Department of Orthopaedics

The orthopaedic department of the CHRC is a multidisciplinary team staffed by six consultant surgeons, surgical staff, dedicated nurses, physiotherapists and occupational therapists.One of the first dedicated Department of Orthopaedics in Central India; the services offered are regarded as one of the best in the country.Manned by an efficient staff, many of whom have obtained further training at some of the finest institutions in the world, the department has earned itself laurels in both the national and international arena.

The department provides consultation and treatment for all general orthopaedic ailments and benefits from a consultant body with established interests in the sub-specialist areas of upper limb surgery, complex shoulder surgery, hand surgery, hip replacement (conventional and resurfacing), revision hip replacement, knee replacement, revision knee replacement, complex knee ligament reconstruction, surgery for degenerative conditions of the knee, foot and ankle surgery and paediatric orthopaedics, deformity correction, Orthopaedics emergency & trauma surgeries, spine surgeries,

Services :-

Advanced Arthroplasty Centre

The department has a state of the art arthroplasty OR equipped with laminar airflow and body exhaust suits which reduces the risk of infections. All primary and revision joint replacements and resurfacing, including complex cases involving hip, knee, shoulder and elbow are performed here. The department is in the process of acquiring computer navigation for arthroplasty surgery. This facility will be available in the next year 2010. Annually over 400 arthroplasties are performed in the JRS (Joint replacement and Spine) Operation Theatre Complex which include around 100 revision surgeries

Surgical procedures are :

Total hip replacement
Total knee replacement
Revision hip and knee replacement
Resurfacing arthroplasty
Unicondylar knee replacement
Shoulder arthroplasty
Elbow arthroplasty

Comprehensive Spinal Care Centre

The department of orthopaedics is involved in treating all levels of spinal surgery ranging from routine lumbar degenerative disc disease to complex cervical spine and craniovertebral anomalies. The department is also a major referral centre for spinal deformity correction. Annually over 500 spinal surgical procedures are performed in the JRS (Joint replacement and Spine) Operation Theatre Complex.

Arthroscopy and sports surgery

The department of orthopaedics is involved in treating a wide variety of sports related injuries ranging from acute ligament/tendon tears to chronic overuse injuries. Types of surgeries done are:

Knee

Menisectomy
ACL & PCL reconstruction
Synovectomy
Multi-ligament reconstructions
Patellar realignment procedure
Mosaicplasty
Autologous chondrocyte implants

Shoulder

Arthroscopic & mini open Bankart
Congruent arc Latarjet for bone defects
Rotator cuff repair
Acromioplasty
Synovectomy

Hip

Diagnostic Hip arthroscopy
Loose body removal

Ankle

Diagnostic arthroscopy

Elbow

Diagnostic arthroscopy
Loose body removal
Radial head excision
Tennis elbow release

Paediatric orthopaedics

The department of orthopaedics is involved in treating a wide variety of paediatric orthopaedic problems.

Type of Pathologies treated

Paediatric Trauma
CTEV (Clubfoot)
Developmental dysplasia of hip
Congenital dislocation of Knee
Congenital limb deficiency
Sprengel’s deformity
Congenital muscular torticollis
Perthe’s disease
Cerebral Palsy
Post polio residual deformity
Arthrogryposis
Meningomyelocele
Metabolic bone disease (Rickets)
Benign Tumours

Advanced trauma surgery

The CHRC hospital has comprehensive trauma services available through the emergency medical services. A large number of primary and neglected extremity, pelvic and spinal trauma is treated in the emergency center. Trauma is also operated in a planned manner in the routine theatres. We are equipped with image intensification and good technical and instrumentation support in all the operating rooms. Plastic surgery and vascular surgery departments provide excellent supportive care for the severely injured limb where limb salvage may be necessary. A vascular intervention and angioembolisationfacilty is also available within the hospital premises

Limb lengthening and deformity correction with the ilizarov method

The department has been in the forefront for many years in using the Ilizarov technique for limb reconstruction. Specialized services offered include management of infected non unions, limb lengthening, complex deformity correction, management of bone defects resulting from trauma or tumour resection. Some of the pioneering work from the department has been in the field of non unions, tumour reconstruction, deformity correction, amputation stump lengthening and limb lengthening in short stature dwarfism.

Orthopaedic oncology including limb salvage surgery

The department treats over 200 cases of orthopaedic neoplasms annually. These include both benign and malignant bone tumours. All types of limb salvage surgery and tumour reconstructive surgery including resection arthroplasty are performed. Patients requiring chemotherapy and radiotherapy are referred to Tata Memorial Cancer Hospital which is across the road.

Shoulder and elbow subspecialty services

Shoulder and elbow replacement and surface replacement services are also offered. The department is an active participant in all joint replacement teaching programs in this region and at national level.