Orthopedic & Trauma Surgery

Orthopedic & Trauma Surgery

Orthopedic & Trauma Surgery

Bone and joint problems touch every part of daily life - a knee that makes climbing stairs painful, a fracture from a road accident, or a child who has started limping. At UMC Hospital, the best orthopaedic hospital in Entebbe, our orthopaedic and trauma service provides complete medical care for the full range of these conditions, from emergency fracture management to planned joint replacement surgery. We treat each patient as an individual, focusing on how the problem is affecting their function and daily life, not just what the X-ray shows.

Conditions We Treat

Road traffic injuries are a leading cause of emergency presentations that include fractures of the leg, wrist, and pelvis. Beyond trauma, we manage:

  • Osteoarthritis of the knee and hip — often presenting late, when walking has already become difficult
  • Inflammatory arthritis — joint swelling, morning stiffness, and fatigue, sometimes affecting young women in their working years
  • Ligament and sports injuries — ACL and meniscus tears, shoulder instability, and recurrent ankle sprains
  • Spinal and disc conditions — back or neck pain with nerve compression, radiating down the leg or arm
  • Hand and upper limb conditions — nerve compression causing finger numbness, tendon injuries affecting grip
  • Foot and ankle disorders — plantar fasciitis, Achilles tendon problems, flatfoot, and deformity correction
  • Paediatric orthopaedics — bow legs, club foot, limping, and delayed walking milestones in children
  • Bone infections and skeletal tuberculosis — still prevalent in our region, particularly after open injuries or in patients with diabetes or sickle cell disease

How We Diagnose Orthopaedic Problems

Diagnosis begins with a careful history and clinical examination - the character of pain, when it occurs, and what relieves or worsens it often tells us as much as any scan. We use digital X-ray, ultrasound, CT, and MRI, available on-site, to reduce delays. In cases where infection or bone tuberculosis is suspected, laboratory investigations, including inflammatory markers, cultures, and biopsy, are part of the workup.

Treatments We Offer

Not every orthopaedic condition needs surgery. Guided physiotherapy, joint injections, bracing, and structured rehabilitation resolve many problems effectively. When surgery is required:

  • Fracture fixation — plates, screws, intramedullary nails, and external fixators; complex trauma may require staged surgery and limb reconstruction
  • Arthroscopy — keyhole procedures for ligament, meniscus, and cartilage repair in the knee, shoulder, and ankle
  • Joint replacement — partial or total knee and hip replacement for advanced arthritis; patients typically begin walking within 24 hours of surgery
  • Spinal surgery — decompression and stabilization for disc prolapse, nerve compression, and spinal instability
  • Bone infection and tuberculosis surgery — debridement, stabilization, and targeted antibiotic management, coordinated with infectious disease colleagues
  • Paediatric and deformity correction — tailored to each child's age, condition, and developmental stage

Technology & Infrastructure

At UMC Hospital Entebbe, our theatres are equipped with high-definition arthroscopy systems and intraoperative C-arm fluoroscopy for precise fracture fixation and implant placement. On-site CT and MRI reduce delays in planning urgent and complex cases. Strict infection control, VTE prevention protocols, and surgical safety checklists are standard for every procedure.

Preventive Care & Bone Health

  • Osteoporosis develops silently - screening is advised for postmenopausal women, patients on long-term steroids, and anyone with unexplained fractures
  • Vitamin D deficiency is common and must be addressed with supplements
  • Diabetic patients carry a higher risk of bone infections and poor wound healing - regular foot and bone health monitoring is part of their care
  • Maintaining a healthy weight reduces the mechanical load on the knees and hips, slowing the progression of arthritis
  • Regular low-impact activity - walking, swimming, cycling - helps preserve joint function and bone density at any age
  • Children with persistent limping, delayed walking, or abnormal leg alignment should be assessed early - some conditions respond well to simple intervention when caught before skeletal maturity
  • Wearing appropriate footwear reduces strain on the ankles, knees, and lower back - particularly relevant for patients who spend long hours standing or walking on uneven ground

When to See a Doctor

Seek early assessment if you notice: a limb that is deformed or cannot bear weight after injury; joint pain that has persisted for more than a few weeks; a child who is limping or refusing to walk; numbness or weakness in an arm or leg; back pain radiating into the leg; a bone swelling associated with fever or unexplained weight loss; or a wound near a joint that is not healing. Early assessment almost always leads to better outcomes.

Why Patients Choose Us

The best orthopedic doctors in Entebbe at UMC Hospital are committed to offering:

  • Consultant-led care with subspecialty expertise in trauma, joint replacement, arthroscopy, spinal surgery, and paediatric orthopaedics
  • Minimally invasive surgery wherever possible
  • On-site imaging, physiotherapy, and theatre services coordinated under one roof
  • Clinical experience managing conditions specific to our region - road trauma, bone infections, skeletal TB, and late-presentation arthritis

Frequently Asked Questions

  • Is surgery always necessary for joint pain?
    No. Many patients improve significantly with physiotherapy, weight management, and appropriate medication. Surgery is considered when function remains substantially limited despite a proper course of non-surgical treatment.
  • How long do joint replacement implants last?
    Modern knee and hip implants typically last fifteen to twenty years, though this depends on activity level, body weight, and bone quality. Revision surgery is possible when implants eventually wear out.
  • What does knee replacement surgery cost?
    The cost of knee replacement at UMC Hospital covers the surgical procedure, implant, anaesthesia, hospital stay, and initial physiotherapy. The final figure depends on whether a partial or total replacement is performed, the implant selected, and the length of stay.
  • How soon can I return to normal activity after fracture surgery?
    This depends on which bone was fractured, the complexity of the injury, and the type of fixation used. Simple fractures treated surgically often allow partial weight-bearing within days. More complex injuries - particularly those involving the pelvis, spine, or multiple bones - require a longer, staged return to activity.

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