World Osteoporosis Day 2020
Dr. Gaurav Rastogi
Oct 27, 2020
Trauma and orthopaedic is a speciality of medicine which deals with the diseases and disorders of the musculoskeletal system including, bones, joints, muscles, ligaments, nerves, etc.
Established in February 2018, the department is equipped with state-of-the-art infrastructure and highly specialised and best team of orthopaedic surgeons in Delhi who are proficient in complex surgical procedures.
Manipal Hospital is the best orthopaedic hospital in Delhi with a dedicated theatre complex comprising 10 operation theatres, which is coordinated by highly trained OT staff including technicians, nurses, guest relation officers, etc.
With patient safety and satisfaction of prime importance, our operation theatres are secured with a double barrier to entry and exit as well as laminar flows that control contamination keeping infection risks to an all-time zero.
Our easy-to-use and fast operating software allows easy retrieval of a patient’s outpatient & inpatient summary and helps in better coordination amongst various medical departments.
Manipal Hospital is a true symbol of its logo ‘Pragyanam Brahma’ (knowledge is life).
Interdepartmental meets, continuing medical education (CME) and staff training sessions are held regularly to update knowledge.
A total knee and hip joint replacement are a surgical procedure that involves replacing the worn-out or damaged joints of the knee and the hip with a prosthesis (artificial joint) made of metal, or plastic. The parts of a knee joint that can be replaced include the femur (the lower part of the thighbone), tibia (the upper part of the shin bone) and…
Arthroscopy is derived from the Greek language and simply means "to look within the joint”. It is a type of keyhole surgical procedure, where orthopaedic surgeons use an arthroscope fitted with a camera and a bright light source to visualize, diagnose, and treat conditions of a joint.
Osteoporosis’ which means ‘Porous bone’ is a bone disease characterized by low mineral density. This condition makes the bone weak, and brittle and increases the risk of fractures due to trivial fall.
This is a surgical procedure that removes the Lamina, the rear side of the vertebrae. The surgery is also referred to as a decompression surgery and relieves pressure on the spinal cord caused by overgrowth of bone (bone spur) in the spinal canal. Laminectomies are more common among older people who are prone to developing bone spurs.
The removal of the cast is a very simple procedure, which takes only 15 minutes, and has no pain or side effects and will be performed by the doctor.
This is a surgical procedure to correct misalignment in the skeleton where a bone is longer or shorter than its opposite. The misalignment is corrected by cutting or reshaping the bone to bring it back to normalcy. An osteotomy is often done as a way to delay or avoid hip or knee replacement surgery in the future.
Treatment for this condition depends on the cause and severity of nerve compression. Typically, pinched nerves are treated with physiotherapy, steroids (NSAID's corticosteroids, etc. However, in some cases, orthopedic surgery may be required to remove scar tissue or any other obstructive material that is interfering with the nerves.
This condition is also known as a ruptured or slipped disc. It irritates nearby nerves and results in pain, weakness or numbness in the leg or arm. The treatment for herniated discs is generally reduced activity, physiotherapy and surgical repair of the disc.
Advanced surgical procedures are carried out by specialists in the case of complex injuries in the muscles, bones, and ligaments that hinder the performance of professional athletes. Various techniques and specialized programs are developed to treat and avoid injuries related to sports. Specialists aim to restore complete functionality to patients…
Total Knee Replacement Surgery: A knee replacement surgery is also known as knee arthroplasty or knee resurfacing. Prosthesis (an artificial joint) is used to replace a damaged bone and cartilage surgically from the kneecap, shinbone, and thighbone.
Total Hip Replacement Surgery: Total hip replacement surgery also known as hip arthroplasty, uses prosthesis or an artificial hip joint made of either hard plastic, ceramic, or metal to replace the damaged hip joint.
Revision Hip Replacement Surgery: Any wear and tear in the previous prosthetics are replaced through a revision hip replacement surgery.
Revision Knee Replacement Surgery including Rotating Hinge Knee: Hinged implants are knee replacement prostheses which are generally used in case of infection, instability, bone loss, etc. Hinged implants are very useful in complex cases of total knee replacement revision because of the rotating bearings that allow local joint reconstruction or segmental bone replacement.
Primary Complex Hip and Knee Replacement Surgery: The procedure is performed on patients with abnormal anatomy, bone loss and/or compromised soft tissues, which often results due to secondary osteoarthritis complicating an underlying primary pathology
Sprengel Shoulder: A birth defect in which the scapula (shoulder blade) is too high and is abnormally connected to the spine, often restricting the movement of the shoulder. Manipal hospital offers Sprengel shoulder surgery in Delhi having the best sports injury specialists in Delhi to take care of your needs.
Torticollis Correction: Torticollis which translates to ‘twisted neck’ is also known as congenital muscular torticollis. This condition occurs due to the shortening of the sternocleidomastoid muscle that limits the child’s neck movement.
Deformity Correction at Elbow / Wrist: Correction of a deformity at Elbow / Wrist is considered based on the type of deformity and the degree of displacement.
Madelung Deformity: A birth defect in which the wrist grows abnormally.
