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This patient had a congenital short femur with dysplasia of the hip on right side. She had undergone the lengthening of the femur earlier. She presented again with a progressive deformity as shown in the picture on the left side.
Now she had an apparent varus deformity with shortening of the right side.
When the full length x-ray was done it showed an oblique plane deformity which would require correction at two levels.
The planning for correcting this deformity was done by drawing the 90º line at the hip and the 87º line at the distal femur (at the knee). Another line intersecting these two lines was drawn along the femoral shaft. The points of intersection marked the two CORAs.
The picture the on the left shows the profile from the right side. Besides the scars from the previous surgery it shows a flexion deformity at the proximal femur.
The picture on the right shows tracing made from the x-ray. The tracing shows the proposed osteotomies and the corrected appearance.
The tracings make an important part of the preoperative planning of deformity correction. They help in simulating the correction. One can plan the exact site of osteotomy, the placement of pins/screws/wires and the placement of hinges and also come to know of the relationship of the individual bone segments and the final outcome. Therefore, one can correct any mistakes made during he planning even before going to the operating room.
Computer software are now available where the simulation of osteotomy and correction can be done directly on the digital x-ray image.
The picture on the left shows the composite of intra-operative c-arm pictures.
The schanz screws were placed perpendicular to the axis of the bony segment. Percutaneous osteotomies were then performed between the first and second set of schanz screws and the second and third set of schanz screws. Acute correction of varus and flexion deformities at the proximal osteotomy and correction of varus deformity at the distal osteotomy was done. The clamps and the rail were mounted and LRS (limb reconstruction system) fixator assembly was completed.
The picture on the right shows the tracing of the proposed correction.
These pictures were taken during surgery to correct the oblique plane multilevel deformity.
The picture on the left shows the position of the schanz screws in the frontal plane. Three groups of schanz screws are visible. The proximal and distal group of schanz screws are divergent as compared to the middle group of screws (mimicking the double varus deformity of femur). The distal group of screws is parallel to the knee joint line (a reference wire was passed under c-arm guidance parallel to the knee joint). The arms of the goniometer have been placed parallel to the proximal and middle group of screws showing the divergence between the two. Once the osteotomy is completed the deformity gets corrected when the screws are made parallel to each other.
The picture on right shows the position of the schanz screws in coronal plane.
This picture was taken during surgery; shows the position of schanz screws in the sagittal plane. The proximal and middle group of screws are at an angle mimicking the flexion deformity of the proximal femur.
The slope between the middle and distal group mimics the normal femoral bow in sagittal plane.
Once the osteotomy is completed and the the proximal and middle group of screws are made straight the flexion deformity gets corrected.
The appearance in the frontal plane once the varus angulations are corrected and the LRS (Limb Reconstruction System) assembly is completed.
The picture on the right is the x-ray appearance with the corrected bony axis.
The appearance in the sagittal plane once the flexion deformity is corrected and the LRS (Limb Reconstruction System) assembly is completed.
Also seen are the small incisions (red arrows) through which the percutaneous osteotomies were performed.
The bottom picture shows how the incisions are cleaned thoroughly using a high pressure sterile normal saline and betadine solution.
For post-operative analgesia a long acting local anesthetic is infused at the pin sites and other incisions. We also like to use a pre-operative anti-inflammatory rectal suppository to cut down on the surgery induced inflammation and pain.
The final x-ray pictures just before fixator removal (left) and just after fixator removal (right).
