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The Apollo Speciality Centres for Orthopedics are at the forefront in offering the latest in orthopedic treatments and surgical techniques. The centres perform surgical procedures which include the most current arthroscopic and reconstructive techniques – including major joint replacements including the Birmingham Hip resurfacing and shoulder surgeries, arthroscopies, laminectomies, the most delicate hand surgeries and much more. The most advanced medical equipment and a team of highly experienced surgeons are supported by computer navigation and imaging equipment with robotically- assisted technology.
• Pioneers of Total Knee Replacement in India
• Were the first to perform Birmingham Hip Resurfacing procedure in India
• The hospital has a 99% success rate for Hip Resurfacing procedure
• Pioneers of Illizarov Procedure for limb lengthening in India
• Revolutionary Ceramic Coated Knee Replacement was performed for the 1st time in South India at Apollo Speciality Hospital, Chennai.
• Resorbable screws were used for the first time in India at Apollo Hospitals Chennai to correct congenital spine problem of a six-year-old child from Tanzania.
• Successfully performed an Arthroscopic Brachial Plexus leading to pain free postoperative recovery after shoulder surgery at Apollo Hospitals Chennai .
• Successful Bilateral Total Knee Arthroplasty in a single sitting was carried out on a 92-year old man, at ApolloHospital, Bangalore.
• World's 1st iPod Navigation Hip Resurfacing Surgery was successfully performed at Apollo Speciality Hospitals, Chennai.
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Birmingham Hip Resurfacing has been considered a breakthrough medical technique. Invariably our patients come to Apollo Bangalore, to undergo BHR - not just for the cost factor, but also for the expertise. BHR has come as a boon for younger patients, as it results in very little bone loss and almost normal unrestricted movements and functions. The success rate of BHR is over 99%. |
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What is Birmingham Hip Replacement or resurfacing (BHR)?
BHR is primarily intended for use in people who are in need of a hip replacement at a younger age and therefore are likely to be more active. In Birmingham Hip Resurfacing a very small part of bone on the top of the thighbone is resurfaced. A metal head is fixed on the thighbone. It fits into a metal socket placed in the joint.
For people needing a replacement under the age of 55, regular consideration is given for this procedure. People aged between 55 and 65 who are very active and otherwise fit may also be suitable and this will be determined by their bone quality and activity level.
The BHR advantage
Traditional Total Hip Replacements (THR) invariably have a 'metal on plastic' bearing. These are reasonably successful in elderly relatively inactive patients, but offer unacceptably poor long term outcomes for young, active patients often with unavoidable multiple revision surgeries and associated complications. It is to avoid this unfortunate sequence of events that Birmingham Hip Resurfacing (BHR) was developed.
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The end portion of the thighbone affected by arthritis is replaced with a metal head that can be cemented with special glue to the stem of the thighbone (or) can be uncemented (in younger patients). The socket is replaced with a metallic cup and high density plastic is used as an insert into it. The socket is usually left uncemented (screws are used to connect to the thighbone). The Total Hip Replacement procedure enables restoration of the natural gliding motion of the joint. |
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The Proxima Hip Replacement is also ideal for young patients. In this minimally-invasive procedure, the part of thighbone at the point where it begins is shaped and replaced by a metal head. This sits in a metal cup that is fitted into the socket. Bilateral and Revision Hip Replacements are also done at Apollo Hospitals, India. Some hip surgeries can also be performed using minimally-invasive techniques. |
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Arthritis is inflammation of the joints. A gradual wearing away of the tissue on the ends of bones results in reduction of joint space and friction at the exposed bone surfaces, changing regular bone movement and causing severe pain. Knee Replacement Surgery is the best solution to treat the condition and allow resumption of normal activities in the knee.
The types of arthritis are:
Osteoarthritis
This occurs after the age of 50 in individuals with a family history of arthritis. The tissue that cushions the bones of the knee softens and wears away. The bones then rub against one another, causing knee pain and stiffness.
Rheumatoid Arthritis
This is a disease in which the inner membrane of joints is thickened and inflamed. This results in excessive production of the fluid that lubricates these joints. This chronic inflammation can damage the tissue covering the ends of the bones and eventually result in loss of the tissue, pain and stiffness.
Traumatic Arthritis
It can result from a serious knee injury. A knee fracture or severe tears of the knee's connective tissue may damage the tissue covering the ends of the bones over time, causing knee pain and limiting knee function.
Symptoms of arthritis:
1. Severe pain in the joint that restricts everyday activities such as walking, climbing stairs and getting up from chairs.
