Excellence in patient care, treatment, and patient well-being is the overall goal of the Department of Orthopaedics at Sarvodaya. The Department of Orthopaedic Surgery provides a comprehensive and integrated orthopaedic program for patients.
Manned by highly qualified orthopaedic doctors in Faridabad. The department is recognized for the quality of its services. It has established itself as a centre of treatment for all kinds of traumatic and non-traumatic orthopaedics problems. Over the years it has started speciality clinics in the field of spine, joint replacement, orthopaedic oncology, arthroscopy and paediatric orthopaedic. The Centre also has attached and well-equipped Physiotherapy and Occupational Therapy units.
The department provides comprehensive services for admitted patients on conservative treatment or for pre-operative care, intra-operative care, post-operative care and follow up care with facility of Indoor and ICU.
The department has backup of laboratory and imaging services. Imaging services includes X-ray and CT scan, MRI, DEXA SCAN, Nerve testing (NCV)
Total Knee Replacement
A total knee replacement is a surgical procedure whereby the diseased knee joint is replaced with artificial material. The knee is a hinge joint which provides motion at the point where the thigh meets the lower leg. During a total knee replacement, the end of the femur bone is removed and replaced with a metal shell. The upper end of the lower leg bone (tibia) is also removed and replaced with a channelled plastic piece with a metal stem.
Computer Navigation:- Sarvodaya is equipped with latest navigation machine to have accuracy in implant alignment.
Kinematic Allignment:-With new techniques of kinematic alignment bone cuts are minimized and ligament are preserved..
Muscle Sparing: In this technique muscles in front of knee are not cut & knee is exposed keeping muscle fully intact by taking it to one side. It is technically demanding but result of TKR are encouraging. Patient requirement for physiotherapy is minimized and muscle functions are restored early.
High Flex Knee:-Majority of patient undergoing TKR at Sarvodaya are implanted high flex knee which can help the patient in sitting crossed-legged and squatting.
Ligament Sparing TKR (CR):- We can use ligament sparing techniques to have optimal function of knee after TKR. Cruciate retaining (CR) knee give better function of knee. Both cruciate lig sparing (XR) Knee are future knee which when imported in India will be giving almost normal knee function.
No Suture Removal: - After knee replacement self dissolving suture are applied and patient are not asked for suture & staple removal. Also cosmetically knee looks better.
Minimal Pain Following TKR:- To minimise pain following surgery, we use patient controlled analgesia(PCA) using Epidural pump, skin patches and physiotherapy to minimise the requirement of narcotics. Virtually knee replacement surgery becomes painless.
Patient is made to walk next day following surgery and fully functional after one month of surgery.
Total Hip Replacement
A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials. The normal hip joint is a ball and socket joint. The socket is a "cup-shaped" component of the pelvis called the acetabulum. The ball is the head of the thighbone (femur). Total hip joint replacement involves surgical removal of the diseased ball and socket and replacing them with a metal (or ceramic) ball and stem inserted into the femur bone and an artificial plastic (or ceramic) cup socket. The metallic artificial ball and stem are referred to as the "femoral prosthesis" and the plastic cup socket is the "acetabular prosthesis." Upon inserting the prosthesis into the central core of the femur, it is fixed with a bony cement called methylmethacrylate. Alternatively, a "cementless" prosthesis is used that has microscopic pores which allow bony ingrowth from the normal femur into the prosthesis stem. This "cementless" hip is felt to have a longer duration and is considered especially for younger patients. Total hip replacement is also referred to as total hip arthroplasty.
Who is a candidate for total hip replacement?
Total hip replacements are performed most commonly because of progressively worsening of severe arthritis in the hip joint. The most common type of arthritis leading to total hip replacement is degenerative arthritis (osteoarthritis) of the hip joint. This type of arthritis is generally seen with aging, congenital abnormality of the hip joint, or prior trauma to the hip joint. Other conditions leading to total hip replacement include bony fractures of the hip joint, rheumatoid arthritis, and death (aseptic necrosis, or avascular necrosis) of the hip bone. Hip bone necrosis can be caused by fracture of the hip, drugs (such as chronic use of prednisone and prednisolone), alcoholism, and systemic diseases (such as systemic lupus erythematosus).
The progressively intense chronic pain, together with impairment of daily function including walking, climbing stairs, and even arising from a sitting position, eventually become reasons to consider a total hip replacement. Because replaced hip joints can fail with time, whether and when to perform total hip replacement are not easy decisions, especially in younger patients. Replacement is generally considered after pain becomes so severe that it impedes normal function despite use of anti-inflammatory and/or pain medications. A total hip joint replacement is usually an elective procedure, which means that it is an option selected among other alternatives and can be scheduled on a routine basis. It is a decision that is made with an understanding of the potential risks and benefits. A thorough understanding of both the procedure and anticipated outcome is an important part of the decision-making process with the orthopaedic surgeon.
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 sportspersons to quickly regain their peak performance.
What is arthroscopy?
The arthroscope is a small fiber optic instrument that can be placed into the shoulder joint through a small incision. A camera is attached to a TV monitor, and pictures can be taken. The arthroscope allows a complete evaluation of the entire shoulder joint, including the ligaments, the rotator cuff, the biceps tendon, the joint lining, and the cartilage surface. Small instruments ranging from 3-5millimeters in size are inserted through an additional incision so that any injuries can be diagnosed, and damaged tissue can be repaired,reconstructed, or removed.Before the development of arthroscopy, large incisions had to be made over the shoulder joint to treat or diagnose injuries. Today’s arthroscopic techniques allow more complete evaluations of the joint while accelerating the rehabilitation process.
