Aditya Birla Institute of Orthopaedics

Key Consultants of the Department

- Dr. Manish Dastane
- Dr. Sambhaji Shinde
- Dr. Ashim Wokhlu
- Dr. Kiran Kharat
- Dr. Mahesh Kulkarni
- Dr. Anil Bhatia

OPD Complex

Orthopaedic Outpatient Department (Bone, Joint & Spine Services) is situated on the ground floor in the South Wing of the hospital. It consists of 4 consulting rooms (L1-L4), 2 procedure rooms and a fully equipped plaster room. The fully air-conditioned and spacious waiting area eases the patients. The Physiotherapy Department is located adjacent to the Orthopaedic Department for patient convenience.

Special Clinics

• Back Pain Clinic
• Arthritis Clinic
• Knee Clinic
• Shoulder & Sports Injuries Clinic
• Osteoporosis Clinic
• Pediatric Orthopedics Clinic
• Hand Clinic
• Foot and Ankle Clinic

Special Clubs for Patient Education

• Back club
• Knee club
• Shoulder club
• Hip club

The Operation Theatre (OT) Complex has 13 OTs with state of the art facilities. One theatre is dedicated to Orthopaedics which has ultra clean air-flow for joint replacement surgery. It has a C-arm and world-standard surgical equipments for Trauma, Arthroscopy & Joint Replacements.

Special Surgical Services

• Total joint replacement
• Joint resurfacing
• Diagnostic and operative arthroscopy
• Sports Medicine
• Paediatric orthopaedic surgery
• Hand surgery
• Non unions
• Deformity correction surgery
• Spine surgery

Orthopaedic Services

Trauma unit:

Team of ATLS and AO trained Orthopaedic surgeons providing all accident and trauma services. The Unit manages injuries of upper limb, lower limb, pelvis and spine. We also have dedicated Non-union Clinics to treat difficult problems.

Arthroscopy unit:

Well trained arthroscopy surgeons provide arthroscopy services for Knee, Shoulder, Elbow,Wrist, Hip, Ankle and Hind-foot joints. We provide full range of arthroscopic shoulder and knee services e.g instability repair for shoulder dislocations, rotator cuff repair, sub-acromial decompressions, Acromio-clavicular joint excision / stabilisation, anterior cruciate ligament reconstruction, abrasion chondroplasty, mosaicplasty, arthroscopic assisted fracture fixations and more.

Spine:

Our Orthopaedic and Neuro-surgical teams provide services for trauma & cold spinal problems.

Hand Surgery:

Hand problems like fractures, tendon injuries, nerve injuries, rheumatoid hand deformities etc. are managed by our specialists.

Paediatric Orthopaedics:

Traumatic and Non-traumatic disorders in children are managed with additional support from the Paediatric team. Infant hip screening services are provided.

Foot & Ankle Surgery:

Our team of experts provide services for traumatic and non-traumatic problems of Foot and Ankle.

Sports Injuries:

Our experts provide non-operative as well as operative solutions to patients with injuries due to sporting activities. We have dedicated clinics for sports injuries.We aim to get these athletes back to their competitive sports as early as possible.

Physiotheray & Rehabilitation Services:

Experienced pro-active team offers a complete range of tailor-made Orthopaedic & Trauma rehabilitation services for optimum outcome. State of the art physiotherapy equipments and facilities including hydrotherapy are available.

Arthritis and Joint Replacement Unit

Aditya Birla Memorial Hospital is a world-class, multi-speciality hospital located in Pimpri-Chinchwad, Pune. We are easily accessible by road, rail and air; and are close to the Mumbai-Pune and Mumbai-Bangalore Express Highway. We provide high quality and cost-effective medical services through our state-of-the-art infrastructure, advanced medical equipments and a team of trained specialists from all over the world.

About arthritis

Arthritis is a disease which causes inflammation of the joints and thereby restricts their movements. This often leads to pain upon weight bearing, including walking and standing, redness, swelling and stiffness. The word arthritis literally means joint inflammation (arth = joint, ritis = inflammation).

Fear of joint replacement surgery

Arthritis generally affects the older population. It is the leading cause of disability in people who are fifty five and above. And, it is the number one disability not only in the USA but in Asia as well. The obesity epidemic in India, which leads to an increased body weight directly affects the weight bearing joints and thereby causes arthritis. Further, the reluctance of the Indian population towards exercise aggravates this issue.

