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Orthopedic - About the Department

Our musculoskeletal system is made up of 206 bones, 640 muscles, over 200 joints, more than 4,000 tendons, approximately 160 bursae and 900 ligaments. Our bones form the skeletal framework of our body.

Our muscles help our bones to make us sit, stand, walk and run. The bursae (fluid sacs between the muscles and bones that form in areas of friction) in our body help facilitate the various movements at the joints, minimising friction. The tendons (fibrous bands of tissue connecting muscle with bone) help transmit the force generated from the muscles to the bones during movements. The ligaments (fibrous bands of tissue connecting the bones) seal the joint space and provide passive stability.

The system as a whole gives form, stability and movement to the human body. And we, at Jaslok Hospital, are always striving to offer the most comprehensive range of musculoskeletal care to our patients through our expertise.

The Jaslok Hospital and Research Centre for Excellence in Musculoskeletal Care is designed to further our lifelong tradition of being a centre of excellence in everything we do. We have a multispecialty group of surgical, research and clinical consultants working together in an integrated setting to provide the highest quality of care to almost one million patients every year.

We offer patients the opportunity to consult with orthopaedic surgeons and rheumatologists. We also provide services such as hand surgery, sports medicine, orthopaedic oncology (specialising in limb-salvage surgery for bone and soft-tissue tumours), neurology, physical therapy, endocrinology, radiology, pain management, specialised nursing care and nutritional support, in a manner to offer highly individualised care to one and all.

We also have a centre for advanced orthopaedic surgery, joint replacement surgery, arthroscopic surgery, paediatric orthopaedics, sports medicine and sports injury treatment and a comprehensive arthritis management programme. Our department is supported by the most elaborate intensive-care services, a modern Accident and Emergency Department and a state-of-the-art Physiotherapy and Rehabilitation Department. We have established trauma protocols for the care of the critically injured patients for the prompt and efficient treatment of accident victims.

Treatment for Arthritis

o Osteoarthritis
o Infective arthritis
o Rheumatoid arthritis
o Traumatic arthritis

Trauma and Fracture Surgery

o High-quality digital x-ray arm, CT/MRI scan helps to stabilise fractures
o Image intensifier, confirms perfect fracture fixations
o Ilizarov and external fixation device
o Management of open fractures
o Correction of deformities
o Infected non-union of long bones
o Fusion of joints
o Limb lengthening

Joint Replacements

o Total hip replacement
o Total knee replacement
o Total shoulder replacement
o Ankle joint replacement
o Total elbow replacement
o Wrist replacement
o Hand joint (small) replacement surgery

Arthroscopic Surgery

Keyhole surgery for disorders of knee, shoulder, elbow and ankle are offered in the following manner:
o One-day admission
o Patient is mobile within a day

Spinal Surgery

o Disc surgery
o Surgery for correction of spinal deformities
o Microsurgery for disc
o Surgery for tuberculosis
o Fixation systems for fractures
o Endoscopic spine surgery

Sports Injury Treatment

Paediatric Bone and Joint Surgeries

All this and more is what Jaslok Hospital and Research Centre is all about. With cutting-edge diagnostic facilities and treatment in orthopaedics, we aim to offer excellence in joint replacement surgeries, hip resurfacing and are equipped to treat all types of musculoskeletal problems in children, adults and elderly people, ranging from minimally invasive arthroscopic surgeries to complex trauma services.

Being a one-stop destination for complete bone and joint care, we provide solutions that vary from joint replacements to sports medicine and other services to diagnose the problem at the roots and nip it before it gets worse! We believe in prevention and early diagnosis. Our hospital is among the few that offer computer navigation and imaging for advanced joint replacement surgery. The bone and joint programme makes us a super-specialty centre in orthopaedics with highly skilled clinical expertise.

The most advanced medical equipment required for emergency care provides the right support to a leading team of full-time orthopaedic surgeons that are highly experienced in complex and high-velocity trauma care. Our computerised navigation and imaging facility ensures the most accurate treatment. The comprehensive support of physiotherapy services makes it a complete programme.

