Best Doctors in India for Rotationplasty
- Orthopedic surgeon, Chennai, India
- Over 35 years’ experience
- MGM Healthcare Chennai
Profile Highlights:
- Dr. A B Govindaraj is a leading Orthopedic surgeon who holds an extensive experience of more than 3 decades in the field and performs over 300 joint replacement surgeries annually.
- He excels in unilateral and bilateral total knee replacement, total hip replacement, and shoulder replacement surgeries.
- Top Orthopedic Surgeon & Spine Surgeon | Apollo Hospitals, New Delhi, India
- 15+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Currently serving as a Senior Consultant in Orthopaedic Surgery at Apollo Hospitals Indraprastha, New Delhi.
- Dr. Amit Kumar Agarwal is a highly esteemed Orthopaedic surgeon with over 15 years of comprehensive experience.
- Dr. Agarwal holds an impressive array of qualifications, including MBBS, MS (Ortho), DNB (Ortho), MCh (Ortho), MNAMS, MIMSA, and Dip SICOT.
- Orthopedic Surgeon, Chennai, India
- Over 16 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Arun Kannan is a well-known joint replacement surgeon at the Apollo Hospitals, Chennai.
- In his 16 years of experience doing joint surgeries and treating orthopedic issues, Dr. Arun Kannan has worked in the US as well as India and has gained enough trust and recognition from his patients.
- He has been excellent in his academics as well as practice because of which he received prizes and appreciation in both.
- Orthopedic Surgeon, Gurugram, India
- Over 30 years’ experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- Dr. Ashok Rajgopal is one of the finest Orthopedic Surgeons in India, who is currently serving as the Group Chairman of Orthopedics at Medanta Hospital in Gurugram.
- 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 39,000 Total Knee Replacement surgeries to his name. He also holds the credit for more than 3200 joint replacement surgeries, over 60,000 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.
- With an experience of more than 3 decades, Dr. Ashok has revolutionized Orthopedics and Knee replacement procedures in India.
- Orthopedic surgeon, Gurugram, India
- Over 25 years’ experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- 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.
- Orthopedic Surgeon, Hyderabad, India
- Over 30 years’ experience
- CARE Hospitals Hyderabad
Profile Highlights:
- Dr. B N Prasad is a well-known Orthopedic Surgeon with over 3 decades of experience.
- Dr. B N Prasad is among the few surgeons in the country to specialize in both adult and pediatric orthopedics and has taken up numerous cases and treated patients with excellent outcomes.
- He provides diagnostic as well as surgical treatment for various types of orthopedic disorders such as arthritis and osteoporosis.
- Orthopedic Surgeon, Gurugram, India
- Over 40 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- Dr. B K Singh is one of the best Orthopedic Surgeons in India with experience encompassing over 4 decades.
- He holds the credit for over 5000 Arthroplasty procedures and is one of the few surgeons in India with expertise in Robotic Knee and Hip Replacement Surgeries.
- Dr. B K Singh received his training in Joint Replacement Surgery and Robotic Knee and Hip replacement procedures from India, UK, and Japan.
- Top Orthopedic Surgeon | Apollo Hospitals, New Delhi, India
- 42+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- As one of the most experienced orthopedic surgeons in Delhi, Dr. Chander Shekhar has been practicing for 42 years. He is associated with Indraprastha Apollo Hospital as a consultant.
- Dr. Chander Shekhar is interested in Knee and Hip joint replacement and revision.
- He honed his expertise by completing a fellowship in shoulder and knee arthroscopy in the United States. Besides replacement & revision surgery, he has expertise in Birmingham Hip Resurfacing, BHR with stem, and Minimally Invasive Surgery.
- Top Orthopedic Surgeon | Kokilaben Hospital, Mumbai, India
- 22+ Years Experience
- Kokilaben Dhirubhai Ambani Hospital
Profile Highlights:
- Dr. Dinshaw Pardiwala is an Orthopedic Surgeon par excellence specializing in shoulder replacement and sports injuries surgeries.
- Specializing in arthroscopy of the knee, shoulder, hip, ankle, and elbow, Dr. Pardiwala is at the forefront of his field.
- He is renowned for complex arthroscopic procedures such as ACL & PCL reconstructions of the knee, shoulder dislocation repairs, and rotator cuff repairs.
- Currently, Dr. Pardiwala serves as the Head of the Centre for Sports Medicine and Director of Arthroscopy & Shoulder Service at Kokilaben Dhirubhai Ambani Hospital, Mumbai. His influence extends globally as a member of the medical advisory committee of the International Cricket Council (ICC) and on the medical boards of numerous national sports associations.
- Orthopedic Surgeon, Chennai, India
- Over 40 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- An Orthopedic doctor by profile, Dr. Gopala Krishnan has around 40 years of experience in his field.
- After his initial studies in medicine in Chennai, Dr. Gopala Krishnan moved to the US to pursue M.Ch in Orthopedics in 1984.
- His experience and dedication have helped him gain recognition in the field and build trust among patients.
