Best Limb Lengthening Surgery Doctors in India
- (Prof) Raju Vaishya is a well-known Orthopedic Surgeon in India with expertise in arthroscopic surgery (hip and knee) and joint replacement procedures.
- He has been in the field of joint replacement and arthroscopy for more than 30 years and is highly skilled at the management of chronic arthritis and performing joint replacement surgeries for hip, knee, elbow, shoulder, and finger joints.
- Dr. Raju Vaishya is among the first orthopedic surgeons to introduce shoulder arthroscopy in India and is the best surgeon for knee and hip arthroplasty in the country.
- His interest also lies in cartilage regeneration and restoration along with management and treatment of ligament injuries.
- Currently, Dr. Raju Vaishya is one of the lead orthopedic surgeons in Indraprastha Apollo Hospital and is also a Professor in the department. He is part of a highly efficient team of orthopedic doctors and surgeons in the hospital which makes it one of the best orthopedic centers in India.
- He runs a fellowship training program in orthopedic surgery under Indraprastha Apollo Hospital and has trained over 300 national and international orthopedic surgeons.
- Dr. Vaishya is known to have introduced the personalized knee surgery plan that uses a customized patient-centric approach for arthroplasty.
- Dr. Raju Vaishya regularly attends national and international scientific meetings and gets invited to speak and deliver talks at such conferences and seminars. He has chaired various orthopedic and arthroscopic sessions and delivered presentations.
- He has done a large number of research on the different aspects of Arthroscopy and joint replacement procedures. His work has been published in renowned peer-reviewed journals and holds the credit for over 175 publications in national and international journals and medical textbooks.
- Dr. Raju Vaishya’s name has been featured in the Limca Book of Records four times for his contributions towards orthopedics.
- An esteemed member of numerous medical associations and organizations, Dr. Vaishya is a well known name in orthopedic surgery of the world.
- Dr. Ashok Rajgopal is often considered the best Orthopedic Surgeon in India. He was awarded the Padma Shri by the President of India in 2014 for his impeccable service to Orthopedics in India.
- He is a highly knowledgeable and skilled orthopedic surgeon with more than 25,000 Total Knee Replacement surgeries to his name. He also holds the credit for more than 3200 joint replacement surgeries and over 9950 arthroscopic surgeries and 28,000 arthroplasties.
- He holds a unique stint of performing 28 Total Knee Replacement surgeries in less than 12 hours and has achieved several other milestones in his career.
- Dr. Raman Kant Aggarwal is a leading Orthopedic Surgeon with expertise in the management and treatment of shoulders and sports injuries.
- He has been performing orthopedic surgeries for the shoulder and sports injuries for more than 26 years and has experience in performing all kinds of replacement and reconstruction surgeries of the shoulders and upper limbs.
- He holds the credit for performing the highest number of total shoulder replacement surgery and shoulder arthroscopy in Delhi and NCR.
- Dr. Ramani Narasimhan is a leading Pediatric Orthopedic Surgeon in Delhi and one of the best in India for the treatment of all kinds of pediatric orthopedic disorders.
- He specializes primarily in pediatric hip and spine surgery among other orthopedic procedures that include deformity correction surgery, joints, and bone repair and replacement, and surgery for sports injuries, fractures, and trauma. limb deficiency has been published in renowned national and international journals.
- Dr. Ramneek Mahajan is a well-known name in the field of Orthopedics and Joint Replacement surgery in India.
- His expertise lies in Primary and Revision Joint replacement surgeries and Arthroscopy. He has performed over 10000 orthopedic surgeries till date and also holds the credit for more than 2500 joint replacement surgeries.
- Dr. Mahajan received his Fellowship training in Arthroscopy and Joint Replacement from prestigious orthopedic centers in Singapore, Australia, and Germany.
- Dr. S K S Marya is a highly renowned and acclaimed Orthopedic Surgeon in India and has performed over 15,000 joint replacement surgeries till date.
- He is one of the most experienced orthopedic surgeons specializing in joint replacement surgery of upper and lower limb joints (both primary and revision) and Trauma management according to AO principles.
- His surgical career in numbers is quite high with 3500 simultaneous knee replacement surgeries and over 3000 hip replacement surgeries.
- Dr. Sajan K Hegde is an Orthopedic & Spine Surgeon with 33+ years of experience and is known for performing spine and joint surgeries using the latest technological advancements like minimally invasive sacroiliac joint fusion and cervical artificial disc.
- He has initiated many modern instrumentation systems in India including Cotrel, BAK cages, Harms Mesh Systems, and more.
- Dr. Hedge holds expertise in surgical and non-surgical spine treatments, tackling trauma, et al.
- Dr. Attique Vasdev is a renowned Orthopedic surgeon specializing in Knee surgeries.
- Currently he is the Director of Knee Unit at Bone and Joint Institute of Medanta- The Medicity and has been instrumental in starting the unit as well.
- Along with performing surgeries for all kinds of knee related diseases and disorders, he is also trained to perform sports injury surgeries.
