Best Doctors in India for Rotationplasty

Profile Highlights:

  • Dr. Havind Tandon is one of the best Orthopedists in Delhi, having nearly two decades of experience. He practices as a senior consultant at Indraprastha Apollo Hospital.
  • Many patients who need a knee replacement, repair, or osteotomy have benefitted from his enthusiasm and skill in the field.
  • Dr. Havind Tandon worked with Jhonson & Jhonson as a Facilitator for the National Joint Replacement Program.
  • Pain management counseling, Joint Replacement Surgery, Spinal Therapy, reverse shoulder replacement, neuropathy assessment, foot drop, treatment of complex fractures, and Adult Joint Reconstruction are just a few of the vital services provided by Dr. Havind Tandon.
  • Dr. Tandon was also recognized for his work in the field of research.

Profile Highlights:

  • Dr. I.P.S. Oberoi is a leading Orthopedic and Joint Replacement Surgeon in India with over 25 years of experience.
  • He has a 97% success rate in performing more than 7000 joint replacements.
  • He was the first and one of the only few surgeons to perform Key Hole Surgery (Arthroscopy) for Shoulder, Knee, Elbow, Hip, and Ankle Injuries.
  • He is the youngest arthroscopy surgeon to be elected as the President of the Indian Arthroscopy Society twice.
  • Dr. I.P.S. Oberoi is the first Indian to have served as secretary of the Asian Arthroscopy Congress and is the only surgeon to have been chosen secretary of the Indian Arthroscopy Society twice.

Profile Highlights:

  • Dr. J V S Vidya Sagar is a renowned Orthopedic Surgeon and one of the most experienced surgeons for Arthroscopy in India.
  • Dr. Vidya Sagar has been performing Arthroscopic and Joint Replacement surgeries for over 30 years during which he has performed 31,500 Arthroscopies, 13,400 joint replacement surgeries, 27, 600 knee joint surgeries, and 20,800 surgeries for ligament reconstruction, and over 38,600 surgeries for cerebral palsy and polio.

Profile Highlights:

  • Dr. Kaushal Malhan is a renowned Orthopedic Surgeon in Mumbai with expertise in hip and knee replacement surgery and regional resurfacing.
  • Dr. Kaushal Malhan’s name has been recorded in the Limca Book of Records for his innovative Tissue Preserving Total Knee Replacement Technique that helps in reducing post-operative recovery time.
  • Dr. Malhan pioneered computer-assisted joint replacement surgery in India and is the first orthopedic surgeon to perform gender-specific computer-assisted and minimally invasive knee replacement.

Profile Highlights:

  • Dr. Kornad P Kosygan is one of the few Orthopedic surgeons in India with a double FRCS degree.
  • He has been successful in the diagnosis and treatment of severe Orthopedic problems throughout his career.
  • Dr. Kornad is invited as an exclusive Orthopedics Specialist from over six countries in the Asian and European subcontinent.
  • Dr. Kosygan has sought extensive training and exposure in the department of Orthopaedics.

Profile Highlights:

  • Dr. Krishnamurthy K provides consultation at the Apollo hospitals of Chennai.
  • He has also worked as a senior registrar and assistant surgeon earlier and has sound knowledge of his field.
  • One can reach Dr. Krishnamurthy K for treatment of fractures, joints, shoulders, knees, hip replacement, etc.

Profile Highlights:

  • Dr. Kunal Patel is a highly skilled orthopedic surgeon with over ten years of focused experience in joint replacement and arthroscopic surgeries.
  • He is currently associated with Apollo Hospital, Greams Road, Chennai as a Senior Consultant of Orthopedics.
  • Prior to joining Apollo Hospitals, Dr. Patel also worked as an Associate professor, Consultant, and Fellow at his earlier workplaces in 13 years of his overall experience.
  • Dr. Patel is at the forefront of his field, continuously innovating with advanced techniques that enhance recovery and patient outcomes. Known for his expertise in pain-free joint replacement surgeries, he upholds the highest standards of patient care in all aspects of his practice.

Profile Highlights:

  • Dr. Madan Mohan Reddy is one of India’s most acclaimed Orthopedic Surgeons, currently serving as a senior orthopedic surgeon at Apollo Hospital, Chennai.
  • Having practiced medicine for almost two decades in India and the UK, he specializes in treating various orthopedic conditions.
  • When it comes to difficult foot and ankle patients, hip replacements, knee replacements, and lower extremity trauma, Dr. Reddy has an excellent track record.
  • Throughout his medical career, he has also devoted a large portion of his time to improving the techniques for orthopedic procedures such as knee replacements, shoulder surgeries, and other procedures.