Radial Ray Anomalies: Include a range of malformation ranging from radial hypoplasia (partial) to radial aplasia (complete) absence of the radius, radial carpal bones, or the thumb
Macrodactyly: A birth defect in which the child’s toes or fingers are abnormally large or swollen.
Microdactly: A birth defect in which the child’s toes or fingers are abnormally small or short.
Developmental Dysplasia of the Hip: A condition of abnormal development resulting in dysplasia (underdeveloped acetabulum), a subluxation (partial displacement of the joint) and dislocation (complete displacement of the joint) of the hip.
Legg-Calve-Perthes Disease of Hip: A disease of the hip caused by the insufficient blood supply to the femoral head of the hip joint leads to the weakening or death of the bone.
Congenital Coxa Vara: A deformity of the hip caused by an osteochondrodysplasia of the femoral neck.
Pelvic Osteotomies and Proximal Femoral Osteotomies: Osteotomies or bone surgery around the proximal femur and pelvis are performed to correct structural deformities and improve pain and function.
Limb Lengthening Procedures: Limb lengthening surgery is performed on a patient with leg length discrepancy (one leg is shorter than the other) or bowed legs.
Slipped Capital Femoral Epiphysis: A deformity of the hip.
Skeletal Manifestations of Rickets: Rickets is a condition in which bones in children soften and weaken due to extreme and chronic deficiency of vitamin D. It can cause skeletal deformities including bowed legs, breastbone projection, or thickening of the wrists and ankles.
Blount disease: A growth disorder characterized by bowing of the lower leg that may worsen over time.
Deformity correction at Knee / Ankle: Most of the knee or ankle deformities are asymptomatic and can be corrected easily if detected at a younger age.
Club-foot: Also known as congenital talipes equinovarus (CTEV), 'club-foot', is a developmental disorder of the foot.
Sports medicine focuses on the management and prevention of orthopaedic injuries caused due to sports accidents.
Some of the common knee injuries include sprains, cuts, fractures, ligament tear, etc. The knee has 4 main ligaments including
An anterior cruciate ligament (ACL)
A posterior cruciate ligament (PCL)
Medial collateral ligament (MCL)
Posterior lateral complex (PLC)
Injuries to one or more of these ligaments require immediate medical attention and may require ligament reconstruction. Some of the procedures include:
Arthroscopic ACL Reconstruction
Arthroscopic PCL Reconstruction
Arthroscopic Multi-Ligament Reconstruction & Repair
Arthroscopic Meniscectomy / Meniscal Repair
MPFL Reconstruction for Recurrent Dislocation of Patella
Mosaicplasty / OATS for Osteochondritis Dissecans
Arthroscopic Radiosynovectomy for Pigmented Villonodular Synovitis
Sometimes hip joint injuries self-repair. But over time these injuries expose the bone causing pain and stiffness. Many minimally invasive procedures involving small incisions, use of a tiny camera that is inserted into the joint, etc are available to manage hip joint injuries. Some of the procedures include
Arthroscopic Labral Repair
Surgical Dislocation of Hip
Correction of Femoro-Acetabular Impingement
The shoulder joint is the most flexible and used more often leading to more injuries. Procedures used in the management of these shoulder joint injuries include:
Keyhole Shoulder Surgeries ( Arthroscopy )
Arthroscopic Rotator Cuff Repair
Arthroscopic Bankart Repair for Repeated Dislocation of Shoulder
Latarjet Procedure for Repeated Dislocation of Shoulder with Bone Loss
Arthroscopic Remplissage for Hill Sachs Lesion
Arthroscopic Capsular Release for Frozen Shoulder: A radiofrequency probe is used to relieve stiffness and pain in the shoulder joint due to adhesive capsulitis or frozen shoulder.
Fractures around Proximal Humerus (long bones of the upper arm) using PHILOS plate or hemiarthroplasty (humeral head replacement)
Total Shoulder Replacement for Shoulder Arthritis
Reverse Polarity Shoulder Replacement for Advanced Shoulder Arthritis with cuff disease (damage to the rotator cuff)
Acromioclavicular Joint (a joint in the upper shoulder) reconstruction using Dogbone, Rockwood or Weaver Dunn Procedures.
Fractures of Clavicle using non-operative and operative procedures
Procedures used in the management of elbow injuries include:
Fractures of Shaft of Humerus (site of muscle attachment) and Distal Humerus (lower part of the upper arm bone)
Arthroscopy or keyhole surgery of the elbow
Total Elbow Replacement: The damaged humerus and ulna due to arthritis of the elbow is replaced with prosthetics or artificial components.
Painful Stiff Elbow: The Outerbridge-Kashiwagi (O-K) procedure is used in the management of the osteoarthritis of the elbow. A small hole is drilled in the back of the elbow to remove the damaged bone tissue.
Reconstruction of the posterolateral rotatory instability (PLRI) / Ulnar Collateral Ligament (UCL) Repair
Radial Head Replacement
Simple (dislocation without any fractures) and complex (dislocation with fractures) forms of elbow dislocation
Procedures used in the management of wrist injuries include:
Arthroscopy or the keyhole surgery of the wrist
The symptoms of a painful arthritic wrist can be managed using
Arthrodesis (surgical fusion of the bones in a joint with compromised mobility)
Four-corner fusion (partial fusion technique to preserve partial motion)
Proximal Row Carpectomy (a surgical procedure that reserves motion).
