Best Doctors in India for Rotationplasty
- Orthopedic Surgeon, Gurugram, India
- Over 18 years’ experience
- Artemis Hospital, Gurgaon
Profile Highlights:
- As the Head of Unit-III at Artemis Hospitals, Gurugram, Dr. Chauhan has demonstrated expertise in a wide range of orthopedic procedures, particularly in arthroplasty.
- He has successfully assisted and independently performed numerous complex surgeries, including Total Knee Replacement (TKR), both cemented and un-cemented Total Hip Replacements (THR), surface replacements, Unicompartmental Knee Arthroplasty (UKA), and shoulder and elbow replacements.
- In addition to his surgical expertise, Dr. Chauhan is proficient in managing orthopedic emergencies, polytrauma cases, pediatric fractures, soft tissue injuries, septic arthritis, and osteomyelitis.
- Orthopedic Surgeon, Gurugram, India
- 22+ years’ experience
- Fortis Memorial Research Institute
Profile Highlights:
- Dr. Subhash Jangid is a distinguished leader in the field of orthopaedics, currently serving as the Senior Director and Unit Head of Orthopaedics at Fortis Memorial Research Institute, Gurgaon.
- With over 22 years of extensive experience in orthopaedics, Dr. Jangid has established himself as a leading authority in joint replacement and robotic-assisted joint reconstruction.
- Dr. Jangid specializes in knee, hip, and shoulder joint surgeries, including advanced joint replacement procedures. His expertise extends to robotic and computer-navigated joint reconstruction, areas in which he has made significant contributions.
- Orthopedic Surgeon, Chennai, India
- Over 50 years’ experience
- Apollo Hospitals Greams Road
Profile Highlights:
- Dr. Uma Chandran S specializes in orthopedics and is a veteran surgeon at Apollo Hospitals of Chennai.
- He has spent more than 50 years in the field of orthopedics and is believed to be one of the best orthopedists in Chennai.
- He is also known for his expertise in bone replacement surgery, spine movement, fracture treatment, etc.
- Top Orthopedic Surgeon | Apollo Hospital, New Delhi, India
- 22+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Vibhu Bahl is one of the finest Orthopedist and Joint Replacement Surgeon in India. He has experience of over 22 years in this field.
- Dr. Bahl has successfully performed multiple complex and primary total knee and hip replacements over his career. Besides these, he specializes in computer-assisted total knee replacements. Patients seeking Arthroscopy for shoulder dislocation, degeneration, and repair must consult him.
- Dr. Bahl participated as a Faculty in many Arthroscopy conferences.
- He is passionate about research and has a long list of publications in prestigious national and international journals.
- Orthopedic Surgeon, Gurugram, India
- Over 23 Years Experience
- Medanta-The Medicity, Gurgaon
Profile Highlights:
- Dr. Dahiya brings extensive expertise and experience to his role as Senior Director at Medanta The Medicity in Gurugram.
- Dr. Vivek Dahiya is a highly esteemed orthopaedic surgeon specializing in knee joint disorders and surgeries. With a comprehensive educational background including a D.N.B. in Orthopaedics and an M.D. in Physician.
- His proficiency encompasses a wide range of knee arthroscopic techniques, including diagnostic arthroscopy, meniscus surgery, cartilage preservation, and transplantation.
- Top Orthopedic Surgeon | Apollo Hospital, New Delhi, India
- 35+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- 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 the 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 3 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.
- Top Orthopaedic Surgeon | Apollo Hospital, New Delhi, India
- 34+ Years Experience
- Indraprastha Apollo Hospital, New Delhi
Profile Highlights:
- Dr. Yatinder Kharbanda is a well-known orthopedic surgeon and working at the Indraprastha Apollo Hospital, New Delhi.
- The doctor has expertise in Joint Replacement Surgery & revision surgery. He accumulated 34 years of experience, working in the United Kingdom and India.
- Dr. Kharbanda has expanded his skills with various orthopedic training programs at Birmingham, Linz Austria, Liverpool, etc.
- He is interested in polytrauma and complex trauma. The OrthopaedistDr. Yatinder Kharbanda performs Arthroscopy, Sports surgeries, hip and knee replacement surgeries, and more to help patients resume their active lifestyles after an orthopedic setback.
- Several institutes have recognized Dr. Kharbanda’s contribution to medical services.
Best Hospitals in India for Rotationplasty
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
- 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.
- 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.
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
- 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.
- 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.
- 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.
- City: Ahmedabad
Hospital Highlights:
- As a member of the Apollo Hospitals Group, Apollo Hospitals International Limited, Ahmedabad is one of the most popular and sought-after medical facilities in Gujarat.
- Through its 6 Centres of Excellence and various affiliated branches, which cover all specialties and subspecialties, the hospital provides the most advanced clinical services.
- Since its inception in 2003, the hospital has been providing each patient with the most up-to-date medical equipment and state-of-the-art technology.
- With more than 150 successful organ transplants, including liver and renal transplants, the facility has been able to build a strong and extensive organ transplant program.
- In addition to performing 600 surgeries and caring for over 1800 patients on an IP basis, the hospital sees more than 18,000 patients on average in the outpatient department.
- With one of the biggest cardiology teams in the area, the hospital provides state-of-the-art regional care treatment in Cardiac Sciences.
- Additionally, the hospital offers a broad range of Neuro Interventional techniques to help stroke patients recover more quickly.
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
- City: Mumbai, India
Hospital Highlights:
- Reliance Hospital is one of the best super-specialty care hospitals in Navi Mumbai.
- The main purpose of this hospital is to become a trustworthy place for the best health and hope for society. The hospital is well connected to the suburbs of Mumbai and Navi Mumbai.
- The hospital has various specialty departments, viz., Accident & Emergency, Anesthesiology, Dental Services, Dermatology, Diabetology, Dietetics Nutrition, Endocrinology, ENT, Gastroenterology, General Surgery, Gynaecology And Obstetrics, Hepato Pancreato Biliary Surgery, Infectious Disease, Internal Medicine, Interventional Radiology, Laboratory Medicine, Minimal Access Laparoscopic Surgery, Nephrology, Neurosciences, Opthalmology, Orthopaedics, Paediatrics, Pain Management Palliative Care, Physical Medicine Rehabilitation, Plastic And Reconstructive Surgery, Psychiatry, Pulmonary Medicine, Radiology, Rheumatology, Transplant, Urology Andrology, Vascular Surgery
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