Profile Highlights:

  • Irfan Banday is a brilliant young orthopedic surgeon with over 10 years of experience handling trauma surgeries and ortho problems.
  • Irfan received Fellowship in Knee Arthroscopy and Arthroplasty and Shoulder and Upper Limb Arthroscopy, Arthroplasty & Reconstructive Surgery.
  • He manages simple & complex fractures, Reconstructive Surgeries of the Knee, Shoulder, Upper limb, and complex tendon transfers.

Profile Highlights:

  • Dr. Mrinal Sharma is a highly renowned Orthopedic Surgeon and Joint Replacement Specialist with a specialization in Arthroplasty.
  • Dr. Mrinal Sharma holds with him an experience of more than a decade and has achieved huge success with joint replacement procedures, especially of the knee, during his career.
  • He is among the new generation of Orthopedic surgeons who use Computer Navigated techniques for performing knee and hip replacement surgeries.

Best Hospitals in India for Rotationplasty

Hospital Highlights:

  • Equipped with 650 beds, BLK-Max Super Speciality 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 BMT 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.

Hospital Highlights:

  • Located in the vibrant city of Hyderabad, Apollo Health City is a world-renowned medical facility that provides outstanding care and treatment to patients coming from different parts of the world.
  • Founded in 1988, this 550-bed multispecialty hospital with 50 specialties and 12 Centres of Excellence continues to deliver outstanding outcomes for patients with the simplest to the most complicated medical conditions.
  • Backed by the latest medical equipment and a dedicated team of professionals, the hospital provides comprehensive treatment across various specialties including, cardiology, critical care, neurosciences, cancer, orthopedics, gynecology, ENT, transplants, gastroenterology, etc.
  • Apollo Health City is a cutting-edge healthcare facility that combines various facilities under one roof. These may include state-of-the-art physical medicine, rehabilitation, and wellness services with education, research, telemedicine, innovative medical devices, disease management programmes, and medical talents.
  • The hospital is known for offering top-notch cancer treatment accompanied by cutting-edge facilities and technology.
  • The hospital also offers a broad spectrum of cosmetic procedures that improve not just appearance but also comfort.
  • In 2011, Apollo Health City was the recipient of the Asian Hospital Management Award (AHMA).
  • In 2013, the Government of India recognized Apollo Health City as the top medical tourism destination in the country.

Hospital Highlights:

  • 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.

Hospital Highlights:

  • Apollo Cancer Centre in Teynampet, Chennai is one of the best super speciality hospitals in India. It is the country’s first ISO-certified healthcare facility.
  • Additionally, it is the first hospital in Chennai and the first oncology hospital in India to receive NABH accreditation.
  • The hospital provides advanced tertiary care in oncology, orthopedics, neurology and neurosurgery, head and neck surgery, and reconstructive and plastic surgery.
  • Additionally, it offers specialized healthcare of international standards with results comparable to those of the best hospitals in the world.
  • It is outfitted with 300 beds, the newest and greatest technology, a large pool of highly qualified specialists, and a committed team of medical and paramedical professionals.
  • It is one of the first few medical facilities in India to offer comprehensive cancer care. A team of skilled medical, surgical, and radiation oncologists makes up the Tumour Board, which is a component of the complete treatment planning system. After reviewing reported cases, the Board determines in concert with diagnostic specialists what course of action is best for each individual patient. The panel is further supported by dieticians, medical counselors, speech therapists, and other pertinent specialists.
  • The hospital launched the first ExcelsiusGPS® Spine Robot in South India and has completed over 50 surgeries till date.
  • It is also one of the few cancer hospitals in India to offer Cyber Knife therapy. Till now it has completed 1320 Cyber Knife therapies.
  • The institution is also one of the few in India with the capacity to do transplants and find a prospective unrelated donor. The hospital has performed over 1000 BMTs till now.
  • Furthermore, it has an exceptional milestone of performing exultant Micro vascular free tissue transfer and Aesthetic surgeries on more than 1000 patients with success.

Hospital Highlights:

  • 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.

Hospital Highlights:

  • 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.

Hospital Highlights:

  • KIMS Hospital (a brand name of Krishna Institute of Medical Sciences) is one of the largest and best multi-speciality hospitals in Hyderabad. The hospital provides various treatments to an enormous number of patients.
  • The hospital has a capacity of more than 3000 beds. KIMS Hospitals offers different healthcare services in more than 25 specialities and super specialities.
  • The hospital is equipped with modern medical equipment and technology. It has robotic equipment to provide minimal invasive techniques for patients.
  • The hospital is aimed at providing world-class healthcare facilities and services at an affordable cost for patients.
  • The various specialities and departments of the hospital include neurosciences, gastroenterology & hepatology, robotic science, reproductive sciences, dental science, oncological sciences, organ transplantation, heart and lung transplantation and mother and child care.

