Orthopedics

Department of Orthopedics

Our full-fledged Orthopedics Department is one of the advanced units designed for muscular and skeletal injuries and is rated as the best among Accident and Trauma care Units. We have the best bone specialists in Kerala, one of the renowned surgeons for shoulder and upper limb surgery, and the advanced facilities include ultra clean laminar flow theatres with HEPA filters, DEXA scan for an accurate measurement of bone density and strength. We perform all arthroscopic & reconstructive procedures for;

  • Total hip replacements
  • Spine surgeries for tauma, deformity correction & disc surgery
  • Joint replacements- TKR, THR, Shoulder & upper limb, total elbow & ankle
  • Congenital & developmental deformity surgeries
  • Hip resurfacing
  • Total knee replacements
  • Unicompartmental knee replacement
  • Small joint replacements of hands & feet
  • Sports injury & Arthroscopy
  • Foot & Ankle

meet Experts

Orthopedic services available at the department are:

  • Trauma care
  • Advanced Joint Replacement unit
  • Sports injuries & Arthroscopy
  • Paediatric Orthopaedics
  • Limb lengthening & Deformity correction
  • Osteoporosis unit
  • Orthopaedic Oncology
  • Osteoporosis Speciality Clinic

MEDICAL DIAGONOSTICS FACILITIES OF OSTEOPOROSIS CLINIC

  • ARTHROSCOPY WITH MOTORIZED SHAVER
  • LAMINAR FLOW ORTHO OT
  • "C" ARM
  • MOTORIZED FRACTURE TABLE
  • ASSESSMENT OF WHOLE MUSCULO-SKELETAL SYSTEM FOR OSTEOPOROSIS BY SPECIALIST
  • DEXA SCAN
  • BLOOD TESTS FOR BONE PROFILE, INCLUDING BLOOD LEVEL OF VIT D.
  • COUNSELLING FOR OSTEOPOROSIS MANAGEMENT
  • ADVICE ON EXERCISE AND DIET GIVEN
  • RISK ASSESSMENT FOR FRACTURES BY FRAXS TOOL TO IDENTIFY HIGH RISK PATIENTS
  • VISIT BY PRIOR APPOINTMENT TO AVOID DELAY.

Orthopedic Trauma

We treat all types of fractures including the upper extremity and lower extremity, pelvis, acetabulum and poly-trauma. Apart from instances where patients require correction of deformity, we also treat non-unions, mal-unions and infection.

Conditions usually treated -

Fractures and Dislocations of the Upper Extremity

  • Collar bone
  • Shoulder bladeT
  • Arm bone
  • Elbow
  • Hand

Fractures and Fracture Dislocations of the Lower Extremity

  • Dislocated Hip
  • Hip fracture
  • Thigh bone
  • Knee fracture
  • Leg fracture
  • Foot & Ankle fracture

Other Fractures and Conditions

  • Multiple fracture
  • Ununited fracture
  • Deformity after fracture

Joint Replacement Unit

Sunrise Hospitals offer the latest in Adult Reconstruction & Joint Replacement for Arthritis of Hip, Knee, Ankle & small joints of foot.

  • Osteoarthritis due to age related gradual wear and tear
  • Inflammatory arthritis like Rheumatoid Arthritis, Psoriatic Arthritis, Gouty Arthritis etc
  • Autoimmune diseases
  • Cartilage or ligament problems

Joint repair and replacement options available at Sunrise

Knee Replacement and alternatives

  • Total knee replacement
  • Mini incision surgery (MIS)
  • Unicondylar knee arthroplasty (Partial knee replacement)
  • Knee arthroscopy (synovectomy & joint lavage)
  • Osteotomy (joint preserving surgery)
  • Revision knee replacement

Hip Replacement and alternatives

  • Total hip replacement
  • Partial hip replacement
  • Mini incision surgery (MIS)
  • Core decompression / Bone grafting / Osteotomy (joint preserving surgery)
  • Revision hip replacement

Do we need to fear Joint replacements?

What is joint replacement?

It is one of the most successful of operations in modern medicine. It consists of replacing painful, worn out or deceased parts of a joint with artificial surfaces so as to allow pain free joint movement. The artificial components are called prostheses or implants. The most commonly used components are metal and high-density polyethylene. Ceramic bearing surfaces and metal on metal are also more commonly being used nowadays.

When is it needed?

Joint replacement surgery is indicated when pain and loss of function are disabling. It may be considered if your

  • Pain becomes chronic and constant
  • Medicines do not give relief
  • Pain does not allow you to walk even short distances
  • Pain disturbs your sleep
  • Social, professional and personal life is adversely affected

At what age can it be done?

Ideally it is done after 60 years, but it can be done at an earlier age also if indicated

Will there be lot of pain for the surgery?

Joint replacements like any other operations are done completely pain free using modern anaesthetic techniques. These could be a general anaesthetic or spinal, epidural or regional anaesthesia. With current methods of anaesthesia, pain relief can be achieved well into 2 or 3 days after surgery, like using epidural catheters, regional blocks etc. After that, oral painkillers would be sufficient and gradual recovery to a state of normalcy can be achieved in 2-3 months time.

Will it be possible to do surgery in old people?

Joint replacements in fact are ideally suited for people over 60 years of age as one surgery can usually take them through their rest of the lifetime without needing a revision surgery. Besides, after the surgery a drastic improvement in the quality of life can be expected with relief of pain and improved mobility.

Can a person with diabetes hypertension or cardiac problems have joint replacement?

Yes. Because of the age group these surgeries are commonly performed in, it is common for many patients to have various medical problems as well. However, provided these are well controlled, and with proper medical supervision, joint replacements can be safely performed.

How soon can one recover from a total hip or knee replacement surgery?

On the 1st day active and passive exercises of the operated leg are started. On the 3rd day drain is removed and the patient is made to stand and walk with the aid of walker or crutches. After 4 6 weeks The patient can walk independently without support and can climb up and down steps

What are the possible risks and complications?

All major operations involve some risks. However with modern anaesthetic and surgical techniques, these risks are very low. The patient should be aware of the following risks

Infection This can be a serious complication. Most of these operations are done in special ultra clean theatres using meticulous sterile techniques. In spite of this, anywhere in the world, there is a 1% risk of infection. Most of these can be treated with antibiotics, but a very small number might require removal of implants to clear out infection. Another implant can be implanted at a later stage.

Thrombosis Blood clots can occur in leg veins in 8-10% patients. Most often, medications are given to prevent this occurrence. Quickly getting back to normal mobility helps to prevent this. Deaths due to these clots dislodging and obstructing vital organs is extremely rare (less than 0.1%).

Implant failure Loosening or wear of implants can occur usually after 10-15 years. Lot of factors like type of implants used, good surgical techniques, good alignment, load on the joint etc influence the life of the artificial joint. When excessive wear occurs, revision surgery might be indicated.

Dislocation This is especially relevant in hip replacements. Approximately 1-4% of patients can have this complication depending on various surgeons’ experience. Several causes have been attributed for this, like – mal position of implants, inadequate repair of soft tissues, patient unable to comply with instructions, trauma, neurological problems, wear of implants etc

How long will it last?

An experienced surgeon using the best implants in the correct technique can achieve 95% successfully functioning artificial joints at the end of 15 years. After that approximately 1% of the joints fail each year, i.e., at the end of 20 years 90% of his patients should still be doing well and at 25 years 85%, at 30 years -80%. So far the long-term success rates have been studied only to this stage. It could be possible that with the more modern and better techniques that are being used nowadays, these results are likely to be even bettered in the future.

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