- His principal area of interest lies in Knee replacement, Arthroscopic surgery, ligament reconstruction surgeries and Knee Osteotomy.
- Dr. Vasdev holds an immense experience of more than 25 years in knee surgeries and knee procedures. He is among the very few orthopedic surgeons in India focusing primarily in knee-related disorders.
- He organizes workshops and takes part in various CMEs and seminars where he gives live demonstration on various knee surgeries.
- He has been an invitee to various orthopedic conferences and meetings both in the national and international forum.
- Dr. Yash Gulati is a leading Orthopedic Surgeon and one of the best hip and knee replacement surgeons in India.
- For his contributions towards orthopedics in India, he was awarded the Padma Shri in 2009 and is the youngest orthopedic surgeon to receive the honor.
- Dr. Yash Gulati is an expert in all types of hip, knee, and spine joint replacement surgeries and holds the credit for performing the highest number of total knee replacements with I- Assist Navigation technique in India. He also performed the largest number of total hip replacement surgeries for Sickle Cell disease.
- With several firsts to his name, Dr. Gulati performed the first-ever total hip replacement surgery on the youngest patient in India. He pioneered the Gyroscope-based Computer Navigation Knee Replacement surgery in India and is the best in the procedure.
- He holds more than 2 decades of experience in primary and revision total hip and knee replacement surgeries and has performed a large number of complex surgeries with excellent outcomes.
- Dr. Yash Gulatiis one of the very few surgeons in India to perform Minimally Invasive Transforaminal Interbody Fusion surgeries.
- Dr. Gulati has been associated with prestigious and the best orthopedic hospitals in India. He is the orthopedic surgeon for the President of India and has also performed surgeries on some of the notable personalities of the country.
- He is also an experienced sports surgeon and holds a Diploma in Sports Medicine. He has performed surgeries on some of the well-known sportsperson and athletes of India. He has also been an honorary orthopedic surgeon for the Border Security Forces and the Armed Forces.
- Dr. Yash Gulati is regularly invited as a speaker and presenter to attend conferences and seminars all over the world. He has delivered over 500 lectures at several national and international meetings. He also delivered orations on several occasions and has been appreciated and awarded for his work on numerous instances.
- He is also invited to various orthopedic workshops and CMEs where he has given live demonstrations of knee and hip replacement procedures both in India and other countries of the world. He did a live demonstration of microdiscectomy at the Indian Orthopedic Association Annual Conference held in Patna.
- He is a keen researcher and has been developing new and better techniques for orthopedic and joint replacement surgeries in India. His work has been published in renowned national and international medical journals.
- Dr. Gulati is also active in social work and has been associated with a number of NGOs to provide for the underprivileged. He also organizes free health camps to help poor and elderly patients with orthopedic care.
- Dr. Rajagopalan Krishnan is a well-known orthopedic and spine surgeon in India.
- He is one of the most highly accomplished and successful spine surgeons in Delhi performing more than 350 spine surgeries every year.
- He provides management and treatment of spinal disorders that includes disc and degenerative disorder, spinal tumor, spinal fractures, spinal trauma, and spinal infections.
Best Limb Lengthening Surgery Hospitals in India
Indraprastha Apollo Hospital, New Delhi
- Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
- There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
- The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
- The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
Fortis Memorial Research Institute, Gurugram
- Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
- It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
- The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.
Apollo Hospital, Chennai
- Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
- India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
- Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
- The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.
Medanta-The Medicity, Gurgaon
- One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
- Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
- The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.
Max Super Specialty Hospital, New Delhi
- One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
- The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
- Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.
Artemis Hospital, Gurugram
- One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
- With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
- The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
- The hospital has won several awards as well, since its inception.
BLK Max Super Specialty Hospital, New Delhi
- Equipped with 650 beds, BLK Superspecialty Hospital is the largest stand-alone private sector hospital in Delhi.
- With over 1500 healthcare providers and 150 globally renowned super specialists, the hospital is one of Asia’s largest Bone Marrow Transplant Centres. The hospital is known for having some of the best cancer doctors in the country.
- The hospital is NABH and NABL accredited and was inaugurated by the first Prime Minister of India. Pt. Jawahar Lal Nehru.
Gleneagles Global Hospitals, Chennai
- Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
- The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
- The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.
Fortis Hospital, Mulund, Mumbai
- Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
- This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
- Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.
Kokilaben Dhirubhai Ambani Hospital, Mumbai
- Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
- Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
- The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
- The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
- The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.
Limb Lengthening Surgery
Limb Lengthening is a surgical procedure where the bone in the leg is separated and distracted or pulled apart so that new bone can form in the gap, resulting in an increase of the length. This procedure is mainly recommended for patients suffering from leg deformities or stunted growth.
The bone, if broken or fractured regenerates itself over time, and the same tactical method is used along with external and internal medical assistance to conduct the limb lengthening surgery.
Technique used in Leg Lengthening
The principle for leg lengthening surgery is based on distraction osteogenesis where distraction stands for pulling apart and osteogenesis stands for formation of new bone.