The picture on the right is taken right after the fixator removal. The radiolucent shadow is the broken piece of threaded screw impacted in the bone. Also seen are the tracts left behind in the bone in the places where the schanz screws had been before removal. These tracts get filled up with new bone in about 3 weeks time. During this time we advise “careful weight bearing,” i.e. walk full weight-bearing with the aid of a crutch or a stick.
| Speciality | Orthopedist, Joint Replacement Surgeon |
| Consulting Room | 202 |
| Consultation Timing |
Monday, Wednesday and Friday 3 pm - 8 pm |
| Speciality | Radiologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Pathologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 203 |
| Consultation Timing |
Tuesday and Thursday,Saturday 4pm - 7pm ,1pm - 4pm |
| Speciality | Orthopaedics |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 205 |
| Consultation Timing |
Monday to Saturday 11am - 1 pm |
| Speciality | Orthopaedics |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 004 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 002 |
| Consultation Timing |
On Appointment |
| Speciality | Foot & Ankle Surgeon |
| Consulting Room | 202 |
| Consultation Timing |
Wednesday 7pm - 8pm |
| Speciality | Hand Surgeon |
| Consulting Room | 003 |
| Consultation Timing |
Wednesday 3.30pm to 5pm |
| Speciality | Joint Replacement |
| Consulting Room | 005 |
| Consultation Timing |
Tuesday, Thursday and Saturday 3pm - 4pm |
| Speciality | Spine |
| Consulting Room | 205 |
| Consultation Timing |
Wednesday, Saturday 5:30pm - 7pm, 10am - 11am |
| Speciality | Arthroscopy & Trauma |
| Consulting Room | Ground floor, Room no.3 |
| Consultation Timing |
Monday, Wednesday and Friday 6pm - 7 pm |
| Speciality | Pediatric Orthopedics |
| Consulting Room | Ground floor, room no. 1 |
| Consultation Timing |
Mondays 3pm - 5pm |
| Speciality | Orthopedics |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Joint Replacement |
| Consulting Room | 203 |
| Consultation Timing |
Saturday 2pm - 3pm |
| Speciality | Spine |
| Consulting Room | 204 |
| Consultation Timing |
Tuesday and Thursday 7pm - 8pm |
| Speciality | Spine |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | General Medicine |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Physiotherapist |
| Consulting Room | 004 |
| Consultation Timing |
Monday to Saturday 5pm - 9pm |
| Speciality | Physiotherapist |
| Consulting Room | 004 |
| Consultation Timing |
Monday to Saturday 4pm - 7pm |
| Speciality | Gynecologist |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 003 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 001 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Vascular Surgeon |
| Consulting Room | 203 |
| Consultation Timing |
Tuesday and Friday 8pm - 9pm |
| Speciality | Interventional Radiology |
| Consulting Room | 205 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 002 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 003 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Nephrologist |
| Consulting Room | 201 |
| Consultation Timing |
Monday, Wednesday and Friday 11am - 1pm |
| Speciality | Pathologist |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Plastic & Reconstructive |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Plastic & Reconstructive Surgery |
| Consulting Room | 004 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 001 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Obstetrics & Gynecology |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Shoulder & Elbow Surgery |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Joint Replacement |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Arthroplasty, Joint Replacement |
| Consulting Room | 205 |
| Consultation Timing |
On Appointment |
| Speciality | Arthroplasty, Joint Replacement |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Medical Oncology |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Medical Oncology |
| Consulting Room | 202 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopedist, Joint Replacement Surgeon |
| Consulting Room | 202 |
| Consultation Timing |
Monday, Wednesday and Friday 3 pm - 8 pm |
| Speciality | Radiologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Pathologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 203 |
| Consultation Timing |
Tuesday and Thursday,Saturday 4pm - 7pm ,1pm - 4pm |
