Best Doctors in India for Rotationplasty

Dr. Murali Poduval
Consultant, Orthopedics and Joint Replacement Gleneagles Global Hospital, Parel, Mumbai

Profile Highlights:

  • Dr. Murali Poduval is a well-known Orthopedic surgeon in Mumbai with a specialization in Joint Replacement surgeries.
  • He holds an extensive experience of close to 2 decades in Orthopedics and Joint replacement surgery and is an expert in the management and treatment of deformity correction, arthroplasty, and complex trauma.
  • He is highly skilled in performing all types of primary and revision surgeries on the hip, knee, and spine. His primary interest also includes hip arthroplasty for severe defects in children and adolescents.

Profile Highlights:

  • Dr. Pradeep Sharma is the Director of the BLK-Max Centre for Orthopedics, Joint Reconstruction, and Spine Surgery in Delhi.
  • Dr. Pradeep Sharma has an experience of 40+ years in the field and is an expert in the treatment of both adult and pediatric patients.
  • Dr. Pradeep Sharma runs arthroplasty Fellowships supported by Zimmer and Stryker and has trained and mentored young surgeons in Arthroplasty.

Profile Highlights:

  • (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.

Profile Highlights:

  • Dr. Rajasekar P is an experienced orthopedist with 24+ years of experience.
  • He treats and consults patients with problems with Joints, fractures, osteoporosis, Spine injuries, etc.
  • He is an MBBS and DNB qualified doctor and practices at Apollo hospitals of Chennai.

Profile Highlights:

  • Dr. Rakesh Rajput is the Director and HOD – Orthopedics at The Calcutta Medical Research Institute (CMRI), Kolkata.
  • Dr. Rakesh Rajput’s expertise lies in Joint replacement surgeries for the knee and hip, Arthroscopy, and Pelvic and Ace tabular trauma. He is also highly skilled in Minimally invasive orthopedic surgeries.
  • Dr. Rakesh Rajput received his training in Joint replacement procedure from the prestigious University of Dundee and has worked and trained under some of the best orthopedic surgeons in the world.

Profile Highlights:

  • 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 33 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.

Profile Highlights:

  • Dr. Ramneek Mahajan is a well-known name in the field of Orthopedics and Joint Replacement surgery in India.
  • He has an extensive experience of 20+ years and is currently serving as the Senior Director and Head of the Joint Reconstruction Unit (Knee & Hip) at Max Institute of Musculoskeletal Sciences, Max Smart Super Speciality Hospital in Saket, New Delhi.
  • His expertise lies in Primary and Revision Joint replacement surgeries and Arthroscopy. He has performed over 32,000 orthopedic surgeries to date and also holds the credit for more than 15,000 joint replacement surgeries, ranging from primary procedures to complex revisions. His commitment to restoring his patients’ physical well-being is unparalleled.

Profile Highlights:

  • Dr. (Prof.) Ravi Sahuta stands out as a distinguished leader in the field of orthopaedics, bringing over three decades of comprehensive experience to his role as Chief and Head of the Department of Orthopaedics & Joint Replacement at Artemis Hospitals, Gurugram.
  • Dr. Sahuta’s educational foundation is robust, starting with an MBBS and MS in Orthopaedics from MGIMS, University of Nagpur. He further pursued advanced specialization with an M.Ch (Orthopedics) in the USA, alongside additional qualifications including AOFF (USA) and FIAMS (India).
  • His career highlights include leading the development of the orthopaedics department at Paras Hospital from 2006 to 2016, where he pioneered sub-specialties. Subsequently, he served as Director and Head of the Department of Joint Replacement and Orthopaedics at Max Hospital from 2016 to 2018.

Profile Highlights:

  • 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.

Profile Highlights:

  • Dr. Sajan K Hegde is a highly regarded Spine Surgeon in India who is presently serving as a Senior Consultant Spine Surgeon at both Apollo Cancer Centre and Apollo Hospital, Greams Road in Chennai.
  • With over 30 years of experience, he specializes in advanced treatments for spinal deformities, spondylolisthesis, and spinal tuberculosis.
  • Dr. Hegde is a pioneer in robotic-assisted spine surgery across the Asia-Pacific and is the only surgeon in India to perform non-fusion scoliosis correction techniques.
  • His expertise encompasses a wide range of spinal conditions and advanced surgical procedures like spinal fusion, discectomy, laminectomy, and vertebroplasty.

