Our Specialities
Reconstruction of Post Trauma Sequelae – Nonunion and Malunions:
Nonunion and Malunion has always been a challenge to the Orthopaedic surgeon. In spite of the advances in internal fixation and management of fractures, a significant number of patients end up as either nonunion (fractures that fail to unite) or malunion (fractures which unite in an abnormal alignment). This produces a significant limitation in their day to day activities. We provide the best form of treatment with state of the art facilities for such situations. Patients are managed by either external or internal fixation as per the clinical situation.
Our team is specialized in the treatment of post traumatic sequelae of long bones. We use both internal fixation and external fixation for the treatment of the same. We prefer to use ring fixators (Ilizarov fixators) wherever indicated. Our center is one of the best in the country in this field. We were the first to introduce Ortho SUV ( The Russian computer assisted six axis deformity correction system) in South India. Besides ring fixators we use plates and nails for the treatment of post trauma complications. The team has been practicing the speciality for the past 15 years with high success rates.
Congenital and Developmental Deformities:
Birth deformities and developmental deformities are considered to be the most difficult pathologies to treat. The spectrum of deformities ranges from self-limiting deformities that get corrected with age to more grotesque deformities that require multiple surgeries. The loss of “alignment” might be in the form of bowing deformities of limbs, rotational malalignment or shortening of an extremity. There may be associated ligamentous and soft tissue problems including muscles, nerves and blood vessels.
Though many of these deformities could be managed by plates and nails, majority of them require ring fixators or other types of external fixators (LRS, six axis systems etc.). We routinely do Ilizarov fixators ( ring fixators) for lengthening and deformity corrections. A wide range of congenital and acquired conditions are managed by this technique. We use ring fixators for congenital deformities like achondroplasia, Blount’s disease, epiphyseal dysplasias, Congenital femoral deficiency etc. Cosmetic lengthenings are reserved only for situations where it is absolutely indicated after proper councelling and discussions with the patients and their care givers.
The reason for preferring external fixator is because of the perfection in correction achieved by these fixators and their adjustability as well as modularity which none of the other fixation devices would provide. Another advantage of using a fixator is its capability of increasing the length of an extremity.
We also use other modalities of treatment like guided growth, plaster cast etc. in indicated situations. All assessments of deformities as well as post-surgical corrections are done using advanced software systems.
Six Axis Correction Systems (Ortho – SUV):
For correction of difficult deformities of upper and lower limbs, we use the most advanced computer assisted six axis deformity correction system, the Ortho SUV. Ortho SUV with the help of its software is one of the most user friendly accessory of the conventional ring fixator system. Six axis system gives utmost precision in terms of correction. It’s also user friendly for the patient as well as surgeon.
Realignment Osteotomies for Osteoarthritic Knees:
The most common cause of lower limb deformity is Osteoarthritis. Patients present with either bow legs or knock knees. Malalignment (Loss of alignment) is the primary cause for osteo arthritis of the knee joint. Patients presenting with knee pain are assessed both clinically and radiologically. Young and old patients with significant symptoms who are not relieved by medical treatment and physiotherapy are treated surgically. We provide the option of realignment or replacement depending on the clinical and radiological findings.
HTO or High tibial osteotomy is the most commonly performed realignment procedure. This is done for symptomatic patients with bow legs who has mono compartmental arthritis on X-ray. Done at the right time, this saves the patient from a future total knee replacement or at least helps to postpone the age at which is done. The highlight of the procedure, which relies on correcting the alignment of the lower limb is that it preserves the native knee with all its inherent advantages. We do realignment procedures with external fixators and locking compression plates.
Joint replacement for Osteoarthritic Knees & Hips:
Joint replacemets are done for advanced arthritis of the hips and knees. Advanced arthritis may occur as a sequelae of trauma and other conditions like inflammatory joint diseases. For patients having advanced arthritis of knee (the so called tri compartmental arthritis) on x-ray with significant symptoms , we offer the option of Total knee replacement. We use state of the art equipment and the most advanced implants for joint replacements. We routinely perform primary and revision arthroplasty surgeries of the hip
Trauma Surgeries:
All complex trauma of upper and lower limbs are managed by our team. We use state of the art equipment and implants for management of fractures of upper and lower limb. All procedures like nailing, plating, k wire/ screw fixation, external fixation are undertaken at various hospitals with which the team is affiliated.
Arthroscopy:
Arthroscopic surgeries of knee and shoulder are done on a routine basis. Various ligament injuries, meniscal tears and shoulder pathologies are managed by arthroscopic techniques. The team is highly experienced in performing such complex procedures.