Qutab, South Delhi > Specialities > Orthopedics & Joints

Orthopedics & Joints

Orthopedic surgery is the branch of surgery concerned with conditions involving the musculoskeletal system. Orthopedic surgeons use both surgical and nonsurgical means to treat musculoskeletal trauma, sports injuries, degenerative diseases, infections, tumors, and congenital disorders.


Our Specialty Includes:

Joint Replacement Surgery

Joint replacement surgery, is a procedure of orthopedic surgery in which the arthritic or dysfunctional joint surface is replaced with an orthopedic prosthesis. Joint replacement is considered as a treatment when there is severe joint pain or dysfunction is not alleviated by less-invasive therapies.

Total Knee Replacement 

This is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain and disability. It is most commonly performed for osteoarthritis, and also for other knee diseases such as rheumatoid arthritis and psoriatic arthritis. In patients with severe deformity from advanced rheumatoid arthritis, trauma, or long standing osteoarthritis, the surgery may be more complicated. Osteoporosis does not typically cause knee pain, deformity, or inflammation and is not a reason to perform knee replacement.

Knee replacement surgery can be performed as a partial or a total knee replacement. In general, the surgery consists of replacing the diseased or damaged joint surfaces of the knee with metal and plastic components shaped to allow continued motion of the knee.

Total Hip Replacement 

This is a surgical procedure in which the hip joint is replaced by a prosthetic implant. Hip replacement surgery can be performed as a total replacement or a hemi (half) replacement. Such joint replacement orthopaedic surgery is generally conducted to relieve arthritis pain or fix severe physical joint damage as part of hip fracture treatment. A total hip replacement (total hip arthroplasty) consists of replacing both the acetabulum and the femoral head while hemiarthroplasty generally only replaces the femoral head. Hip replacement is currently the most common orthopaedic operation.

Spinal Surgery 

This is the medical specialty concerned with the prevention, diagnosis, treatment, and rehabilitation of disorders which affect any portion of the nervous system. A primary focus of surgery is to remove “pressure” or reduce mechanical compression on a neural element: either the spinal cord, or a nerve root. But it is increasingly recognized that back pain, rather than being solely due to compression, may also be due to chemical inflammation.

Arthroscopic Surgery

Arthroscopic surgery is a minimally invasive surgical procedure in which an examination and sometimes treatment of damage of the interior of a joint is performed using an arthroscope, a type of endoscope that is inserted into the joint through a small incision. Arthroscopic procedures can be performed either to evaluate or to treat many orthopaedic conditions including torn floating cartilage, torn surface cartilage, ACLreconstruction, and trimming damaged cartilage.

The advantage of arthroscopy over traditional open surgery is that the joint does not have to be opened up fully. Instead, for knee arthroscopy for example, only two small incisions are made — one for the arthroscope and one for the surgical instruments to be used in the knee cavity. This reduces recovery time and may increase the rate of surgical success due to less trauma to the connective tissue. It is especially useful for professional athletes, who frequently injure knee joints and require fast healing time. There is also less scarring, because of the smaller incisions. Irrigation fluid is used to distend the joint and make a surgical space.

Sports Medicine

Common sports injuries:

  • Concussion -  caused by severe head trauma where the brain moves violently within the skull so that brain cells all fire at once, much like a seizure
  •  Muscle Cramps -  a sudden tight, intense pain caused by a muscle locked in spasm. Muscle cramps are also recognized as an involuntarily and forcibly contracted muscle that does not relax
  • ACL Sprains - The anterior cruciate ligament (ACL) is a ligament involved in knee stabilization. An ACL rupture can occur when the foot is planted and the knee twists to change direction.
  • Ankle Sprain - The ligaments that hold the ankle bones in place can easily be overstretched.
  • Shin Splints - The tissue that attaches the muscles of your lower leg to the shin bone may be pulling away from the bone, or it may be inflamed from overuse.

Trauma Surgery 

Over the last few decades, a large number of advances in trauma and critical care have led to an increasing frequency of non-operative care for injuries to the neck, chest, and abdomen. Most injuries requiring operative treatment are musculoskeletal. A significant portion of the emergency general surgery calls are taken by trauma surgeons. The field combining trauma surgery and emergency general surgery is often called acute care surgery.

