ORTHOPAEDICS

This is usually undertaken in patients who have had their hip joints destroyed due to injury or diseases like osteoarthritis, rheumatoid arthritis, etc. Hip resurfacing and replacements using ceramic liners are done for relatively young active patients.

For knees that are severely damaged due to disease or injury, total knee replacement is the best option. The end of the thigh bone is normally replaced with a metallic component and the upper end of the leg bone with a polyethylene component with a metal base plate. Most patients are ambulant from the day after surgery and are discharged the fifth day. The latest Hi-flexion fixed bearing and mobile bearing designed knee components and those specifically designed for women (gender solution knees) are routinely used.

Computer-assisted Total Knee Replacement (TKR) improves the component positioning and is routinely done in our Centre. It is predicted that the computer accuracy and the surgeon’s experience together will improve the planning for implementation.

Joints like the elbow and shoulder, which are damaged due to diseases like rheumatoid arthritis or due to traumatic injury are treated with total joint replacement.

Revision joint replacement is a frequent procedure and we have the entire revision instrumentation along with high-speed burrs for difficult surgeries, both for the hip and knee joint.

Traditionally, many bone injuries caused by trauma were repaired using immobilization devices placed outside the body. Our orthopaedic surgeons are leaders in using devices that are surgically placed on or in the injured bones. Those devices provide strong support and can be used in treating fractures of the pelvis, thighbone, hip, foot, and ankle.

Keyhole surgeries of the joints are done with state-of-the-art instruments. Recovery from the surgery is much faster compared to traditional open surgery. The facili­ties in arthroscopy include the video arthroscope for the knee, shoulder and hip, the smaller scope for wrist elbow and ankle, complete power shaver system, pres­sure sensitive pump for joint distension, arthroscopic electronic power system, VAPR (radiofrequency energy delivery system), Autologous Chondrocyte Implantation and Osteochondral Autograft Transfer System (OATS).

Keyhole surgery of the knee joint is routinely done mainly for meniscal repairs, anterior and posterior cruciate ligament reconstruction, double bundle reconstructions, biopsies, kneecap dislocations for MPFL reconstruction, popliteal cyst management etc. For routine arthroscopic surgeries the patient has to stay in the hospital for only 1 or 2 days and has to continue the exercises at home. Bio-absorbable screws/implants are routinely used for ligament reconstruction.

Keyhole surgery of the shoulder and hip is done routinely for repairing joint problems in recurrent dislocations, frozen shoulder, suprascapular nerve decompression, synovectomy and rotator cuff tear repair. The hospital stay is only for a couple of days and the pain following the surgery is much less. The recovery is much faster compared to traditional open surgery. Arthroscopy of the hip is done to deal with impingement lesions and labral lesions.

The spine surgery program is a comprehensive interdisciplinary service incorporating orthopadic surgeons, neurosurgeons, neurologists, physical and rehabilitation medicine and the anesthesia pain clinic program.

The team is experienced in handling spinal trauma, spinal deformities, and spinal tumors as well as congenital and degenerative diseases of the spine.

Back and neck pain is evaluated and treated by a team of orthopadic surgeons, neurosurgeons, occupational therapists in a pain clinic. Patient education and occupational rehabilitation are the prime goals of this department.

All facilities are available to promote daycare surgery for a variety of conditions in spinal disorders, joint problems and fractures. The system is designed taking into consideration patient comfort and convenience.