Best Doctors in India for Rotationplasty
- Orthopedic Surgeon, Chennai, India
- Over 12 years’ experience
Profile Highlights:
- Dr. Kunal Patel consults on Orthopedics related problems at the Apollo hospitals of Chennai.
- He was part of the team which set Limca’s World record of Highest Joint Replacement Surgeries in March 2015.
- Dr. Kunal Patel is well-trained in Asia’s first and only Brainlab Arthroplasty Computer Navigation Orthopedic suite and has completed several fellowships related to his field.
- Orthopaedic Surgeon, Chennai, India
- Over 25 years’ experience
Profile Highlights:
- Dr. Madan Mohan Reddy is one of the most acclaimed Orthopedic Surgeons in India with tons of experience and knowledge that he gained over the course of years.
- He has attended several courses across the world, in countries like Switzerland, Germany, Australia, and Italy.
- Orthopedic Surgeon and Spine Surgeon, Chennai, India
- Over 12 years’ experience
Profile Highlights:
- Dr. Madhu Kiran Yarlagadda is an orthopedics – consultant specializing in Joint and spine surgery and works at the Apollo hospitals of Chennai.
- Dr. Madhu Kiran Yarlagadda’s team carried out Robotic Spine Surgery for the first time in South-East Asia and performed Endoscopic Transforaminal Spine Surgery in Chennai.
- He treats spine diseases and has the facilities and expertise to perform robotic spine surgery. Along with that, he treats patients with joint and other orthopedic issues.
- Pediatric Orthopedic Surgeon, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Manoj Padman is a renowned Pediatric Orthopedic surgeon in India specializing in the management and treatment of diseases and disorders of the musculoskeletal system in young children.
- Dr. Manoj Padman is considered one of the best surgeons in India for the correction of deformities and congenital defects in children. His primary interest includes birth anomalies, hip pathologies, post-infective and post-traumatic sequelae, and limb reconstruction surgeries.
- Orthopedic Surgeon, Gurugram, India
- Over 10 years’ experience
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.
- Orthopedic Surgeon, New Delhi, India
- Over 20 years’ experience
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.
- Orthopedic Surgeon, Mumbai, India
- Over 20 years’ experience
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.
- Spine Surgeon and Orthopaedic Surgeon, Chennai, India
- Over 18 years’ experience
Profile Highlights:
- Dr. Muralidharan Venkatesan is a consultant in spine surgery from Chennai.
- He provides comprehensive cervical (neck), thoracic (upper back), and lumbosacral (lower back) conditions treatment.
- Dr. Venkatesan pursued MBBS, MRCS, and a fellowship FRCS and shifted his specialization to spinal surgery.
- Dr. Venkatesan has his papers published in several journals.
- Orthopedic & Spine Surgeon, New Delhi, India
- Over 14 years’ experience
Profile Highlights:
- Dr. Om Prakash Gupta is a reputed Spine Surgeon in India.
- He is currently functioning as a Consultant – Orthopedics & Spine at Max Smart Super Speciality Hospital, New Delhi
- He has over 14 years of experience.
- Orthopedic Surgeon & Spine Surgeon, New Delhi, India
- Over 40 years’ experience
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.
Best Hospitals in India for Rotationplasty
Paras Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Paras hospital was established in 2006 and is the 250 bedded flagship hospital of Paras Healthcare.
- The is supported by a team of doctors of international and national repute.
- The hospital is NABH accredited and also the first hospital in the region to have a NABL accredited laboratory.
- The hospital provides specialty medical services in around 55 departments including Neurosciences, Joint Replacement, Mother & Child Care, Minimal Invasive Surgery, Gynecology and Obstetrics, Ophthalmology, Dermatology, Endocrinology, Rheumatology, Cosmetic and Plastic surgery.
- The hospital is equipped with state-of-the-art technologies.
S L Raheja Hospital, Mahim, Mumbai
- City: Mumbai, India
Hospital Highlights:
- SL Raheja hospital is a 140-bed multi-specialty tertiary care hospital that is being managed by Fortis Healthcare Ltd.
- The hospital is a benchmark in healthcare and medical facilities in the neighborhood of Mahim & the western suburbs.
- L.Raheja Hospital, Mahim has one of the most effective ICU and Casualty care services.
- The hospital provides specialty medical services in Cardiology, Oncology, Neurology, Orthopedics, Mother & Child Care, and in Diabetes.
Wockhardt Hospitals, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Wockhardt Hospitals were established in the year 1973, originally called First Hospitals and Heart Institute.
- Wockhardt Hospitals are super specialty health care networks in India, nurtured by Wockhardt Ltd, India’s 5th largest Pharmaceutical and Healthcare company.
- Wockhardt Hospitals is associated with Partners Harvard Medical International, an international arm of Harvard Medical School, USA.
- Wockhardt Heart Hospital performed India’s first endoscopic heart surgery.
- The hospital has a state-of-the-art infrastructure equipped with the latest technologies and modern equipment.
- It has special Centers of Excellence dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
Indian Spinal Injuries Center, New Delhi, India
- 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.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Sir Ganga Ram Hospital, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Sir Ganga Ram Hospital, New Delhi is known to provide the latest medical procedures with the latest technology in all of its units.
- The hospital has a team of reputed doctors, nurses, and healthcare professionals that ensure that patients receive quality care at affordable costs.
- Staffed with a team of highly qualified doctors, dedicated nurses, and paramedical and non-medical staff, the hospital aims to lead in healthcare delivery, medical education, training, and research.
- As per the vision of the founder, the hospital also provides free treatment to the economically weaker sections of society.
- Sir Ganga Ram Hospital also provides training to young doctors under the Diplomate in National Board(DNB) program. The DNB program at the hospital was started in 1984 and it is known for currently running the maximum number of DNB specialties in the country. It also has the distinction of having the first bone bank in India.
CK Birla Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- The CK Birla Hospital in Gurugram is a NABH-accredited multi-specialty hospital.
- The hospital strives to increase the quality of healthcare by focusing on UK NHS nurse and midwife training requirements. Policies and practices derived from the National Institute for Health and Treatment Excellence (NICE) recommendations in the United Kingdom ensuring that a strong focus on safety, high-quality clinical care, and sanitation is maintained.
- The hospital’s cutting-edge technology and facilities allow for real-time communication and seamless collaboration among caregivers, ensuring accuracy and the best possible results. Those with foreign experience and accreditations make up part of the hospital’s team of clinicians.
KIMS Hospital, Hyderabad
- City: Hyderabad, India
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.
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