Hand & Reconstructive Surgery 

Hand surgery deals with both surgical and non-surgical treatment of conditions and problems that may take place in the hand or upper extremity(commonly from the tip of the hand to the shoulder) including injury and infection. Hand surgeons perform a wide variety of operations such as fracture repairs, releases, transfer and repairs of tendons and reconstruction of injuries, rheumatoid deformities and congenital defects. They also perform microsurgical reattachment of amputated digits and limbs, microsurgical reconstruction of soft tissues and bone, nerve reconstruction, and surgery to improve function in paralysed upper limbs.

The following conditions can be indications for hand surgery:

  • Hand injuries
  • Carpal tunnel syndrome
  • Carpometacarpal bossing
  • Rheumatoid arthritis
  • Dupuytren's contracture
  • Congenital defects

Reconstructive surgery

Reconstructive surgery the use of surgery to restore the form and function of the body, although maxillofacial surgeons, plastic surgeons and otolaryngologists do reconstructive surgery on faces after trauma and to reconstruct the head and neck after cancer.

Bone Tumor Surgery 

Treatment for some bone cancers may involve surgery, such as limb amputation, or limb sparing surgery (often in combination with chemotherapy and radiation therapy). Limb sparing surgery, or limb salvage surgery, means the limb is spared from amputation. Instead of amputation the affected bone is removed and is done in two ways (a) bone graft, in which a bone from elsewhere from the body is taken or (b) artificial bone is put in. In upper leg surgeries, limb salvage prostheses are available. The other surgery is called van-ness rotation or Rotationplasty which is a form of amputation, in which the patient's foot is turned upwards in a 180 degree turn and the upturned foot is used as a knee.

Types of amputation:

  • Leg
  • Below knee
  • Above knee
  • Symes
  • Hip disarticulation
  • Hemipelvectomy or hindquarter, in which the whole leg is removed with one half of the pelvis
  • Arm
  • Below elbow
  • Above elbow
  • Shoulder disarticulation
  • Forequarter (amputation of the whole arm, along with the shoulder blade and the clavicle)

Orthopedic Surgeons at Rockland Hospitals conduct the following procedures on a regular basis:

Arthroscopy

Our highly trained doctors are proficient at Arthroscopic procedures, including

  • Ligament Reconstruction in the knee using Tendon Grafts (ACL/PCL) with tiny incision
  • Bone-Tendon Grafts with minimal incision
  • Shoulderscopy for recurrent dislocations, cuff tears and arthropathy and subacromion decompression
  • Intra-articular Fracture Fixation
  • Procedures on the hip, ankle and elbow other joints
  • Soft tissue procedures like Carpal Tunnel Release.

Complex Trauma Services

Our centres are well equipped to provide the comprehensive, multi-disciplinary emergency treatment required to give victims of vehicle accidents, falls, assaults, natural disasters and other leading causes of traumatic injuries the best possible chance for survival and recovery.

Ceramic on Ceramic Articulation in Total Hip Replacement

The use of ceramics revolutionized Total Hip Replacement. By using state of the art delta ceramics, our doctors maximise the function and longevity of the prosthesis, giving the patients painless, normal functioning of this critical joint for as long as 25 years.

Elbow Replacements

This rare procedure, pioneered by Rockland, replaces the elbow joint with prosthetics (artificial parts) when other interventions, medical and surgical, have failed. While less common than Hip and Knee Replacement Surgeries, it is a well-established surgical procedure and our highly talented doctors make sure the patients get back to near normal state post the surgery.

Hi Flex Knees

Imagine the liberation of being able to walk, kneel and squat normally, without pain. That’s what Hi-flex knees lets you do.

Hip Arthroplasty (Total Hip Replacement)

Hip Arthroplasty is a procedure where the hip joint is replaced by a prosthetic implant. Such kind of Hip replacement is conducted to relieve the pain from arthritis, or fix severe physical joint damage.Rockland Hospitals specializes in the use of high-performance bearing surfaces like Ceramic and Oxinium in this procedure.We do all the articulations & design for the Hip Replacement.

Limb lengthening

Limb lengthening is to extend the length of bones (height); either growth stimulators administration or surgical operations. At this considerable results are possible only in artificial lengthening of lower extremities bones length by various construction devices

Orthopedic Rehabilitation and Physiotherapy

Rockland clinical expertise assures patients of the careful monitoring and care they need to get back to the highest possible degree of personal mobility.

Other Treatments and procedures

We also treat Osteoarthritis of the hand, Chronic Wrist Pain, Rheumatoid Arthritis, Fractures and Sprains, and Meniscal Tears.