| Speciality | Orthopaedics |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 205 |
| Consultation Timing |
Monday to Saturday 11am - 1 pm |
| Speciality | Orthopaedics |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 004 |
| Consultation Timing |
On Appointment |
| Speciality | Orthopaedics |
| Consulting Room | 002 |
| Consultation Timing |
On Appointment |
| Speciality | Foot & Ankle Surgeon |
| Consulting Room | 202 |
| Consultation Timing |
Wednesday 7pm - 8pm |
| Speciality | Hand Surgeon |
| Consulting Room | 003 |
| Consultation Timing |
Wednesday 3.30pm to 5pm |
| Speciality | Joint Replacement |
| Consulting Room | 005 |
| Consultation Timing |
Tuesday, Thursday and Saturday 3pm - 4pm |
| Speciality | Spine |
| Consulting Room | 205 |
| Consultation Timing |
Wednesday, Saturday 5:30pm - 7pm, 10am - 11am |
| Speciality | Arthroscopy & Trauma |
| Consulting Room | Ground floor, Room no.3 |
| Consultation Timing |
Monday, Wednesday and Friday 6pm - 7 pm |
| Speciality | Pediatric Orthopedics |
| Consulting Room | Ground floor, room no. 1 |
| Consultation Timing |
Mondays 3pm - 5pm |
| Speciality | Orthopedics |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Joint Replacement |
| Consulting Room | 203 |
| Consultation Timing |
Saturday 2pm - 3pm |
| Speciality | Spine |
| Consulting Room | 204 |
| Consultation Timing |
Tuesday and Thursday 7pm - 8pm |
| Speciality | Spine |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | General Medicine |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Physiotherapist |
| Consulting Room | 004 |
| Consultation Timing |
Monday to Saturday 5pm - 9pm |
| Speciality | Physiotherapist |
| Consulting Room | 004 |
| Consultation Timing |
Monday to Saturday 4pm - 7pm |
| Speciality | Gynecologist |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 003 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 001 |
| Consultation Timing |
On Appointment |
| Speciality | Gynecologist |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Vascular Surgeon |
| Consulting Room | 203 |
| Consultation Timing |
Tuesday and Friday 8pm - 9pm |
| Speciality | Interventional Radiology |
| Consulting Room | 205 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 002 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 003 |
| Consultation Timing |
On Appointment |
| Speciality | Anesthesiology |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Nephrologist |
| Consulting Room | 201 |
| Consultation Timing |
Monday, Wednesday and Friday 11am - 1pm |
| Speciality | Pathologist |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Plastic & Reconstructive |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Plastic & Reconstructive Surgery |
| Consulting Room | 004 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 005 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 001 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Obstetrics & Gynecology |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Shoulder & Elbow Surgery |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Joint Replacement |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
| Speciality | Arthroplasty, Joint Replacement |
| Consulting Room | 205 |
| Consultation Timing |
On Appointment |
| Speciality | Arthroplasty, Joint Replacement |
| Consulting Room | 203 |
| Consultation Timing |
On Appointment |
| Speciality | Medical Oncology |
| Consulting Room | 204 |
| Consultation Timing |
On Appointment |
| Speciality | Medical Oncology |
| Consulting Room | 202 |
| Consultation Timing |
On Appointment |
| Speciality | Surgical Oncology |
| Consulting Room | 201 |
| Consultation Timing |
On Appointment |
Our Vision दृष्टिकोन:
To improve the quality of life; free of deformities for our patients, at an
affordable price while always treating them like a family.
आमच्या रुग्णांच्या जीवनाचा दर्जा सुधारण्यासाठी त्यांस परवडणाऱ्या किंमतीत आरोग्य सेवा देणे. तसेच त्यांच्या सोबत नेहमी कुटुंबाप्रमाणे वागणे.
Our Mission मोहीम:
To provide the best, empathetic medical care to our patients.
To help our patients make an informed choice in
their treatment.
To pass on the knowledge we have received to our
collegues and to the next generation.
आमच्या रुग्णांना सर्वोत्तम, सहानुभूतीपूर्ण वैद्यकीय सेवा प्रदान करणे. आमच्या रुग्णांना त्यांच्या उपचारांमध्ये माहितीपूर्ण निवड करण्यास मदत करणे. आम्हाला मिळालेले ज्ञान आमच्या सहकाऱ्यांना आणि पुढच्या पिढीपर्यंत पोहोचवणे.