In recent times, the general population of India has been increasingly suffering from orthopaedic problems. By bringing together the latest in orthopaedic technology with the expertise of leading orthopaedic doctors and surgeons, our Institute of Orthopaedics has successfully developed a comprehensive programme for the management of orthopaedic problems. We are one of the best orthopaedic and joint replacement units in the country, carrying out extensive knee and hip replacement surgeries. We provide both minimally invasive and comprehensive pain management procedures to individuals.

With an integrated centre for general orthopaedics, 24x7 Fracture Clinic, trauma management and joint replacement, we offer the expertise of orthopaedic doctors who provide consultation and highly individualised treatment options for a number of joint and musculoskeletal problems.

Area of expertise

Computer Navigated Hip and Knee Replacement Surgery

1. Hip Surgery, Hip Replacement (THR), Hip Resurfacing, Revision Hip Replacement
2. Specialised surgery for AVN (avascular necrosis of the head of the femur)
3. Minimally invasive hip replacements with rapid recovery
4. Difficult hip replacements made easy (deformed hips, stiff hips, previous Girdlestone, previous arthrodesis, severe protrusio, ankylosing spondylitis)
5. Complex techniques (Acetabular & Femoral Impaction grafting, Structural allograft acetabular reconstruction, Periprosthetic fracture management)
6. Complex Revision hip replacement (including multiple past revision surgery & previous infection)

Knee Surgery, Knee Replacement (TKR), Revision Knee Replacement

1. Knee resurfacing/Oxford unicompartmental knee surgery
2. Minimally invasive knee replacements with rapid recovery
3. Difficult knee replacements made easy (bad valgus/varus knees, flexion contractures, deformities)
4. Complex Revision knee replacements (including periprosthetic fracture management, proximal tibial reconstructions, previous infections)

Arthroscopy and Sports Surgery

1. Management of Sports injuries
2. Arthroscopic Knee Surgery - Microfracture techniques, ACL Reconstruction, Meniscal repair, menisectomy, debridement & abrasion chondroplasty, lateral release, arthroscopic tibial plateau fracture fixation, medial patellofemoral ligament repair, cartilage transplants)
3. Surgical reconstruction of the unstable knee (ACL, PCL, multiligament reconstructions)
4. Arthroscopic Shoulder surgery – Bankart repair for recurrent shoulder disclocation, Rotator cuff repair, frozen shoulder release surgery

Brief write up

Dr. Ameet Pispati has been extensively trained internationally in Joint Replacement, Sports Medicine & Arthroscopic surgery. He has pioneered various methods and techniques in Hip surgery and Computer aided Hip & Knee Replacement that can give patients a better and longer lasting result. He is an authority in Hip and Knee surgery. He specialises in the latest Knee and Shoulder Arthroscopic techniques as well as Hip and Knee replacement procedures. He desires to spread the Bone Conserving & Rapid Recovery concept for Hip, Knee & Shoulder surgery in India and other parts of the world and loves to train other Orthopaedic Surgeons in the art and science of Precision Alignment Hip and Knee Surgery. He believes in enabling rapid recovery after sports surgery, performing complex knee ligament reconstructions and allowing the athlete to regain his livelihood at the earliest. Dr. Pispati is passionate about improving the doctor-patient relationship and shows real concern and commitment towards patient care, both diagnostic, therapeutic and even spiritual – it stems from a constant desire to want to heal those who entrust themselves and their families in his care.

Awards/Fellowship

o Extensive hands-on training in Joint replacement & Arthroscopic surgery from the best centres in UK and Germany.
o One of the 1st in Asia to perform Hip Resurfacing surgery.
o 1st in Asia to perform Computer Navigated Hip Replacement.
o Reviewer for the Journal of Rheumatology, one of the topmost indexed rheumatology journals.
o Author of the chapter “Arthritis Surgery” in “Textbook of Rheumatology” published by the Indian Rheumatology Association.
o Co-Author of the chapter “Hip Resurfacing, pages 763-781 in textbook “Operative techniques in Orthopaedic Surgery” by Lippincott, Williams and Wilkins.
o International & National Faculty at several Hip and Knee Surgery Meetings, Courses & Workshops Worldwide, including meetings of the Singapore Orthopaedic Association, Malaysian Orthopaedic Association, Indonesian Orthopaedic Association, Asia Pacific Orthopaedic Association (APOA), Asean Arthroplasty Association, Asia Pacific Arthroplasty Society, Chinese Orthopaedic Association, Indian Orthopaedic Association, and other State level Orthopaedic Associations.
o International Faculty at Worldwide “Intelligent Hip and Knee Surgery Courses”.
o Invited to be listed in International Who’s Who.
o Doctor to Indian Cricket Team for on-site injury management, 2003 – 2005.
o Elected as Honorary Fellow of the Institute of Accident Surgery (South Birmingham Trauma Unit) (UK), in view of his exceptional caring and commitment to the care of the injured.
o Awarded the Diploma in Surgical Resuscitation by the Institute of Accident Surgery (South Birmingham Trauma Unit) (UK)
o Trained in Advanced fracture management from leading centres in UK, Germany and Switzerland.