Hospital Highlights:

  • Established in 2003, Apollo Gleneagles Hospitals is a 750-bed multispecialty tertiary care hospital situated in Kolkata.
  • With 33 Centres of Excellence and more than 50 specialties, Apollo Gleneagles Hospitals, Kolkata is capable of handling all sorts of patients.
  • This tertiary care hospital, which is a 100% subsidiary of Apollo Hospitals Enterprise Ltd., India, is regarded as one of Kolkata’s top hospitals.
  • The facility is a complete blend of cutting-edge technology, state-of-the-art infrastructure, and genuine hospitality.
  • Focusing on numerous specialties, the hospital provides all-inclusive medical treatments supported by cutting-edge technology and a staff of highly qualified medical specialists.
  • Patients across the globe come to Apollo Gleneagles Hospitals Kolkata for their treatment. Moreover, international patients receive full attention and assistance for their treatment and are provided with a hassle free experience.
  • Apollo Gleneagles Hospitals, Kolkata is the only hospital in Eastern India to hold the Joint Commission International (JCI) certificate.
  • It is also the only hospital in Kolkata to hold the NABL accreditation in six different categories, which includes Clinical Biochemistry, Clinical Pathology, Hematology & Immunohematology, Microbiology & Serology, and Histopathology & Cytopathology.
  • Furthermore, Apollo Gleneagles Hospitals, Kolkata is known for performing the first ever Reverse Shoulder Prosthesis Replacement in East India.

Hospital Highlights:

  • Established in 1991, Manipal Hospital, Old Airport Road, Bangalore is the flagship facility of the Manipal Hospitals Group, which is one of the largest networks of Multispecialty Private Hospitals in India.
  • The facility is well-known for its state-of-the-art technology, performance-driven, patient-centric, and evidence-based approach.
  • The facilities offered at Manipal Hospital meet the highest international standards, allowing the hospital to attract a large number of national and international patients.
  • Their expertise encompasses the diagnosis and treatment of a wide range of diseases in several specializations that address both simple as well as complex medical procedures.
  • There are total 600 beds accessible in the hospital for the in-patients so they may heal while being closely watched after by the medical team. In addition, it has 144 critical care units, including NICUs, ICCUs, and ICUs. Apart from that, the hospital also offers 20 contemporary, modular state-of-the-art operating rooms with all the amenities needed.
  • The hospital has several departments that are overseen by highly skilled, certified, and experienced medical experts.
  • One of the best departments in the hospital is that of the Cancer department which is known for its advanced cancer diagnosis and treatment facilities such as Intracavitary Chemotherapy, Biological Therapy, HIPEC, PIPEC, Nuclear Medicine, Radiation Therapy, etc.
  • It is one of the few hospitals in Bangalore that provides full range of pediatric services, including pediatric emergency services, pediatric gastroenterology, pediatric neurology, pediatric cardiology, pediatric orthopaedics, pediatric allergies, pediatric immunology, and infectious diseases.
  • Furthermore, Manipal Hospital, Old Airport Road, Bangalore is also regarded as one of the best hospitals for bone and spine related disorders.

Hospital Highlights:

  • Established in 2016, Apollo Hospitals, Navi Mumbai is one of Maharashtra’s most advanced multispecialty hospital. This 500-bed hospital provides sophisticated treatments and integrated super specialty services under one roof.
  • The hospital features a cutting-edge infrastructure that houses 13 state-of-the-art operating rooms, advanced laboratory and medical diagnostics, and 120 ultra-modern I.C.U. beds, including N.I.C.U. and P.I.C.U., monitored round the clock by critical care specialists.
  • With 57 specialties and subspecialties, the hospital boasts a team of renowned medical specialists who offer accurate diagnosis and treatment with easy accessibility to their patients.
  • Additionally, the hospital offers highly customized, individualized health check programs that are made to fit each person’s needs in terms of lifestyle.
  • Apollo Hospitals, Navi Mumbai has been accredited by both the National Accreditation Board for Hospitals and Healthcare Providers (NABH) and the Joint Commission International (JCI).
  • Apollo Hospitals Navi Mumbai has been awarded the “Best Practices-International Services Award” at the annual awards for service excellence and operations excellence.

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

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