PaediatricOrthopaedics

At Rockland, we offer critical care and treatment for musculoskeletal problems in children and adolescents, to ensure that injuries, birth malformations, neurological disorders and bone infections do not alter or stunt growth.

Single Stage Bilateral Knee Replacements

This procedure, which involves replacement of both the knees in one go, has a high level of patient acceptance as it involves only one admission, one administration of anaesthesia, antibiotics and pain management, one period of rehabilitation, accelerated recovery and a shorter overall hospital stay. It does however need a medically fit patient, as the cardio-vascular stress is high

Shoulder Replacement Surgery

This procedure is indicated in cases of severe arthritis or injury when non-surgical methods like physiotherapy and medication have not worked. It seeks to restore a wider range of motions to this crucial joint, and can replace just the head of the Humerus or the entire shoulder joint.

Sports Medicine

The treatment of sports-related injuries including Foot & Ankle problems, Hand & Wrist problems, Knee problems, Shoulder & Elbow problems, Rotator Cuff Tendinitis or Tears, Tennis Elbow, Shoulder Instability, Chondromalacia, and Cruciate Ligament Injuries.

Total Knee Replacements

This procedure is recommended when conservative treatments such as anti-inflammatory medications, injections, and physical therapy fail to give relief, as in cases of severe Osteoarthritis affecting all the three compartments of knee. Rockland specializes in the treatment of severely deformed knee joints and complex knee conditions.

Uni condylar Knee Replacements

Although this procedure is often referred to as “Partial Knee Replacement” it is actually the complete replacement of only that part of the knee that is arthritic or severely damaged. As it is designed to retain most of the patient’s bone, it helps patients recover faster.

Fully equipped Operation Theatres:
The hospital boasts of top-of-the-line Operation Theatres at par with international standards.The OTs have Laminar flow systems fitted with HEPA filters to create an infection-free environment. In addition to these, our OTs are equipped and high flexion implants.

The Department of Orthopaedics is backed by a robust Physiotherapy and Rehabilitation Centre offering best quality post-operative care.

Sports Medicine Centre:
The department is armed with a dedicated clinic for treating sports-related injuries with the emphasis on core strengthening, thereby, helping the sportsmen to quickly regain their peak performance.

We have a well-equipped Radiology Department with the latest technology-enabled equipment for X-Ray, CT Scan, MRI and BMD to provide complete diagnostic support to our Orthopedics and Joint Replacement Department.

BMD:

Precision here is the key to effective results. Effective use of serial DXA measurements for monitoring changes in BMD requires theminimization of precision error. Precision can vary widely depending on operator experience, the type of DXA used, and the skeletal site measured.

Dual-energy Vertebral Assessment (DVA):

DVA aids in the identification and assessment of vertebral deformations. DVA provides rapid single-and dual-energy images of the AP and lateral spine, allowing clinicians to visually assess the presence of vertebral deformations. The DualFemur option automatically scans both femurs in one seamless acquisition without repositioning the patient.This critical hip region assessment identifies the weakest side to enhance confidence in treatment decisions.

Total body/body composition:

Body composition measurement with dual-energy X-ray absorptiometry (DXA) can look beyond weight and the traditional body mass index (BMI) to determine body fat distribution.Body composition measurement contributes to a thorough patient evaluation and helps physicians monitor the effects of therapy, diet or exercise.Body composition scans with DXA provide precise and accurate data on bone and tissue composition, including bone mineral density (BMD), lean and fat tissue mass, and % of fat. They provide both total body data and regional results(trunk, arms, legs, pelvis and android/gynoid regions). Themeasurements are fast and non-invasive.

Dr. P.K  Dave
Designation : Chairman
Department  :  Orthopedics & Joints
Hospital :  Qutab
Language Spoken :  English, Hindi
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Dr. Naveen  Talwar
Designation : Director
Department  :  Orthopedics & Joints
Hospital :  Qutab, Manesar, Dwarka
Language Spoken :  Hindi, English
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Dr. Rajesh  Verma
Designation : Consultant
Department  :  Orthopedics & Joints
Hospital :  Qutab
Language Spoken :  English, Russian , Punjabi
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Dr. Saif   Nabi Shah
Designation : Consultant
Department  :  Orthopedics & Joints
Hospital :  Qutab
Language Spoken :  English, Hindi
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Dr. Anuj  Malhotra
Designation : Associate Consultant
Department  :  Orthopedics & Joints
Hospital :  Qutab
Language Spoken :  Hindi, English
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