Liv Hospital Foot and Ankle Surgery Clinic serves in the treatment of problems such as ankle fractures, cartilage problems of foot and ankle joints, diabetic foot, deformity, hallux valgus. Gait analysis laboratory and computer-aided orthotic applications are also performed in our clinic.

52 or 25% of the 206 bones in our body are present in the feet. These bones are connected to each other with 33 joints in each foot. In addition to these bones and joints, there are many important muscles, tendons, ligaments and blood vessels, nerve structures around the foot and ankle. 2-3 times of our body weight rides on our feet while walking, and 7 times while running. These two important extensions that provides the contact of human to the surface of the Earth, take the entire load throughout the human life. Therefore, various discomforts may occur due to wear and deformity in the time even without a disease in the feet.

Painful arthritis (cartilage wears) may occur in the joints. Problems due to strain in the muscles and tendons are common. The most common sports injury in the world is ligament injury due to ankle sprains. Congenital problems can be present around the foot and ankle, as well as disorders due to age, metabolic diseases, rheumatic diseases, diabetes and trauma may be seen.

Treatment Areas

• Complex Foot Surgery (Adult and Child, flat insoles, foot deformities, diabetic foot, thumb and finger problems, bone spurs, Bone Cysts, rheumatic foot)
• Ankle Surgery (Ankle Prosthesis Application, Deformity Surgery, Fixation Surgery)
• Arthroscopic and Endoscopic Surgery (Anterior and Posterior Ankle, Achilles)
• Sports Traumatology (Achilles and other tendons, ligament and cartilage problems, Stem Cell Applications)
• Traumatology (New and Old heel fractures, foot fractures, ankle fractures)
• Ilizarov Surgery (Bone Lengthening, unioning, Deformity Correction), Compression Disorders and customized insoles

Arthroscopic elbow and wrist applications, which can be performed in very few centers, are successfully performed at our Hand, Wrist and Elbow Diseases Clinic .

Any injury, disease and problem related with cutaneous, subcutaneous, muscle, tendon, nerve, blood vessel, joint and bone in the region starting from the fingertip to shoulder constitute the main issues of hand surgery. Arthroscopic treatment (surgery performed with the closed technique) of some diseases and injuries of small joints and intra-articular structures in the upper arm (such as in hand, wrist and elbow) also takes place in the hand surgery discipline. The basic features of the hand surgery are long operation time, requiring microsurgery, long learning curve, the large number of emergency patients requiring team work and rehabilitation being very important.

Emergency interventions compelling the borders of microsurgery such as fingertip replantations, as well as nerve compressions, degenerative joint problems, also bone-ligament injuries disrupting joint integrity can be successfully treated in Liv Hospital Hand, Wrist and Elbow Diseases Clinic.

Treatment Areas

• Fractures and dislocations in the hand occuring without an open injury
• Ruptures of Muscle and Tendon
• Skin cuts
• Very severe injury or rupture of the limb
• Open injury, deformities and burns
• All Forms of congenital deficiencies, disorders, adhesions in the wrist and upper arm
• Paralysis, rheumatic diseases, infections, tumors developed due to trauma formed during the delivery
• Previous Post Traumatic Hand and Wrist Sequels
• Paralysis developed due to an accidental nerve cut or function losses formed due to circulatory disorder
• Correction of Fractures and Dislocations with poor or wrong union
• Deformities formed in time after burn
• Non-infectious various nail disorders

Liv Hospital Hip Surgery Clinic offers services with a wide therapeutic spectrum ranging from arthroscopic interventions to arthroplasty in athlete injuries, pediatric hip problems, fractures that affects hip and its surrounding, hip arthrosis. In the near future, our clinic will perform the first ‘robotic-assisted hip arthroplasty application’ of Turkey and Europe.

