Orthopaedics

The department of Orthopedics at P. D. Hinduja Hospital provides care for a wide range of orthopedic conditions related to bones, muscles, and joints. The highly dedicated multidisciplinary team of experienced professionals provides personalized care for patients of all ages. The aim of our orthopedic medicine is to improve patients’ mobility, relieve pain and help them return to an active lifestyle.

The multi-disciplinary team not only has orthopedic surgeons and rheumatologists but also profices services such as Hand Surgery, Sports Medicine, Orthopedic Oncology (specializing in Limb Salvage Surgery for bone and soft tissue tumors), Neurology, Physical Therapy, Endocrinology, Radiology, Pain Management, specialized nursing care and nutritional support.

• Fractures, dislocations & trauma
• Joint Injury / dislocation / instability
• Disorders involving the shoulder and upper extremity, hip, pelvis, knee, ankle and foot
• Sports injuries
• Occupational injuries
• Osteoarthritis
• Ligament Sprains, strains and Repetitive stress injuries,
• Soft tissue injuries like Tennis Elbow. De’QuervaIns Disease, Plantar Fascitis and many more
• Osteoporosis
• Amputee Rehabilitation
• Bone cancers
• Degenerative changes in bones and joints
• Bone and Joint infections like TB , Osteomyelitis
• Bone and joint deformities
• Ligament and tendon injuries / tears
• Birth defects of hand(extra fingers/missing finger)
• Developmental Dysplasias in children
• Legg-Calve Perthe Disease in children
• Osteonecrosis (AVN: death and necrosis of bone tissues caused loss of blood supply )
• Osteopenia
• Bone Disorders in Gastrointestinal Diseases e.g. Celiac Disease, Inflammatory Bowel Disease.

General Procedures

The various state of the art procedures being conducted to alleviate a variety of disorders:

• Revision total joint replacement (for patients suffering from failed implants due to loosening or fracture)
• Osteotomies (joint preserving operations of the hip and knee)
• Core decompression and bone grafting procedures
• Hip impingement procedures
• Arthrodesis (for end-stage degenerative disease in young adults)

Fracture and Trauma Care Centre Procedures:

• Total joint replacements (hip replacement surgery and knee replacement surgery ) - Joint Preservation and Replacement - Arthroscopy and Arthroplasty)
• Revision total joint replacement (for patients suffering from failed implants due to loosening or fracture)
• Mini-incision unicondylar knee arthroplasty (MIS UKA)
• Bone Sparing Arthroplasty
• Knee Arthroscopy.
• Arthroscopic Ligamentary and Meniscal repairs

Bone and soft tissue cancers Procedures:

The collaboration of knowledge and experience of our Orthopedic Surgeons that specilise in bone and soft tissue cancers, Reconstructive Surgeons, Radiologist, and Radiation Oncologists ensures you get the complete care. We will help you in not only getting the diagnosis but also providing personalized treatment protocols based on the latest research and limb sparing surgery options. Not all treatments require surgery and we offer patients state-of the-art non-surgical techniques including:

• chemotherapy
• radiation therapy
• radio-frequency ablation (heat cautery)
• cryosurgery (freezing)

We have a dedicated Orthopedic Oncologist involved full time with treating bone and soft tissue tumors. Our surgeon works closely with some of India’s best engineering talent from IIT Mumbai and NFTDC Hyderabad (Non Ferrous Technology Development Corporation) towards developing world class implants and instruments. We offer the whole gamut of reconstructive options varying from prosthetic and biological options. Wherever possible, joint sparing surgery is done and not just limb sparing.

For children, we have the country’s largest experience in the use of expandable prostheses, including the non-invasive expandable which can be lengthened without any surgical procedure. Other sophisticated surgeries like extracorporeal radiation and re-implantation as well as pelvic resections and reconstructions are also now available. All our efforts are directed to ensure minimum adverse impact in your quality of life and productivity

Day Care Surgeries and procedures:

For the Musculoskeletal Surgeries, the various surgeries done by us on a day care basis are:

• Standard Tendon repairs
• Simple Diagnostic Arthroscopy
• Simple Local excision of lesion or tissue of bone (unspecified site)
• Simple Removal of internal fixation device
• Closed reduction of small fractures & plastering
• Clot evacuation / exploration (intermediate)
• Manipulation of joints
• Simple / small implant removal
• Incision & drainage abscess
• Small dressing
• Debridement
• Carpal tunnel release

Physiotherapy and Rehabilitation center for musculoskeletal disorders

At the Physiotherapy and Rehabilitation centre depending on your needs, treatment techniques may include:

• Various manual therapy techniques including joint mobilization, soft tissue massage and range-of-motion exercises.
• Customized Bracing/Splinting/prosthetics/orthotics to improve mobility and function.
• Programming to improve mobility, flexibility and muscle strength, while decreasing stress on the joints
• Stretching exercises
• Use of the McKenzie Method of Mechanical Diagnosis & Treatment for the treatment of low back and neck pain
• Procedures such as Ultrasound and Interferential Current Therapy, TENS, Electrical Stimulation to promote soft tissue healing and relive pain.
• Neuromuscular re-education using electrical stimulation for the treatment of muscle imbalances or atrophy
• The Feldenkrais Method
• Manipulation Stretching, Strengthening.
• Deep heat in combination with moist heat( to relieve acute muscle spasms)
• Postural Correction
• Patient education