2. Severe pain while resting.
3. Inflammation and swelling of the joint that does not improve with medication and rest.
4. Deformity in the joint.
5. Joint stiffness or inability to move the joint in a normal manner.
The Orthopedic surgeons at Apollo Hospitals, Bangalore can diagnose and treat many types of bone and joint problems using minimally invasive techniques. Most minimally invasive orthopedic surgeries are done with the use of an arthroscope, a special thin tool designed for viewing and treating problems inside a joint. The arthroscope is so slim that it can be inserted into the joint through one or more tiny "keyhole" cuts through the skin, rather than longer incisions. The arthroscope is fitted with a state-of-the-art miniature camera and a specialized lighting system that enables the structures inside the joint to be viewed on a monitor. The surgeon can attach special tools to the end of the arthroscope to shave, cut, or remove tissue or bone that are causing problems. Arthroscopic or keyhole surgeries of the joints are routinely performed. The most common arthroscopic procedures include repairing cartilage and meniscus problems in the knee, and removing inflammation and repairing rotator cuff tears in the shoulder. Apollo Hospitals performs arthroscopies on a routine basis. Hip resurfacing is also done through key hole Surgery. |
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Some of the knee surgeries and treatments performed at Apollo Hospitals, India are:
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Total Knee Replacement
For patients suffering from severe arthritis that can cause acute pain and make even routine activities difficult, Total Knee Replacement is the best solution. The procedure involves removing all diseased portions of bone and tissue on their ends, and replacing them with metal and high density plastic components shaped to create a structure that allows normal movement of the joint. Other knee deformities will also be corrected during the Surgery. |  |
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Partial Knee Replacement
This minimally invasive procedure is an option for arthritis patients in whom only one part of the knee has been affected. In a Partial Knee Replacement the diseased portion is removed and replaced with a metal implant. |
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High Tibial Osteotomy
An osteotomy is Surgery that involves shaping and realigning of bones at a joint. It is usually used to treat arthritis in young patients, and is particularly recommended for those with very shallow joint sockets.
In High Tibial Osteotomy the upper part of the tibia - one of the limbs forming the lower leg - is resurrected, mostly by removing a small part of bone in the area.
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Dr. Arvind D Patil Consultant, Department of Orthopedics
Dr. Arvind Patil, a Senior Consultant in Orthopaedics department is a well known name in the Apollo Hospital for quite some time now.Dr. Patil was exposed to handling different ways of management of Trauma cases independently. He was also fortunate to be guided by some senior names in his field. His involvement as a lead investigator in the research outcome of superficial infection in Total Hip and Knee arthroplasty Surgery, under the supervision of foreign doctors was from the University of Dundee, U.K. He has also contributed to the study of Dynamic Compression Plating in Diaphyseal fractures of both forearm bones from RGUNH, Bangalore.
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Dr. Chandramouli B Senior Consultant, Department of Orthopedics
Dr. Chandramouli is a highly skilled doctor, having an experience of more than 11 years. He is an authority in the department of Orthopedics. A specialist in Arthritis Management & Joint Replacement (ARTHROPLASTY) Surgery, he has practiced in institutes of national repute. He joined the Apollo Hospitals Bangalore, four years ago and with his dedication has become a well known name. Given the infrastructure of the hospital, Dr. Chandramouli belongs to the Centre of Excellence team. Dr. Chandramouli and his teammates are striving to bring the department or Orthopedics on the world map.
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Dr. J. Lakshmikanth Senior Consultant, Department of Orthopedics
Dr. J. Lakshmikanth is one of the leading authorities in the Country on the treatment of Orthopedics and a specialist in Spinal deformity corrections and Joint replacements of Hip and Knee. A highly experienced Orthopedician, he is in this profession for more than 26 years now. Having conducted more than 3000 Orthopedic procedures, he is with the Apollo Hospital Bangalore, from the last six years.
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Dr. Jayateerth W Kulkarni Senior Consultant, Department of Orthopedics
Dr. Jayateerth Kulkarni is a well known name in the department of Orthopedics. An eminent doctor with a sea of experience and vast knowledge, he is exposed to the best of both worlds. Gaining training and experience at the National and International level, he got professionally trained from reputed hospitals of India, England and Canada. A pioneer in his field, Dr. Kulkarni has more than two decades of experience and has the credit of performing over 5000 orthopedic procedures till date.
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Dr. Jithendra Kumar Senior Consultant, Department of Orthopedics
Dr. Jayateerth Kulkarni is a well known name in the department of Orthopedics. An eminent doctor with a sea of experience and vast knowledge, he is exposed to the best of both worlds. Gaining training and experience at the National and International level, he got professionally trained from reputed hospitals of India, England and Canada. A pioneer in his field, Dr. Kulkarni has more than two decades of experience and has the credit of performing over 5000 orthopedic procedures till date.
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Dr. Rupendu Thangavelan Senior Consultant, Department of Orthopedics
Dr. Rupendu Thangavelan is a well known name in the department of Orthopedics. An eminent doctor with a vast knowledge, he is exposed to the best of both the worlds. He has gained professional experience in India as well as abroad. Dr. Rupendu, is in this field for more than three decades now. He joined Apollo Hospitals Bangalore, after gaining enough exposure in the reputed hospitals of our Country.
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Dr. Subodh M Shetty Consultant, Department of Orthopedics
Dr. Subodh M Shetty, a familiar name in the field of Orthopedics specializes in Spine surgery. He is a Senior Consultant currently associated with Apollo Hospitals Bangalore, for the last two years. He has had more than two decades of experience behind him before joining the Apollo Group of Hospitals.
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