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Area of expertise

Revision trauma surgery. Joint replacements

Brief write up

D D Tanna retired proff. B Y L Nair hospital, and medical college

Awards/Fellowship

"Written ,books

1 Tannas interlocking nailing

2 Orthopaedic Titbits

3 Proximal femur fracture jointly with DR Babhulkar

4 Written chapters in text book of orthopedics

5 text book of spine surgery

Delivered innumerable, orations, and guest lectures I porestigeous , meetings

Extensively travelling for teaching orthopedic surgeons, all over India "

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Area of expertise

"SPECIALIZATION

- Minimally Invasive Surgery Endoscopic discectomy for Acute Disc Prolapse and Lumbar Canal Stenosis surgery

- Minimally Invasive TLIF and Spinal Fusion with Percutaneous Pedicle Screw Fixation

- Vertebral Augmentation Techniques: Vertebroplasty and Kyphoplasty - a minimally invasive technique for vertebral compression fractures from either Osteoporosis or Tumor Infiltration

- Infection – Tuberculosis spine when it requires surgery

- Percutaneous Spinal Biopsies for diagnosing various pathologies

- Pain Clinic: Epidural and Nerve Root Blocks for Sciatica, Facet Joint blocks, Neuroablation

- Revision Spine Surgery – for patients who have not benefitted from the previous surgery

- Spinal Arthroplasty – cervical disc replacement

- Dynamic Stabilisation of Spine : the new concept in motion preservation surgery

- Deformity Correction for Adolescent and Adult Kyphoscoliosis and Degenerative Scoliosis

- Tumor Surgery for Primary and Metastasis "

Brief write up

Dr Devesh Dholakia is one of the top spine surgeons in the city of Mumbai. He is trusted by patients not only in India but also from Africa and Middle East. Our Mission: Non Operative Options First, Safety First. To give better and safer spine care through innovation. Our Vision: to become a leading spinecare provider driven by people, research and technology. Offering technologies with ? Less Pain, Small Scars, Less Blood Loss, Fewer Complications ? Faster – Recovery, Return Home, Resumption of Normal Life & Return to Work

Awards/Fellowship

"* Indo German Orthopaedic Foundation (IGOF) fellowship to Nordwest Krankenhaus Hospital, Frankfurt, Germany

* Mohandas Weller Gold Medal for the Best Paper at Indo German Orthopaedic Foundation Seminar

* Dr K.P.Shrivastava Gold Medal for Best Poster at Indian Orthopaedic Association 47th Annual Conference

* Appointed as a Honorary Fellow to the Department of Orthopaedic Surgery – Spinal Division, National University Hospital, Singapore

* Recipient of the Wockhardt Fellowship in Spine under the auspices of Bombay Orthopaedic Society."

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Area of expertise

Dr Gauresh Palekar has specialised in management of Avascular Necrosis of Femoral Head. (AVN). He is a member of The National Osteonecrosis Foundation, an organization involved in research on Osteonecrosis. He has worked with Dr .David .Hungerford who is well known for basic research into the pathophysiology of Avascular Necrosis and is the originator of “Core Decompression Surgery” for Osteonecrosis. Dr Gauresh Palekar is first surgeon in India to use Autologous Stem cell derived Osteoblasts in AVN. He is an Acknowledged expert in this field with the largest number and follow-up of cases done in India. He is presently doing a DCGI ( Drug Controller General of India ) approved study in in same subject