Hip joint and hipbone, where this joint is located, play effective role in standing, walking and running actions healthy. The quality of life increases with painless hip joint with open range of motion through the healthy development of hip joint and surrounding bones and soft tissues on during birth. Congenital unhealthy development of the hip joint or acquired fractures and dislocations, infection, osteoporosis, groin pain radiating to the inner face of thigh in the presence of a tumor, swelling, limp walking and limited joint mobility are problems that the patients often encounter. Posture disorders, limp walking, leg length discrepancy, limited joint mobility, pain around the thigh, tenderness and swelling are conditions to be examined. The recovery of the patients, who has such complaints, is possible with early diagnosis and treatment

Treatment Areas

• Developmental Hip Dislocation in Children and Hip Dislocation Sequel in Adults
• Cartilage problems formed within the Hip Joint
• Bone and Joint Infections in Childhood and Adulthood
• Fractures and Dislocations observed in Childhood and Adulthood
• Musculoskeletal System Tumors in Childhood and Adulthood
• Sports Injuries

Knee Surgery Clinic plays a leading role in our country with chondral transplantations and robotic-assisted prosthesis applications.

The most common troubling joint of us is our knee. The reasons are to make joint to the longest two bones in our body, too much of range of motion and its shallow bone structures, ensuring the robustness with only soft tissues, and our knees is exposed to more load than other joints. This load becomes much more in sportive activities. A damage in the cartilage tissue, a tear in the meniscus, a rupture in the ligaments impair the health of the knee and pain, swelling, snagging and locks emerge in the knee. A healthy knee does not ache, swell or lock. If you have symptoms such as pain, swelling, snagging in your knee, you must admit to a physician.

Primary and secondary repair of isolated and multiple ligament injuries, meniscal rupture surgery and repair, chondral and meniscal transplantations among knee problems seen in many people, especially athletes are performed in Liv Hospital Knee Surgery Clinic.

Treatment Areas

• Knee Problems, Surgery and Sports Injuries
• Non-surgical treatments of knee
• Sports Injuries around the knee
• Knee Ligament Surgery
• Knee Cartilage Surgery, Cartilage Production and Transplantation
• Meniscus Surgery, Repairs, Implants and Transplantations
• Fractures around the knee
• Surface covering prostheses of the knee, partial prostheses and total prostheses
• Corrective Surgery for Alignment Disorders

Robotic Knee Surgery Period in Orthopedics: MAKOplasty

MAKOplasty; the highly successful robotic surgery method used in knee replacement surgeries, is an innovative treatment option for adults with early to moderate stages of osteoarthritis complaint that has been progressed up to three compartments of the knee. Makoplasty provides consistent and repeatable precision in partial knee replacement working with an interactive orthopedic system with robotic arms.

It is a sub-branch of Orthopedics and Traumatology Department dealing with the diagnosis and treatment of musculoskeletal system diseases seen in childhood emerging due to congenital or acquired neurological, infectious, neoplastic, traumatic and other reasons. Pediatric Orthopedics mainly covers childhood and young adulthood period patient group. It is divided into sub branches within itself under this heading as; pediatric upper limb, pediatric lower limb and spine.

The main objective in Liv Hospital Pediatric Orthopedics Clinic is to ensure the return of patients to normal life without a long-term sequel by performing the diagnosis and treatment in a short time. Most of the orthopedic problems occur in adult ages are originating from pediatric orthopedic diseases, which are not diagnosed at children ages, insufficiently treated or not followed up appropriately. Therefore, pediatric orthopedics also has a very important place for the reduction of adult orthopedic problems. Today, pediatric orthopedics constitutes one of the most basic and important areas of orthopedic surgery and has an important place in public health.

The objective of Liv Hospital Shoulder Surgery Clinic is to the offer holistic solutions for adult shoulder problems by having close co-operation with our Physiotherapy and Rehabilitation Department. The method of treatment varies according to type and size of the underlying problem. In cases that conservative treatment (pain control, activity regulation, physiotherapy, injections) is not sufficient, surgical methods are used where appropriate. Arthroscopic surgical applications are being an appropriate solution for mechanical problems of ligaments and tendons. Open surgery is required for bone interventions, prosthesis applications, tendon transplantations and fracture treatments.

Shoulders are important joints positioning our hands around in order to use them as we want. The Shoulder region is consisted of three basic bones. Ligaments, muscles and tendons provide bones to connect to each other and provide their mobility. Repeatitive forced activities, accidents and sportive initiatives involving technical errors starts wearing process in the structures forming the joint. This can result as pain in the early stages, activity limitation and calcification in the long term.