Scaphoid fractures (damaged scaphoid bone in the wrist) / Vascular Pedicle Grafting for the management of non-union
Surgical management of the triangular fibrocartilage complex (TFCC) tear.
Procedures used in the management of hand injuries include:
Carpal Tunnel Decompression: Pain or numbness due to compression of the median nerve is relieved by dividing the issue that is constricting the nerve.
Guyon’s Canal Decompression: Decompression of the ulna nerve in the Guyon’s Canal
Flexor and Extensor Tendon Repair: The ruptured ends of the flexor tendons (present on the palm) or the extensor tendon (present on top of the hand) are sutured together.
Dupuytren Contracture Release: A thick band of tissue is surgically removed to facilitate mobility.
Ulnar Claw Hand (curved fingers) Correction
Glomus Tumour (vascular tumours in fingernails) Excision
Trigger Finger (locking of fingers) Release
Nail Bed (the skin underneath the nail) Repairs
Procedures used in the management of foot and ankle injuries include:
Ankle Arthrodesis: Surgical fusion of the ankle bones.
Tendo Achilles repair: Torn or damaged Achilles tendon are replaced with a healthy tendon from the foot.
Ankle Equinus Correction: Tendo Achilles lengthening procedure stretches the Achilles tendon to improve a person’s walking ability.
Hallux Valgus: Based on the severity, operative and non-operative procedures are used in the management of the hallux valgus (foot deformity characterised by the development of soft tissue called a bunion)
Mortons Neuroma: Thickening of the tissue around a nerve in the toe due to compression.
Flatfoot: Flatfoot is corrected using orthoses (artificial external devices) or by surgically replacing the damaged tendon with another tendon
Cavus foot or high foot arch
Fractures of Calcaneum (heel bone)/ Talus (bone at the lower end of the ankle)
Recurrent Ankle Sprains - Brostrom Procedure / proprioceptive neuromuscular facilitation (PNF)
Major Fractures of Long Bones - Femur (thighbone) / Tibia (shinbone)/ Humerus (upper arm bone).
Fractures around Major Joints - Tibial plateau (upper part of the tibia) / Tibial Pilon (distal part of the tibia).
Fractures of Pelvis and Acetabulum (socket of the hip bone).
Fractures of Hip - Proximal Femoral Nail (PFN) / Dynamic Hip Screw (DHS) / Hemiarthroplasty
Endoprosthetic Reconstruction is used in the management of musculoskeletal tumours
Osteoarticular Allograft Reconstruction: Defective cartilage is replaced with the donor’s bone and cartilage
Intercalary Graft Reconstruction is used in the management of tumour resection of the long bone
Extended Curettage is used in the management of treatment of juxta-articular giant cell tumour in the knee.
The scope of the orthopaedics department at Manipal Hospitals includes both general and surgical treatments. General orthopaedics caters to shoulder, knees, sports medicine, trauma, pediatrics, joint replacement surgeries, physiotherapy, and total hip replacement. The scope of surgeries includes arthroplasty, orthobiologics, cartilage restoration and joint preservation procedures, fracture surgeries, complex articular reconstructions, salvage procedures for neglected trauma and polytrauma management. Sub-specialty surgeries include treatment of congenital and developmental disorders in children, limb preservation and oncological reconstruction, hand and wrist disorders, and Manipal Hospitals' minimally invasive procedures whenever possible, reducing pain and prompting recovery. Pre-surgery and post-surgery assistance from all medical, surgical and nursing areas help in the speedy recovery of all surgery patients.
After gathering general information about the patient's health, our orthopaedician will review the patient's medical history, and do a complete physical examination. Then the doctor might order the necessary investigations to determine the health of your body.
Yes, you can resume most of your daily activities such as walking, sitting, standing, driving, etc., after about 3-6 weeks of surgery. However, make sure to avoid high impact activities including jumping, sports, jogging, skiing, etc.
Trigger finger is a condition where the fingers catch or lock when bent or straightened most commonly affects the ring finger and thumb.
Babies with torticollis may:
Be unable to turn their head in one direction
Have difficulty in breastfeeding on one side
Prefer to be breastfed only on one breast
Develop a flat head from lying in one direction all the time
Develop a small bump or lump on the neck
If you notice any of the signs, visit the best orthopedic hospital in Delhi.
A multi-ligament knee injury is a complex form of injury involving two or more knee ligaments. It is considered complex because it may also lead to nerve and/or blood vessel damage. Get the best treatment at the top orthopedic hospital in Delhi.
Blount disease is a growth disorder characterized by bowing of the lower leg that may worsen over time. Get the best treatment at the orthopedic hospital in Delhi.
Having an orthopaedic condition like arthritis, ligament tears and cubital tunnel syndrome can affect the quality of life. Manipal Hospitals has dedicated to providing high-quality, personalized care and building long-term partnerships with its patients. Contact us to know more about orthopaedic problems and book an appointment with one of our orthopaedic specialists today.