the characteristics of natural discs, enabling patients to regain the ability to move their heads forward and backward. Remarkably, this procedure typically requires a brief hospital stay of two days for patients to return to their normal daily activities.
Scoliosis correction in children and adolescents: The correction procedure for scoliosis exceeding 10 degrees, commonly observed in adolescents, involves a tailored approach by the surgeon to align with the developmental growth of each patient, aiming to straighten the curved spine back into a natural position as much as possible. Crucially, the designed treatment is for correcting the existing scoliosis and preventing its recurrence without impeding the developmental spine growth of patients. Following scoliosis correction, patients experience improved posture, enhanced confidence, and the ability to return to daily activities and exercises.
Total knee replacement: This surgical procedure utilizes a robotic surgical assistant to elevate precision in planning and executing knee replacement surgery at a millimeter level. The procedure offers several advantages, including reduced bleeding and minimized damage to the tissues and ligaments surrounding the knee because surgeons don't need to drill into the thighbone (femur) to determine the ideal position for the knee prosthesis, unlike traditional methods, resulting in a smaller surgical incision. Additionally, the procedure promotes more natural kinesthetics and facilitates faster recovery, allowing patients to perform their daily activities more effectively. Patients can achieve full weight-bearing and stand upright within 24 hours post-surgery.
Total hip replacement: This procedure facilitates the restoration of movement for patients without inducing pain or impingement during bodily movements. This goal is achievable through a prosthesis that provides a range of movement comparable to a natural hip joint. In addition to addressing movement issues, total hip replacement eliminates leg-length discrepancies, improving a patient's overall quality of life and aiding in the seamless return to their daily routines.
Surgery for slipped capital femoral epiphysis: Slipped capital femoral epiphysis (SCFE) is prevalent among overweight adolescents. Surgical intervention can address both chronic and acute SCFE conditions. During the procedure, a surgeon stabilizes the femoral head in its proper position. Post-surgery, patients experience restored mobility, freedom from pain during activities such as walking or sitting, and the ability to bend down effortlessly, such as when lacing their shoes. The surgery also corrects patients' gait posture, aids in regaining good overall posture and confidence, and facilitates a return to regular activities, sports, and daily routines.
Minimally invasive surgery for Achilles tendinitis: Achilles tendinitis often goes unnoticed by individuals. However, it becomes apparent when inflammation of the Achilles tendon becomes chronic, leading to calcium deposits in the tendon and a noticeable bump at the heel bone that may rub against shoes. This condition can significantly impede daily activities and hinder participation in sports. To address Achilles tendinitis, a surgical procedure involving the removal of the bump at the heel bone and damaged Achilles tendon repair is necessary. The incision required for the procedure is only 3-4 centimeters long. Following the surgery, patients should allow for a recovery period of 6 weeks, and they may potentially resume sports activities 4 to 5 months after the procedure.
Minimally invasive endoscopic foot and ankle surgery: Endoscopic foot and ankle surgeries involve treatment options for diverse foot and ankle conditions, including Achilles tendon rupture, scar tissue in the ankle, plantar fasciitis, and ankle arthritis. This method necessitates only a minimal incision, typically measuring 8 – 10 mm. Notably, the bone and tissues at the surgical site sustain less collateral damage than open surgery, resulting in reduced pain, a shorter recovery period, and a quicker return to daily routines.
Minimally invasive carpal tunnel release: This surgical approach is a treatment option for advanced carpal tunnel syndrome. The procedure utilizes an endoscope inserted through a small 2 - 3 mm incision on the wrist, enabling a detailed examination of the internal structure of the carpal tunnel. The precision afforded by this endoscopic surgery aids the surgeon in selecting an appropriate treatment modality for carpal tunnel syndrome, ultimately yielding effective treatment outcomes.
Arthroscopic capsular release: This keyhole surgery technique is employed to minimize scar tissue, enabling unrestricted movement of the shoulder without causing damage to surrounding muscles and tissues around the incision. Given its minimally invasive nature, the recovery period is brief, facilitating a quicker return to daily activities for patients than open surgery.
Hip arthroscopy: Hip arthroscopy involves various procedures for addressing different hip disorders. These procedures include chondroplasty, labral repair, gluteus repair, irrigation, removal of loose bodies, acetabular rim trimming, and osteochondroplasty. Certain conditions may be challenging or yield ineffective outcomes when treated with hip arthroscopy. For instance, one cannot manipulate a frozen hip to accommodate the insertion of surgical tools. If the skin at the surgical site is infected, the risk of the infection spreading to the joint is enhanced. Developmental dysplasia of the hip typically requires open surgery to rearrange the bone. In cases of severe hip osteoarthritis, hip replacement surgery offers more favorable treatment outcomes.