• Artificial Joint Replacement
• Arthroscopic Surgery of Hip, Knee and Ankle
• Rheumatoid Arthritis, Degenerative Arthritis
• ACL, PCL and Meniscus Repairs
• Ligament Injuries,

• Rotator Cuff Repair
• Disk Replacement Surgery
• Repair of Shoulder Impingement Syndrome and Rotator Cuff Tear
• Arthroscopic Surgery of Shoulder, Elbow, Wrist
• Cartilage Restoration / Transplantation

• Nerve Decompression Surgery
• Musculoskeletal Injuries
• Limb Lengthening, Deformity Correction
• Scoliosis
• Sports-Related Injuries

Total Hip Replacement

This is usually undertaken in patients who have had their hip joints destroyed due to injury or diseases like osteoarthritis, rheumatoid arthritis, etc. Hip resurfacing and replacements using ceramic liners are done for relatively young active patients. Padiyath Medicity - Hopital Du Cinquantenaire is one the first African Centres to use 36 diameter Delta Ceramic bearings.

Revision Joint Replacement

Revision joint replacement is a frequent procedure and we have the entire revision instrumentation along with high speed burrs for difficult surgeries, both for the hip and knee joint. Ours is the first centre in Africa to use trabecular metal cone for revision knee surgery.

Total Knee Replacement

For knees that are severely damaged due to disease or injury, total knee replacement is the best option. The end of the thigh bone is normally replaced with a metallic component and the upper end of the leg bone with a polyethylene component with metal base plate. The latest Hi-flexion fixed bearing and mobile bearing designed knee components and those specifically designed for women (gender solution knees) are routinely used.

Total Shoulder / Elbow Replacement

Joints like the elbow and shoulder, which are damaged due to diseases like rheumatoid arthritis or due to traumatic injury are treated with total joint replacement.

Physical Medicine and Rehabilitation

The effects of stroke, joint replacement, amputation, and other disabling conditions can often be reduced through physician- supervised rehabilitative care. Services include treatment planning, a prescription for rehabilitative equipment, and disability determinations. Both outpatient and inpatient care for acute mobility problems are also provided.

Orthopaedic Trauma

Traditionally, many bone injuries caused by trauma were repaired using immobilisation devices placed outside the body. Our orthopaedic surgeons are leaders in using devices that are surgically placed on or in the injured bones. Those devices provide strong support and can be used in treating fractures of the pelvis, thighbone, hip, foot, and ankle.

Ilizarov Surgery

This specialised modality is being widely used for treatment of infected/non-infected non unions, limb length discrepancy & deformity correction of limbs. This modality is also being used to treat high velocity complex fractures of limbs. Cases of cosmetic lengthening have been successfully done in the department. Department has now introduced computerized robotic Hexapod / SUV frame for deformity correction and limb lengthening.

Paediatric Orthopaedics

Paediatric orthopaedic surgeries including polio, cerebral palsy, club foot, CDH (by birth hip problems), CTEV (twisting foot), Perthes' disease, slipped capital femoral epiphysis, congenital anomalies and operative treatment of fractures are regularly managed in the department.

Hand Surgery

Department is well-equipped for management of hand trauma including reconstruction of crush injury hand and various fractures in the hand and wrist.

Foot and Ankle Surgery

The department is fully geared up for all kinds of complex foot & ankle surgeries. All kind of foot deformities, like hallux valgus, bunion, cavus and diabetic foot are managed surgically.

Keyhole surgeries of the joints are done with state-of-the-art instruments. Recovery from the surgery is much faster compared to traditional open surgery. The facili¬ties in arthroscopy include the video arthroscope for the knee, shoulder and hip, the smaller scope for wrist elbow and ankle, complete power shaver system, pres¬sure sensitive pump for joint distension, arthroscopic electronic power system, VAPR (radiofrequency energy delivery system), Autologous Chondrocyte Implantation and Osteochondral Autograft Transfer System (OATS).

Keyhole surgery of the knee joint is routinely done mainly for meniscal repairs, anterior and posterior cruciate ligament reconstruction, double bundle reconstructions, biopsies, knee cap dislocations for MPFL reconstruction, popliteal cyst management etc.