Brief write up

Dr Gauresh Palekar is a young dynamic orthopedic surgeon practicing in south Mumbai for the last 15 years. He is a specialist in difficult and complicated orthopaedic surgeries for fractures and Joint replacement. Dr Gauresh Palekar is an expert on advanced and complicated fracture management .He is well versed in management of complications arising from inadequately managed fractures, Non Unions and Malunions. He specializes in Management of Geriatric Trauma in osteoporotic Fractures Dr Gauresh Palekar is also trained in adult reconstruction involving replacement surgeries of the Hip, Knee (Total and Uni Knee Replacement), Total elbow replacement, Shoulder (Total, Hemi and Reverse) Replacement. He does primary and Revision Joint replacement surgeries.

Awards/Fellowship

He is a gold medalist in his orthopedic examinations.

He has cleared all the qualifying exams in orthopedics in India (MS, DNB, Dorth, and FCPS).
He is a fellow of the world renowned Johns Hopkins University, Baltimore, US.
He has worked at the Hospital for Special Surgery, New York which is consistently ranked as No1 for Joints Replacement surgery in US.
He is a member of the National Osteonecrosis Foundation , US
He is Author in the International textbook of Joint Replacement –“Total Knee Replacement-Operative Techniques”- Ed: Arien Hanssen, Norman Scott published 2009 Saunders/Elsevier, Contributing author for chapter: Posterior Stabilised-Technique of Total knee Replacement. www.operativetechniques.com
He is author of International Papers at: 2010 Las Vegas: American Academy of Orthopedic Surgeons. 2008 Atlanta: Society of Biomaterials.
He is contributor to two Indian Books on Fractures.
Devised Innovative Blood Conserving technique in Knee Replacement.
Active exponent of Minimal Tissue Trauma Surgery (MTTS) which enables patient to walk the same day of surgery and facilitates early return to normal activities.
First Surgeon in India to use stem cells for Avascular Necrosis of Hip.
Invited Faculty for WIROC 2009, 2013, 2015 in Mumbai.
Invited Faculty IOACON 2014 Hyderabad
WIROC 2013: Faculty in Symposium In Avascular Necrosis of Head of Femur: Use of Stem cells in Avascular Necrosis of Head of Femur.
WIROC 2013: Paper Presentation on: Early and Medium term followup of use of stem cell derived Autologous Osteoblasts in Avascular Necrosis of Head of Femur.

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Area of expertise

"Minimal access spinal surgery

Complex Spine reconstruction for spinal fractures, tumors, tuberculosis "

Brief write up

"Dr Gautam Zaveri is one of the leading spine surgeons in India today. He has developed a

comprehensive non -operative program for the management of various spinal ailments. He has an

extensive experience in major reconstructive surgeries for the treatment of a variety of spinal

ailments including fractures, tumors, tuberculosis, deformities of in adults and children. He is also an expert on minimally invasive and endoscopic surgeries of the spine like Microdiscetomies, microdecompression for spinal stenosis and minimally invasive spinal fusions besides vertebroplasty, etc.

He is on the managing council of the Association of Spinal Surgeons of India. He is sought after as a speaker/demonstrator at various national and international spine workshops, symposia conference and postgraduate teaching courses. He has written many articles in national and international journals as well as chapters in textbooks of spine surgery.

He is credited with the development and popularization of the following spinal surgeries:

1. Stepwise protocol for management of thoracolumbar trauma

2. Acute vertebral shortening for thoracolumbar trauma

3. Posterolateral approaches to tuberculosis of thoracic spine

4. Transforaminal lumbar interbody fusion for lumbosacral tuberculosis"

Awards/Fellowship

"* Best asia-pacific spine faculty- 2006- AOSpine International, Davos

* International SpineFellow 2000 by the International Society for Study of the Lumbar Spine in Adelaide, Australia

* Best clinicalresearch paper at International Spinal cord Society meeting in 2006, Delhi

* Ranked third In the MS- Orthopaedics Examination held by the Mumbai University"

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Area of expertise

Complex Primary and Revision Joint Replacements (Hip and Knee).

Brief write up

Dr. Jashan Vishwanath is a Orthopaedics And Joint Replacement Surgeon in Jaslok Hospital.