Best Hospitals in India for Rotationplasty
- City: Gurugram, India
Hospital Highlights:
- 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.
- City: Gurugram, India
Hospital Highlights:
- Artemis Hospital, established in 2007 in Gurugram, India, is a leading multi-specialty institution known for its excellence in patient care and advanced medical technology, offering comprehensive services across specialties like Cardiology, Oncology, Neurology, Orthopedics etc.
- Renowned for its patient-focused care, Artemis Hospital combines state-of-the-art infrastructure with a team of internationally trained doctors and surgeons, ensuring the highest standards of medical treatment.
- Accredited by JCI and NABH, Artemis Hospital meets global healthcare quality and safety standards, reflecting its commitment to providing compassionate, personalized care.
- The hospital is recognized for utilizing cutting-edge diagnostic and ther*peutic techniques, ensuring patients receive accurate diagnoses and effective treatments tailored to their needs.
- City: Chennai, India
Hospital Highlights:
- The Apollo Proton Cancer Centre in Chennai is the most sought-after private cancer hospital in India. It is an integrated facility that provides cutting-edge, all inclusive cancer treatment to patients all over the globe.
- The hospital is a part of the renowned Apollo Group which has a large network of over 74 hospitals in India and across the globe. Out of the 74 hospitals, 21 of them are cancer centres. However, Apollo Proton Cancer Centre is the only cancer hospital to have JCI accreditation.
- The Centre, which was established on the principles of excellence and expertise, unites a formidable medical staff led by some of the most illustrious figures in cancer treatment.
- The hospital follows the global ASTRO Model Policy. It is the same global policy which is followed by countries like USA, UK, and Europe.
- Apollo Proton Cancer Centre is among the very few hospitals in India to receive patients from First World countries such as USA, Canada, New Zealand, Australia, Singapore, Thailand, etc.
- Apart from that, it is also the first hospital in Chennai to receive patients from several countries like Uzbekistan, Kazakhstan, Turkmenistan, Georgia, Armenia, Azerbaijan, SAARC countries (Bangladesh, Nepal, Sri Lanka, Maldives, Bhutan, Afghanistan, and Pakistan), South Africa, Turkey, Egypt, etc.
- In fact, there is a dedicated team at the Apollo Proton Cancer Centre that serves only international patients. Thus, on a monthly basis, the Centre receives patients from across 32 countries.
- Moreover, there are certain treatments in Apollo Proton Cancer Centre that are not available in any other centre. APCC addresses all types of possible cancers that are usually not covered by any other centre.
- City: New Delhi, India
Hospital Highlights:
- Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
- The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
- Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
- Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.
- City: Gurugram, India
Hospital Highlights:
- Fortis Memorial Research Institute (FMRI) is a premier multi-super-specialty, quaternary care hospital, known for its exceptional international faculty, top-tier clinicians, super-sub-specialists, and specialized nurses, all supported by cutting-edge technology.
- It is the flaship hospital of Fortis Healthcare Limited, part of IHH Healthcare Berhad, a leading integrated healthcare services provider in India. As one of the country’s largest healthcare organizations, Fortis operates 28 healthcare facilities with over 4,500 operational beds (including O&M facilities) and more than 400 diagnostic centers (including joint ventures).
- Recognized as one of the top hospitals in India, FMRI serves as a leading referral center and aspires to be the ‘Mecca of Healthcare’ for India and beyond. Its 11-acre campus is a testament to its commitment to providing world-class healthcare.
- Accredited by JCI and NABH, FMRI is dedicated to maintaining the highest standards of healthcare quality and safety, ensuring that every patient receives the best possible care. The hospital’s reputation is further enhanced by its state-of-the-art facilities and innovative medical practices.
- City: New Delhi, India
Hospital Highlights:
- The Indian Spinal Injuries Center (ISIC), provides state-of-the-art facilities for the management of all types of spinal ailments.
- Staffed with internationally trained, acclaimed, and dedicated spine surgeons, the hospital provides cutting-edge medical & surgical technology. The hospital provides comprehensive management of spinal injury, back pain, spinal deformities, tumors, osteoporosis, etc.
- The hospital performs motion-preserving spine surgeries including disc replacement and dynamic fixation, and minimally invasive spine surgeries such as endoscopic disc excision.
- The orthopedic service of the hospital covers all orthopedic ailments including trauma, joint diseases & replacements, oncology, pediatric orthopedics & upper limb ailment.
- City: Faridabad
Hospital Highlights:
In the sprawling city of Faridabad, where healthcare needs are diverse and ever-evolving, one institution has consistently stood out as a beacon of excellence in the field of medicine—Marengo Asia Hospital. Established with a vision to provide world-class healthcare services to the community it serves, Marengo Asia Hospital has emerged as a trusted name synonymous with quality, compassion, and innovation in healthcare.
- City: New Delhi, India
Hospital Highlights:
- 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 latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.
- City: New Delhi, India
Hospital Highlights:
- 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.