Services Offered

• Trauma and Fracture surgery
• Management of open fractures
• Limb lengthening
• Fusion of joints
• Correction of deformities

• Image intensifier, confirms perfect fracture fixations
• Ilizarov and External Fixation Device
• Infected non-union of long bones

• High quality Swiss 'AO' systems help stabilize fractures
• Key hole surgery for disorders of the knee, shoulder, elbow and ankle

Painful joints, Osteoarthritis and stiff joints can be unbearable and a major cause of disability in elderly population. Joint replacement is the only hope that remains for patients who want a quick relief from stiff joints. Joint replacement surgeries for arthritic patients are result-oriented and rewarding. Padiyath Medicity - Hopital Du Cinquantenaire offers Joint replacement surgeries with long term result to the patients. The objective is to provide a better quality of life.

Services provided

• Total hip replacement
• Total shoulder replacement
• Wrist replacement

• Ankle joint replacement
• Total knee replacement
• Total elbow replacement

• Hand joint (small) replacement surgery
• Minimally Invasive Kneee Replacement Surgery [MIKRS]

Facilities

• 8 high tech OTs
• Antistatic and Antibacterial Vinyl flooring.
• Highly experienced and eminent orthopedic surgeons.
• Best of the Instruments and Equipments.

• Best Staff and Medical officers to give best post-op- medical care.
• Specially designed 4 state of the art class 100 laminar air flow Modular OTs which minimizes the chances of infection.

• Constantly updated medical technologies for flawless operations.
• Well trained Physiotherapy personnel to take care of these patients.

This division offers excellent care in sports related injuries of the joints and ligaments. Arthroscopic techniques are used in cruciate ligament repair, meniscal repair, cartilage transfer, MPFL reconstruction, and multiple ligament injured knee.

The goal of the Sports Medicine team is to help each patient achieve their highest level of function. Our multi-disciplinary team consists of fellowship trained sports medicine orthopaedic surgeons that specialize in arthroscopic surgery, primary care sports medicine physicians, athletic trainers, and physical therapists. The Orthopaedic Institute is fully equipped to care for all athletic injuries with on-site clinics and operating rooms, x-ray and high resolution MRI, physical therapy, and the human performance center.

Common conditions treated in the Padiyath Medicity - Hopital Du Cinquantenaire Sports Medicine Center:

• Rotator cuff tears and impingement
• SLAP tears
• Throwing shoulder problems
• ACL and other knee ligament injuries
• Cartilage injuries in the knee

• Runner's knee and running problems
• Early arthritis of the hip, knee, and shoulder
• Shoulder instability/dislocations
• Shoulder arthritis/Reverse shoulder replacement

• Athletic elbow problems
• Meniscus tears
• Patella pain and dislocations
• Hip labral tears and Femoroacetabular impingement (FAI)

Podiatry deals with the prevention, diagnosis, treatment and rehabilitation of medical and surgical conditions of the feet and lower limbs. Conditions treated include those arising from bone and joint disorders, neurological problems, circulatory diseases and soft tissue pathologies.

The Podiatrist can diagnose and treat any complication of these which may affect the lower limb. Foot injuries and infections through sport or other activities are also treated, along with common foot conditions such as ulcers, corns, calluses and ingrown toe nails. Podiatry plays an important role in maintaining the mobility of many elderly and disabled people. "At risk" patients also benefit from education, footwear advice and regular treatment for pedal complications.

Services

• Biomechanical Examination and Gait Analysis
• Footwear Recommendations
• Lower Limb Ulceration Management

• Nail Surgery
• Orthotics Prescription
• Therapeutic Treatment

• Routine Foot Care (Skin and Nail Care)
• Cryotherapy

The primary objective of Center for Orthopaedics, Joint replacement & Sports medicine is "early mobilisation, minimal discomfort". This state-of-the-art specialised health care facility is designed to provide the highest levels of professional expertise and patient care. Here, every patient is tended to by a multi-disciplinary unit.