The device used for the lengthening process is usually called a fixator and primarily, there are two types, namely, the Internal and the External Fixator. The Internal Fixators are implanted in the bone, inside the body attached to the marrow cavity of the bone like a brace while the external fixators are attached to the bone outside the body with the help of wires and pins.
Indications for Limb Lengthening Surgery
Limb Lengthening surgery is usually recommended in case of certain leg deformities but other primary causes for it can be-
- Trauma to the skeletal structure of the limb that results in shortening or deformity of the leg
- Congenital Limb length disorder
- Chronic infection of the bone or joints in the limb
- Pediatric hip disorders
- Soft tissue scarring
- Cosmetic enhancements
Symptoms for leg discrepancy varies from patient to patient. While in some patient the difference in the leg length can be visibly noticed, others might walk with a limp. In other patients, limb length issues may start with lower back pains or right after a serious leg trauma or injury.
Diagnostic Tests needed
Limb length differences at birth or visible length differences can be diagnosed at sight. However, before recommending the surgery, your doctor might ask you to attend some physical examinations to determine the root cause of the problem. Apart from X-Rays and Sonograms, or use a physical diagnostic method known as the Gait Analysis to determine the exact reason for this deformity. For detailed imaging diagnosis, doctors may even prescribe a CT Scan of the limbs.
Limb Lengthening Surgery
The surgical procedure is usually based on factors like the cause or size of the discrepancy or the patient’s age, reaction to medical procedures before or if the surgery is actually required or not. Because there are complications involved in the limb lengthening surgery, the medical team first determines if the condition can be treated in a non-surgical method. If the leg discrepancy is minute or negligible, the doctors might put the patient on observation to diagnose whether the condition is growing or not. Non-surgical methods also include wearing specialized shoes that provide an external lift to help ease activities like walking.
However, if the discrepancies are too prominent, the surgical procedure is suggested to stop or halt the limn differences.
Preparation for surgery
There are no exclusive preparation methods for this surgical procedure. However, patients are requested to help their medical team with a detailed breakdown of their past medical history including past or ongoing medications which includes herbal supplements, vitamins, homeopathy medicines, OTC or NSAIDs. Patients are also requested to ask their healthcare provider for any additional dietary regulations that they should follow before the surgery.
The surgery is performed under regional or general anaesthesia to avoid pain or discomfort during the surgery.
The lengthening procedure begins with the osteotomy process where the surgeon makes a small incision to reveal the bone to be lengthened. The bone is then cut and stabilized with internal and/or external fixators.
The patient will be requested to stay back in the hospital for 2-3 days and the rehabilitation will start after the day of the surgery where the medical team will help the patient with activities like getting out of bed, moving the joints, walking through crutches, etc. The lengthening process, however, starts a few weeks after the surgery has been performed.
The surgical procedure is quick but the main lengthening process is based on the recovery from the surgical procedure which is usually done over two elaborate phases.
The actual limb lengthening procedure is done in the Distraction Phase where the internal or external fixators gradually lengthens the bone, 1 millimetre each day. The patients are usually at their best phase at this time since the bone are still distracted. Over the course of recovery, the muscles around the distraction point strengthen and movement or flexibility starts becoming harder and harder. The gap between the two distracted bone starts regenerating with new bone tissues.
The patients are requested to strictly follow therapy every single day since this is crucial for the lengthening process. Physiotherapists and the patient’s caregivers are both requested to conduct weekly and weekend physical therapy. The lengthening process works on how effective the therapy is. More the therapy the better the lengthening.
On reaching the desired length, the patients reach the consolidation phase where the fixators are no longer adjusted for lengthening. The fixators however still remain in the leg as the newly formed bone now hardens throughout the course. Most patients are requested to stay back in the hospital during the distraction phase but they can be discharged during the consolidation phase based on their recovery progress. The bone healing process, however, is closely monitored by the medical team through image diagnostic tests such as X-rays or CT Scans.
At Home Care & Precaution
Caregivers are asked to constantly help the patient throughout the recovery process. From helping them with their daily activities to helping them through therapy, both physiotherapists and at-home caregivers have to spend a substantial amount of time helping the patient undergo the lengthening, hardening of the newly formed bone, and the recovery process in total.
Patients are requested to consult the doctor regarding showers, daily activities, re-joining work or for special diets to increase the recovery rate.
How long do I have to stay in the hospital after the limb lengthening process?
The hospital stay after the surgery can be for 2-3 days but most patients opt to stay back in the hospital when they are going through their distraction phase. Patients can go home once they enter the consolidation phase.
What is the recovery time for leg lengthening surgery?
The lengthening process varies from patient to patient based on their reaction to therapy, immune system, and more. Generally, the recovery time period can be between 12-14 weeks from the day of surgery.
Are there any risks associated with the leg lengthening surgery?
Even though rare, risks such as infection during the new bone formation process has been documented.
When can I remove the fixators from my leg?
Every patient’s recovery phase will differ from one another. Usually, the pins or the fixators are removed when the patient is nearing the end of his/her consolidation phase.
What is the success rate for leg lengthening procedure?
Limb lengthening surgeries have over 90% success rate with expert surgeon.