- City: Kolkata, India
Hospital Highlights:
- Founded in 2017, the HCG EKO Cancer Centre is a committed, all-inclusive cancer care facility in Kolkata.
- The hospital was collaboratively established by India’s leading cancer care provider HCG (HealthCare Global Enterprises Ltd.), and EKO Diagnostic Pvt. Ltd., a top diagnostic and imaging chain in Eastern India.
- With 88 beds, the hospital provides a full spectrum of services including diagnosis, prevention, screening, second opinions, treatment, rehabilitation, follow-up, and palliative care.
- Additionally, the hospital contains a day-care chemotherapy ward, Neutropenic ward, medical ICU, pharmacy, blood bank, and an IPD wing.
- At HCG EKO Cancer Centre Kolkata, a large team of cancer experts with experience in medical oncology, surgical oncology, radiation oncology, hemato oncology, BMT, and nuclear medicine collaborate to offer a variety of treatment options under one roof.
- Furthermore, the hospital is also known for employing the most advanced radiation technology such as, the Radixact, a next-generation TomoTherapy equipment that provides greater radiation delivery precision.
Rotationplasty
Rotationplasty, a procedure which is used for the treatment of bone cancer (osteosarcoma), in the area of the knee or knee joint. This procedure is generally meant for children less than twelve years of age. In some cases, children who are older or adults might also be able to have rotationplasty.
This procedure is for those patients who would need an above the knee amputation due to the size of their tumor. An important factor is that the nerves can be saved, as they are required for the proper functioning of the ankle or foot.
Purpose
Since children continue to grow till adulthood, this procedure has a benefit, which is that the bone will continue to grow, thus helping the children to stay physically active. The prosthetic leg which is used with the procedure will be fitted and changed as the child grows.
There are alternatives to rotationplasty such as prosthetic knee or amputation. However, this usually limits the patient’s activity and the person is unable to play sports or perform any strenuous activity. When a child uses a prosthetic knee, generally multiple surgeries are required over the next growing years.
Many children who undergo rotationplasty can however continue to be active and take part in physical activities such as soccer, running, running, skiing, bicycling and more.
In addition, rotationplasty also helps to maintain the function of the nerve and blood vessel. Therefore, patients who undergo this surgery don’t suffer from the side effect called phantom limb pain, i.e. pain after amputation where the limb was removed. In order to be a candidate for this procedure, sciatic and other vital lower leg nerves must be intact and working.
Preparation
First, you should discuss with your doctor what you or your child needs to do while preparing for the procedure. Ask whether it is necessary to stop taking any kind of medications such as blood thinners. If the surgery is for you and you smoke, it is important to stop it before the procedure. If there are any changes in your overall health, let your healthcare provider know about this.
If you are interested in this procedure but are not sure if it is the right option for you or your child, then you can ask your doctors if they can put you in touch with other children and/or families who have gone through the procedure. This can help you better understand what you should expect. Generally most families find this step to be extremely helpful in making a decision.
Procedure
During the rotationplasty procedure, the parts of your leg and thigh bones which are having tumors are removed along with some of the healthy bone for obtaining a clean margin. This can include some of the lower part of your femur bone, the knee joint as well as some of the top of your lower leg. The lower part of the leg which includes the foot and ankle will next be rotated 180 degrees to face in a backward direction. This will then serve as a new “knee joint” and then attached to your thigh (femur).
The newly attached ankle joint will then act as your new knee and the backward-facing foot will fit into a custom-fit artificial lower limb.
Recovery
Recovery from a rotationplasty requires a stay in the hospital, which last up to around seven to ten days. Most patients will be going home in a cast. How much time one needs in the cast will depend on how long it takes for the bone for healing. Healing may take longer if the patient is undergoing treatments such as chemotherapy. Once the bones and wounds are healed, the child can be fitted for the prosthesis of the lower leg. During this time, the patient will most likely need a wheelchair or at least a crutch.
Physical therapy is an important part of the recovery process. It can help the patient to learn how he/she can use the ankle joint as a knee joint and how he/she can walk with the new leg/prosthesis. They will also need to learn how to wear and adjust the prosthesis. This generally requires a considerable amount of time and effort from the patient`s side. The length of therapy can vary depending on various factors. As a child who went through this procedure, continues to grow, they will be requiring a new prosthesis and may need short stints of physical therapy with each new prosthesis.
In the case of children, physical therapists need to meet with the patient and family before the procedure so that he/she may evaluate the needs of the patient and what they hope to achieve through the procedure.
Risks
As with any surgical procedure, rotationplasty has few risks and side effects. It is important to note that this is a highly specialized procedure and it is not done very often. Make sure the surgery is done at a reputable hospital or center and performed by a surgeon with experience.
Risks and side effects that are associated with a rotationplasty can depend on the patient as well as the procedure, as some patients might need more extensive reconstruction of blood vessels. General risks might include:
- Reactions to anesthesia/medications
- Infection or wound healing problems
- Bleeding or blood clots
- Injury to the nerves
- Problems with the blood supply to the grafted lower leg
- Inadequate bone fusion which might cause the need for additional surgery