Orthopaedics

Orthopaedics

The Department of Orthopaedics in Parkash Hospital has a reputation for excellence in teaching, research and patient care. Our orthopedic care is delivered with the expertise, innovation and commitment you would expect from a hospital. The Department of Orthopaedics has expertise in every orthopedic subspecialty. Inpatient services are divided into teams that care for general and specialized orthopedic patients. The divisions are: Joint replacement, Trauma, Arthroscopic and Sports Injuries,s Oncology, Foot and Ankle Surgery, Pediatrics, Reconstructive Surgery. 

Orthopedic surgery or Orthopaedics (also spelled orthopedic surgery and Orthopaedics ) is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and non-surgical means to treat musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.

Limb Reconstruction

The Limb Reconstruction Service at Parkash hospital provides comprehensive evaluation and treatment of limb deformity secondary to long standing infection, neglected fractures and mal (badly united fractures). The Service is recognized for its innovative treatment for congenital (by birth) deformity leading to shortening and deformity of limbs and is among the very few centres offering cosmetic limb lengthening procedures. 

The Limb Reconstruction Service is comprised of a multidisciplinary group including Orthopaedic Surgeons, Microvascular surgeons, Physiotherapists and a pain management team.

Paediatric Orthopaedics

Parkash Hospital provides comprehensive treatment for the entire spectrum of children’s orthopedic disorders including paediatric upper limb, lower limb and spine conditions. The teams extensive clinical experience along with innovative treatment techniques, has led to well documented outcomes both quantitatively and qualitatively. Parkash Hospital staff is committed to providing orthopaedic care to children and young people under the age of 18, regardless of their families’ ability to pay. The various kinds of procedures and treatments include broadly 

Congenital/Development Hip Disorders which include; Congenital Hip Dislocation, Coxa Vara, Legg Calve Perthes Disease, Slipped Capital Femoral Epiphysis, Developmental Hip Abnormalities, Fractures and Post-traumatic Hip Abnormalities, Adolescent Hip Pain, Tumors from simple cysts to fibrous dysplasia and Malignancies.

 

  • Knee disorders: Congenital knee dislocation, sports injuries, patellofemoral malalignment, deformities.
  • Foot & Ankle Disorders including Clubfoot and Flatfoot Neurological foot conditions.
  • Spine disorders: Scoliosis, kyphosis, spondylolysis, spondylolysthesis, torticollis.
  • Shoulder disorders: Obstetric brachial plexus palsy, instability, sports injuries, deformities.
  • Elbow disorders: Deformities, sports injuries.
  • Hand & Wrist disorders: Birth defects, trauma, deformities and sports injuries.
  • Musculoskeletal infections: Septic arthritis, Tuberculosis, osteomyelitis and sequelae.
  • Neuromuscular Diseases – These include Cerebral Palsy, Spine Bifida, arthrogryposis and Muscular Dystrophy.
  • Trauma/Fracture Problems and Joint Tendon Injuries.
  • Limb lengthening & deformity correction.
  • Skeletal dysplasias.
  • Childhood bone and soft tissue tumors.

 

Spine/Spine Surgery

The department of spine surgery offers comprehensive care and solutions for a wide range of disorders affecting the spine ranging from trauma to degenerative conditions to tumors. 

A world class facility has been put up with special emphasis on all aspects of spinal treatment including physiotherapy, ergonomics, lifestyle awareness and surgery. The hospital provides top end operation theatres, equipments and good care to patients so that excellent results can be achieved.

We offer treatment of the entire gamut of spinal conditions like

 

  • Spinal trauma
  • Disc diseases causing low back ache, sciatica, neck pain with pain along the arms.
  • Spinal deformities like scoliosis and kyphosis.
  • Spinal infections like tuberculosis.
  • Tumors affecting the spinal column.
  • Problems of the ageing spine.
  • Keyhole surgeries for various diseases of the spine.

 

Arthroscopy and Sports Medicine

The Sports injury clinic at Parkash-Hospital for Advanced Surgeries specialises in the non-surgical and surgical management of Musculoskeletal injuries occurring as a result of Sports. Cricket, Badminton, Tennis, Golf, Swimming etc. are the common sports that can result in injury to the Shoulder and Knee joint. The other joints that can be injured are elbow, wrist and ankle joint. Our team constitutes, Sports Physiotherapist, Junior Doctors, Nursing professional We provide a comprehensive and evidence based care to all Musculoskeletal Sports injuries.

We offer surgical management of the following common injuries.

 

  • Ligament injuries of the knee joint (Anterior and Posterior Cruciate ligaments)
  • Meniscus tears of the knee joint.
  • Cartilage damage.
  • Patella dislocation.
  • Shoulder – recurrent dislocations.
  • Shoulder – Rotator cuff injury.
  • Shoulder – Impingement.
  • Fractures around the shoulder, elbow, wrist and knee joint.
  • Elbow osteoarthritis.
  • Tennis Elbow/Golfer’s Elbow.
  • Wrist – Triangular fibro cartilage tear.
  • Arthritis of the hand joints.

 

Our approach consists of making a definitive diagnosis by a thorough clinical assessment and using various diagnostic modalities followed by formulating a management plan. In many instances, the management plan would consist of non-surgical treatment comprising of pain medications, physiotherapy and counselling. If the injury cannot be treated by non-surgical means then surgical treatment is offered. 

An extensive discussion is provided prior to surgery so that patients are fully aware of the expected outcomes of the procedure. Our anesthetists and caring nurses will Endeavour to make your surgical experience safe and comfortable. 

Patient education and support – At every step, we take effort to inform and educate our patients about their symptoms and the pathology. All treatment options are explained to patients (and their families) prior to starting treatment. We believe that an informed and educated patient is able to participate in a shared decision making process regarding the treatment. 

Sports Physiotherapy and Rehabilitation - The objective of the treatment in Sports injuries is to get the patient back to Sporty lifestyle. Our team of physiotherapists is well trained in rehabilitation and we have necessary equipments in regard to that. Encouraging sports performance is another branch that our sports physiotherapist can provide support. We also offer treatments such as interferential therapy, short-wave diathermy and ultrasound massage.

Tumor Orthopaedics

TheBone and Soft Tissue Tumor Services at Parkash Hospital, is a specialized unit involved in treating tumors that arise from the musculoskeletal system such as bone, muscle and connective tissue. The most common forms of malignant tumors (sarcomas) are Osteosarcoma, Ewing’s Sarcoma, Spindle cell Sarcoma of the bone, Chondrosarcoma and Soft Tissue Sarcomas. With the latest advances in imaging techniques, chemotherapy, radiation intervention and reconstruction following removal of the disease, limb salvage has been made possible in more than 95 percent of the cases. The diseased bone can now be replaced with an artificial prostheses (Endoprosthetic Replacement) thus improving quality of life and avoiding disabling amputations. 

Treatment of tumors follows a multidisciplinary approach using multiple skill sets of Orthopaedics , Medical Oncology, Pathology, Radiotherapy, Rehabilitation Services, Pain and Palliative Care and Counseling Services. This ensures that a customized treatment plan is developed for each patient. State-of-the-art diagnostic facilities, such as MRI scan, PET scan, CT scan and Tumor Pathology services are available for the early and accurate diagnosis of musculoskeletal tumors. Surgical expertise in dealing with the planning and treatment of these complex problems is back with well-equipped infrastructure facilities including operating theatres with laminar air-flow, monitoring equipment and intensive care facilities.