Knee arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera — called an arthroscope — into your knee. This allows them to view the inside of the joint on a screen. The surgeon can then investigate a problem with the knee and, if necessary, correct the issue using small instruments within the arthroscope.
Arthroscopy diagnoses several knee problems, such as a torn meniscus or a misaligned patella (kneecap). It can also reconstruct the ligaments of the joint. There are limited risks to the procedure and the outlook is good for most patients.
Why Do I Need Knee Arthroscopy?
Arthroscopic surgery can diagnose and treat knee injuries, including:
torn anterior or posterior cruciate ligaments
torn meniscus (the cartilage between the bones in the knee)
patella that’s out of position
pieces of torn cartilage that are loose in the joint
removal of a Baker’s cyst
fractures in the knee bonesswollen synovium (the lining in the joint)
and a few other procedures
What Happens During a Knee Arthroscopy?
You will be given an anesthetic before your knee arthroscopy. This may be:
local (numbs your knee only)
regional (numbs you from the waist down)
general (puts you completely to sleep)
If you are awake, you may be able to watch the procedure on a monitor.
The surgeon will begin by making a few small incisions, or cuts, in your knee. Sterile salt water, or saline, will then pump in to expand your knee. This makes it easier for the surgeon to see inside the joint. The arthroscope enters one of the cuts and the surgeon will look around in your joint using the attached camera. The surgeon can see the images produced by the camera on the monitor in the operating room.
When the surgeon locates the problem in your knee, they may then insert small tools into the incisions to correct the issue. After the surgery, the surgeon drains the saline from your joint and closes your cuts with stitches.
What kinds of procedures can be performed with the arthroscope?
Arthroscopy allows the surgeon to view the inside of the shoulder joint and perform a variety of surgeries. These surgeries include:
A complete evaluation of the joint (diagnostic arthroscopy)
Repair of torn or damaged cartilage or ligaments of the shoulder (in cases of shoulder instability)
Repair of a torn or damaged biceps tendon (in cases of biceps tendonitis or SLAP tears)
Evaluation and repair of the rotator cuff (in cases of rotator cuff tendonitis or tears)
Removal of the end of the clavicle (in cases of arthritis or pain of the acromioclavicular (AC) joint)
What are the possible complications of surgery?
Possible complications of shoulder arthroscopy include stiffness of the shoulder after surgery or continued pain. The use of arthroscopic techniques attempts to limit these complications. Other complications include an infection, bleeding, nerve damage, or problems with the anesthesia.
The risk of any complication following surgery is very low.
What kind of anesthesia is used?
A combination of general anesthesia and regional anesthesia is usually used. Before the surgery, the anesthesiologist will inject some medication around the nerves of the shoulder. This numbs the arm and helps to control your pain after surgery. In addition, you go to sleep (general anesthesia) to help keep you comfortable during surgery.
What do I need to do to prepare for surgery?
If needed our staff will help to set up the surgery through your insurance company and will instruct you on any paperwork that may be necessary. Prior to your surgery, you may be asked to get several medical tests, done on an outpatient basis. Most patients need some minor blood tests and a urinalysis. Some patients need to see an internist or their family doctor to obtain clearance for surgery. The night before the surgery, our staff will keep you informed of surgery. You may/may not eat or drink anything before your surgery depending on the time of surgery.
How long will I be in the hospital?
Almost all patients are able to have surgery and go home the same day or next day of surgery.
Post-operative period Diet: Resume your regular diet as soon as tolerated. It is best to start with clear liquids before advancing to solid food.
Medication: You will be given a prescription for pain medication.
Bandage: You will have a thick dressing on the shoulder. You will be instructed on when it can be removed, usually in 3 days.
Showering: You may shower after your dressing is removed, after 2–3 days. You cannot take a bath until the wounds are completely sealed, usually 2 weeks after surgery.
Sling: You will have a sling after surgery. How long you wear the sling will depend on the procedure performed. You can remove it for grooming and physical therapy.
Ice: You may receive an ice machine that continually surrounds your shoulder with cold water. If not, you may apply ice over the dressings for 30 minutes every hour for several days. Do not use heat.
Suture removal: Your stitches will be removed at your office visit 10 days after surgery.
Follow-up office visit: You will be instructed on when to follow-up in the office. This is usually 7-10 days after surgery.
Exercise: You will be instructed on exercises you can do immediately after surgery. You will start physical therapy within 1to 2weeks after surgery.
What will rehabilitation involve?
The rehabilitation is based on several goals:
allowing the tissue to heal
return to sports.
The specific rehabilitation protocol for the physical therapist will depend on the procedure performed, and will be reviewed after surgery.
When can I return to sports?
Your return to sports will depend on the extent of damage and the procedure performed to your shoulder. In general, you will be allowed to return to sports in 3 to 6 months after surgery. You must have good motion, strength, and control of your shoulder and arm. How quickly you return to sports depends on several factors, including:
your own rate of healing;
the damage found at surgery;
if you have any complications;
how well you follow the post-operative instructions;
how hard you work in rehabilitation.
Reconstructive hand surgery
We have delivered a new super speciality of hand in the department of orthopaedics manned by highly qualified and trained orthopaedic surgeon. Complex hand trauma and limb re-implantation surgery is done in this centre with excellent result.
The recent innovations in Orthopaedic surgery such as
Revision hip and knee replacements
Minimally invasive spine surgery
Arthroscopic PCL and shoulder surgery are all being practiced with excellent results.
The Orthopaedic OPD provides consultation for all major and minor orthopaedic cases including comprehensive care for arthritis patients.
Arthroscopy & sports medicine
Treatment of Limb deformities
Treatment of complex trauma & Industrial injuries