Best Hospitals in India for Rotationplasty

Hospital Highlights:

  • Apollo Hospitals is a private healthcare group in India, with its headquarters based in Chennai. Established in 1983 by Dr. Prathap C. Reddy, the group offers a wide range of medical treatments and services across various specialties.
  • It is renowned for emphasizing innovation and utilizing cutting-edge medical technologies into patient treatment.
  • Known as India’s first corporate hospital, Apollo Hospitals is often credited for pioneering the private healthcare revolution in the country.
  • With clinics and hospitals located all throughout India, Apollo Hospitals is a nationwide healthcare organization. Its presence can also be found in foreign countries.
  • Preventive health examinations, medical and surgical treatment, and diagnostic centres are just a few of the services that the Apollo group provides.
  • The group has several centres of expertise, including Cardiac Sciences, Neurosciences, Orthopedics, Emergency Care, Cancer Care, and Organ Transplantation.

Hospital Highlights:

  • RIMC is a multi-specialty hospital in a sprawling area of ​​36 acres located in Chromepet, Chennai, Tamil Nadu, India.
  • The facility has 450 beds including 130 critical care beds, 9 operating rooms, modern reference laboratories and radiology services, and is conveniently located near road, rail and air transportation.
  • RIMC is led and managed by world-renowned physicians committed to healthcare.
  • RIMC offers the broadest range of clinical care, education, and research. The hospital offers state-of-the-art technology and modern treatment facilities designed to provide health care at an affordable cost.
  • Rela Institute is driven by patient needs, comfort and confidence.

Hospital Highlights:

  • Established in 2007, the Apollo Hospitals Bangalore is a 300-bed multispecialty hospital situated in Bannerghatta Road, Bangalore.
  • Equipped with the state-of-the-art technology, it is a leading hospital dedicated to providing healthcare needs to patients with compassion and expertise.
  • It is the first hospital to have completed the highest number of Robot Assisted Heart Surgeries in India.
  • Over the years, it has successfully conducted some of the rarest medical procedures such as spinal angiolipoma excision, autologous chondrocyte implantations, and tibial tuberosity shift with MPSL reconstruction.
  • The Apollo Hospitals Bangalore has the reputation of performing the greatest series of airway stents in the country.
  • Additionally, the hospital is known for providing comprehensive treatment in specialties such as gastroenterology, urology, gynecology, oncology, colorectal surgery, etc.
  • The “The Minimal Access Surgery Centre” (MASC), one of Apollo Hospitals, Bangalore’s premier Centres of Excellence, is devoted to the use of minimally invasive surgical procedures.
  • In 2013, THE WEEK-A C Nielsen, Best Hospital Survey ranked Apollo Hospitals Bangalore as the 2nd best multi-speciality hospital in Bangalore.

Hospital Highlights:

  • Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
  • The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
  • The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
  • The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.

Hospital Highlights:

  • CARE Hospitals were established in the year 2000, by CARE Group.
  • The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
  • The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
  • The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
  • The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.

Hospital Highlights:

  • 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 treatment 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.

Hospital Highlights:

  • Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
  • The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
  • Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
  • The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.

Hospital Highlights:

  • Located in Chennai, India, MGM Healthcare is a top multispecialty hospital that provides all medical services under one roof.
  • Since its founding in 2019, MGM Healthcare has quickly become a leading national referral centre, creating several innovative flagship initiatives.
  • MGM Healthcare combines next-generation medical and digital technologies to provide better patient results.
  • With 12 centres of excellence, more than 400 inpatient beds, 100 intensive care unit beds, and 24/7 emergency care, MGM Healthcare leaves no chance in redefining the patient experience in Chennai.
  • MGM Healthcare boasts 250+ expert doctors across 30+ departments, including Cardiology, Pulmonology, Neurology, Obstetrics & Gynaecology, and more.
  • They house 12 specialized Centres of Excellence, including Neurosciences, Orthopaedics, and Multi-Organ Transplantation.
  • Their team of doctors, nurses, and paramedics works together to give every patient individualized treatment.

Hospital Highlights:

  • Lilavati Hospital & Research Centre is India’s premier multi-speciality tertiary care hospital and has been recognised as a global medical excellence centre.
  • Lilavati Hospital & Research Centre has built an unrivalled level of trust with its patients over the years, thanks to a solid foundation that comprises cutting-edge facilities, the best medical competence, research, education, and charity endeavours.
  • The hospital is quite proud of the fact that it now serves patients from all kinds of backgrounds, not just from the United States but from all around the world.
  • The hospital has a total of 323 beds, one of the largest Intensive Care Units (ICUs), 12 Operation Theatres with modern amenities, over 300 consultants, and almost 1,800 personnel.

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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