Treatment Areas

• Rotator Cuff Tears-Impingement Syndrome
• Shoulder Dislocation
• Acromioclavicular joint degeneration
• Biceps Tendon Problems-Instability
• Upper arm (proximal humerus) Fractures / Open-Interventional

Liv Hospital Spine Surgery Clinic offers high-level services for the treatment of problems such as degenerative spine problems, spinal curvatures and fractures by close cooperation with Physical Therapy, Neurology, Brain and Nerve Surgery clinics.

Advanced deformity surgeries are known to have the highest complication rates in the world in orthopedic surgeries. The rate of complications in advanced deformity surgery in Liv Hospital Spine Surgery Clinic is zero.

Spine is an excellent structure consisting of 17 bones except coccyx. It is indispensable for us to stand and move. If we experience a problem with our spine, it restricts our activities of daily living. Spine problems may be seen at any age. Curvatures such as scoliosis and kyphosis at child ages, degenerative problems such as hernia and unidentified back pain at middle ages, also degenerative problems problems related to osteoporosis at older ages are highlighted more. She spine is the bone that cancers spread at most. Sometimes even cancer is first diagnosed as a result of issues with the resultant pain spread to the spine.

Treatment Areas

Idiopathic scoliosis

Scheuermann’s kyphosis

Complex spinal deformities

• Congenital derformities
• Early onset scoliosis and magnetic rod applications
• Tuberculosis sequelae kyphosis
• Neuromuscular deformities
• Syndromic deformities

Degenerative problems of the spine

• Solutions for sudden developing back and neck pain
• Minimal invasive interventions
• Back and neck hernia
• Sliding of the back
• Spinal canal stenosis

Aging spine

• Osteoporosis treatment
• Osteoporotic vertebral fractures

Spine trauma (fractures and injuries) and associated late deformities

Tumors of the spine and tumors spread to the spine

Spine infections

“Spine Health is a matter of team work”

Spine, which consists of 33 vertebras, is the most important indication of health due to structures it covers and supports. Liv Hospital uses a 360-degree perspective for spine health. A holistic view is adopted in Liv Hospital Spine Clinic, where spine surgeon, algologist, physiotherapist and psychiatrist work in collaboration.  Personalized treatment options are offered with multidisciplinary approach.

Most Common Spine Diseases 

– Degenerative spine diseases such as lumbar disc hernia or cervical disc hernia.
– Spinal column curvatures such as scoliosis or kyphosis
-Spinal trauma
– Spine Tumors
– Spinal infections

When Should I seek medical help?

– Low back pain accompanied by leg pain
– Neck pain, also spreading to arms and back.
– Numbness and weakness in legs.
– Numbness and weakness in hands
– Shoulder imbalance
– Breast asymmetry
– Postural disorder require a doctor visit

“Major operations are performed with minor incisions”

Mazor renaissance robot, which is used in spinal surgery, enables surgeon to perform major operations such as scoliosis, kyphosis, lumbar spondylolisthesis or spinal biopsy with minor incisions.

“ROBOTIC” era in spinal surgery

Surgeon can preoperatively plan even minor details of operation on a virtual platform using a software installed to the surgeon’s computer. Thus, surgical implants are positioned with minimum error margin.  Moreover, exposure of patient and surgery team to radiation is prevented.
Scoliosis in children
Scoliosis in children before age of 10 is accompanied by many problems, such as respiratory problem.
Early-onset scoliosis progresses rapidly due to physical development. The attentive parents recognize the scoliosis easily and thus, the condition can be resolved at early stage.

Differences in shoulder height
Lumbar symmetry problem: Asymmetry
Differences in hip height
Back
Low back

Symptoms of Scoliosis
Abnormal hair growth in back, discoloration and dimples 

– Balance problems
Development of hump on back while bending forward
– Differences between heights of bilateral shoulders
– Deviated posture in lumbar region or hips and disproportionally short legs relative to trunk.