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Dr. Mauricio Silva, MD is a pediatric orthopedist in Santa Monica, CA specializing in pediatric orthopedics/orthopedic surgery. He graduated from Pontifical Xavierian University Faculty of Medicine in 1993 and has 33 years of experience. Dr. Mauricio Silva, MD is affiliated with Providence and UCLA Health.
UCLA Health
Debridement (Removal of Unhealthy Tissue)
Debridement is a procedure that removes damaged skin to help the body heal a chronic wound, acute injury, or burn. Several layers of skin surrounding a chronic wound can include foreign debris, dead (necrotic) tissue, infected tissue, and calloused (hyperkeratotic) skin. If left untreated, these damaged skin layers can spread infection to other parts of the body and may aggravate the wound and delay its healing.
Debriding (removing) this damaged and diseased skin encourages the growth of healthy new tissue, impeding infection by triggering the body's natural cycle of tissue renewal. For this reason, debridement functions both as a wound treatment and as a preventative measure against more complex consequences of infected skin, such as sepsis and amputation. In some circumstances, debridement provides additional aesthetic benefits such as decreased scarring. Debridement also permits doctors to retrieve tissue samples for testing, such as to determine whether patients need antibiotic treatment.
Wounds that frequently require debridement include:
Debridement can be performed either surgically or nonsurgically; some methods are less invasive than others. Doctors select the appropriate debridement technique by considering the location, cause, and size of a patient's wound and may also weigh the patient's overall wellbeing, age, and risk of infection.
Surgical debridement is performed by cutting away dead, infected, and hyperkeratotic skin with a surgical scalpel. For deep wounds that tear away the skin and go into the muscle, skin from another region of a patient's body may be grafted onto the wound, which may then be periodically assessed and rebandaged until fully healed.
Non-surgical debridement is achieved with water or a dissolvent gel. Water softens the damaged skin and affected tissue, allowing doctors to remove it with wet-to-dry dressing. When wet tissue dries, it adheres to the dry dressing or bandage and comes off when the dressing is pulled away. In contrast, dissolvent gel deconstructs tissue, which can be cleaned off of the wound. Nonsurgical debridement is less invasive than surgical techniques; however, it can entail repeat treatments, slowing wound recovery.
While the prospect of stripping away skin may seem jarring, debridement can be critical to the treatment and healing of wounds which cannot not heal independently.
Hip Replacement
Hip replacement is a surgical procedure to replace parts of the hip joint that are damaged by disease or injury. It is most often done to treat arthritis, a common condition that causes stiffness and pain in the joints. Surgery is used only after other, less invasive treatments have failed to work.
The type of hip replacement patients receive is based on their age and the extent of damage to their hip. The hip joint has two parts: the femoral head, or hip ball, and the acetabulum, or hip socket. The hip ball is located on the upper end of the femur (thigh bone), and the hip socket is part of the pelvis. Depending on whether one or both parts require replacement, patients may need one of the following procedures:
During hip replacement surgery, an incision is made along the side of the hip. The surgeon may access the joint directly through this incision, or by using small tools and a lighted tube called an arthroscope to see and treat the joint. The diseased tissue is removed, and the bones are smoothed out and fitted with metal ends. The metal pieces may be cemented in place, or they may have a porous structure that encourages bone to grow into them and hold them securely. A smooth plastic cushion is placed between the two bones to replace the cartilage and allow the joint to move freely.
Hip replacement surgery takes one to two hours, and afterwards patients may stay in the hospital for several days. When patients go home, they will have to use a cane, walker, or crutches at first. Patients will likely have physical therapy to improve their ability to move with their new hip. After the first few weeks, light exercise such as bike riding or swimming will help them heal, but certain actions, such as climbing stairs or bending over at the waist, may be difficult at first. It will take several weeks before they can drive or return to work. Full recovery may take six to 12 months.
Shoulder Arthritis
Shoulder arthritis is a very common condition that causes pain, stiffness, or a grinding sensation in the shoulder. Some patients may hear a clicking or popping noise, and all symptoms are more noticeable when moving. Arthritis occurs when the cartilage that cushions joints becomes damaged.
Normally, when two bones come together inside a joint, they are separated by a layer of tough, smooth cartilage. The cartilage allows the bones to glide across each other, which makes movement easier. Cartilage can be damaged by an injury, by an illness such as rheumatoid arthritis, or by simple wear and tear (osteoarthritis). In the shoulder, the two joints most commonly affected are the AC joint (where the shoulder blade and collarbone connect at the outside edge of the shoulder), and the glenohumeral joint (where the arm bone meets the shoulder blade).
Treatment for shoulder arthritis may include:
Surgical treatments include the removal of inflamed tissue and joint reconstruction. The type of arthritis and severity of the damage will determine which treatment is most appropriate.
Dr. Mauricio Silva, MD graduated from Pontifical Xavierian University Faculty of Medicine in 1993. He completed residency at Orthopaedics & Trauma, Pontificia Universidad Javeriana. He is certified by the Orthopaedic Surgery, American Board of Orthopaedic Surgery and has a state license in California.
Medical School: Pontifical Xavierian University Faculty of Medicine (1993)
Residency: Orthopaedics & Trauma, Pontificia Universidad Javeriana (1999)
Board Certification: Orthopaedic Surgery, American Board of Orthopaedic Surgery (2014)
Licensed In: California
Dr. Mauricio Silva, MD is associated with these hospitals and organizations:
Dr. Mauricio Silva, MD appears to accept the following insurance providers: Aetna HMO, CIGNA HMO, Blue Shield of California, Medicare Advantage, HealthSmart, MultiPlan, Aetna, TRICARE, Anthem Blue Cross HMO, Cigna, Anthem, First Health, Prime Health, Private Healthcare Systems (PHCS), UnitedHealthcare, Centivo, UFCM Health System and Health Net of California.
According to our sources, Dr. Mauricio Silva, MD accepts the following insurance providers:
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These charts describe general payments received by Dr. Mauricio Silva, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$3,536
$3,536 |
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$83
$83 |
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$68
$68 |
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$18
BENEFIX $18 |
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$18
ABILIFY MAINTENA $18 |
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$14
REBINYN $14 |
| $3,407 | |
| $331 |
Dr. Mauricio Silva is a specialist in pediatric orthopedics/orthopedic surgery in Los Angeles, CA and Santa Monica, CA. Areas of expertise for Dr. Silva include frozen shoulder, forearm fracture, and femur (thigh bone) fracture. Dr. Silva seems to honor Anthem, UnitedHealthcare, and Blue California, as well as other insurance carriers. He is a graduate of Pontifical Xavierian University Faculty of Medicine. He has received professional recognition including the following: Super Doctors Southern California; Southern California Super Doctors; and Super doctors, Southern California. Dr. Silva is conversant in Spanish. He is affiliated with UCLA Health and Providence. According to UCLA Health, new patients are welcome to contact his office in Los Angeles, CA.