However, not many people are willing to undergo this surgery, firstly due to their fear of whether the surgery will be successful or not; and secondly because of its cost. Joint replacement surgery if performed by an experienced team of surgeons, using the best implants manufactured by a reputed company, in a hospital which maintains good health practises is bound to give good results.

About joint replacement surgery

Joint replacement surgery is a worldwide success story and is one of the most common and successful operations performed. In this surgery, painful, and worn out parts of the joint are replaced with artificial surfaces, shaped in a way so as to allow a pain-free joint movement. This surgery corrects deformity and thereby improves alignment and appearance.

Joint replacement done for the first time is known as a 'primary' replacement, whereas when it is redone, it is known as a 'revision'. It can be planned, i.e. done as an elective procedure, or it can be unplanned, i.e. done as an urgent or emergency procedure for trauma, fracture, dislocation, infection or cancer.

However, there are some risks involved in this procedure like infection, Deep Vein Thrombosis (DVT), scar related issues and neurovascular problems in severe deformity. But rest assured, the percentage of these risks is just 5% compared to a 95% success rate. And, with an increased awareness and preventive measures like using prophylactic antibiotics, clean air theatres, space suits, clean hand campaigns, DVT stockings, early mobilisation and judicious use of drugs to thin the blood, the risk factors come down to being almost zero.

Delayed infection can be one major cause for concern and can happen many years after the index surgery is performed. Lowered immunity, local trauma leading to haematomas and high dose or long-term steroids can be the cause for it. This requires surgical removal of the old implant and a staged revision procedure. The results of such a revision surgery are satisfactory provided the accepted protocol is followed properly.

Another reason why a revision can occur is because the implant is loose or has failed due to implant wear or fracture. Also, as the typical lifespan of the implant is about 20 years, revision has to be considered, once the patient successfully completes them.

The findings of the Canadian Joint Replacement Registry (CJRR) reveal that degenerative (i.e. wear and tear) osteoarthritis is the most common diagnosis resulting in the need for 81% of primary total hip replacements and 92% of primary total knee replacements. Other common diagnoses for primary replacements include inflammatory arthritis (rheumatoid arthritis) and post-traumatic arthritis. The findings also state the correlation between weight and joint replacement. A high proportion of knee replacement patients were overweight (33%) or obese (54%). Similarly, a high proportion of hip replacement patients were overweight (37%) or obese (35%).

Why joint replacement surgery?

Surgery to replace a hip or knee joint occurs when disease or injury degenerates the cartilage and/or bones of the hip or knee to a point where non-surgical treatments do not adequately reduce the pain or disability.
Joint replacement surgery is an extremely cost-effective and a highly effective treatment for reducing pain and improving the quality of life.
Techniques of joint replacement surgery

RPF (Rotating Platform for High Flex Knee):

The High Flex Rotating Platform Knee Replacement Surgery is the latest advancement in the field of knee replacement surgery. Many a times, Indians face problems when required to squat or sit cross-legged for various social and religious occasions. Therefore, artificial knees permitting positions of extreme flexion have been developed. After undergoing this surgery, patients can sit cross-legged in bed and squat occasionally, right from the third month onwards.

ASR (Articular Surface Replacement) Hip Surgery:

This surgery replaces the surfaces of the hip joint and is usually a long-term option for extreme pain that starts to hinder the everyday activities. This surgery aims at retaining the natural anatomy of the hip while relieving the pain, correcting deformities and restoring any loss of function. Post surgery, it allows the patients to get back to their normal lifestyle, which also includes jogging, indulging sports and yoga.

Why choose Aditya Birla Memorial Hospital for undergoing joint replacement surgery?

Dr. Kiran T. Kharat, MBBS, M.S ORTH. (Pune), M.Sc ORTH. (London), Dipl. LAMP (Cardiff), BMAS (London) is a full-time joint replacement surgeon, who has worked in the UK and has to his credit, fifteen years of valuable experience in the field of joint replacement. He has done 1000 joint replacement so far. We also have a highly skilled and well qualified medical and surgical team to ensure good management of pre-operative and post-operative management of medical and surgical problems.

Our doctors make use of world-class implants that have a long life. A fast recovery programme and good support network improves the outcome of the surgery. Adoption of total integrated care pathway system and advanced pain management protocols make our patients' post-operative stay comfortable, and their mobilisation after surgery, quicker.

In short, we offer you a competitive price package along with the facilities of a state-of-the-art and world-class healthcare institution.

Download brouchure