Awards/Fellowship

"Fellowship

Joint Replacement Fellowship (Singapore).

Orthopaetric Fellowship (Switzerland).

Academics/Research/Awards

Many articles/papers in International journals including 'Journal Of Arthroplasty'."

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Area of expertise

Joint Replacement Surgeries, Revision Joint Replacement Surgeries, Complex Trauma, Spine

Awards/Fellowship

Fellowship in Joint Replacement (Germany & USA)

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Area of expertise

Joint Replacement surgery

Brief write up

Dr. Nawalkar started performing Total Knee Replacement in Mumbai and did the pioneering work in knee replacement surgery.
After witnessing his surgical capabilities he was appointed in Jaslok Hospital as an Orthopedic surgeon in Feb 1990.
Dr. Rajesh R. Nawalkar has more than twenty five years of surgical experience in the field of Joint Replacement.

Awards/Fellowship

Joint Replacement Fellowship at Rothschild University Hospital, Haifa, Israel.

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Area of expertise

" * Joint Replacement Surgery

* Revision Hip and Knee Joint Replacement

* Complex Trauma.

* Arthroscopy Knee."

Brief write up

"* Senior most Orthopedic Surgeon at Jaslok Hospital since 1979.

* Worked in UK from 1974 to 1979 Royal National Orthopedic Hospital, London & Stanmore, Chester & various hospitals affiliated to University of Liverpool.

* Joint Replacement courses in Germany: Tubingen, USA, New York, Switzerland, UK" .

Awards/Fellowship

"Fellowships:

Advanced A. O. Fellowship: germany-Tubingen, Switzerland - Davos

Joint Replacement: USA - Stanford

Academic:

- Teacher for DNB student"

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Area of expertise

Shoulder & Knee Surgery

Brief write up

A pioneer, a super specialist in shoulder and knee surgery, the founder member of The Shoulder Society of India, an orthopaedic surgeon trusted by celebrities. The man who operated on the King Khan’s both shoulders and also keeps Hrithik Roshan fit enough to do those amazing dance sequences. Dr Sanjay Desai is all this and more. Practicing in the highly specialized field of shoulder and knee surgery since the last 20 years, to him goes the credit of bringing world-class arthroscopic shoulder surgery to India. Shoulder surgery is a relatively young specialty in the world. Patients, including our sportsmen and cricketers have had to travel abroad to a few select centers in order to undergo advanced shoulder surgery. Thanks to his expertise, this revolutionary surgical treatment is now affordable and available at our doorsteps.

Dr. Desai has had a brilliant academic record studded with Gold medals throughout his orthopaedic career, including one at the University of Liverpool, while in the United Kingdom. Dr. Sanjay Desai honed his skills in knee and shoulder arthroscopic surgery at Cambridge, working with big names in these fields. He trained in Total Joint Replacement at Wrightington Hospital, a centre that pioneered this procedure in the early 70s and therefore is considered the birthplace of joint replacement surgery.

His academic activities have reached international shores, being invited as a guest lecturer at the British Orthopaedic Association meeting in Manchester, 2009. The “Young achievers Award - 2002” conferred by the Indo-American society is a formal recognition of his contribution. It is indeed a matter of great pride that the British Orthopaedic Association has for the first time(2011) sent a Fellow for training with Dr.Sanjay Desai in India, a fitting example of ‘reverse brain drain’! Dr. Sanjay Desai is one of the few to be invited to perform live demonstration surgery in UK, Spain, China, Denmark, Singapore, Philippines, Thailand and Sri Lanka.

He has also been invited as a referee of the prestigious Journal of Bone & Joint Surgery and on the editorial board of the European Journal of Orthopaedic Surgery and Traumatology. Dr.Desai as the founder and president of the Shoulder Society of India is responsible for spreading the know-how across the country. The fellowship program to train Orthopaedic surgeons from different parts of the country is Dr.Desai’s attempt to give back to the community. Besides, he also has been relentlessly conducting workshops and live surgical demonstrations in order to expose the latest to the orthopaedic surgeons in various parts of India and the neighboring countries.

Dr.Sanjay Desai continues to provide free and subsidized care at various hospitals for the needy and underprivileged. In recognition of this selfless service he has been appointed the President of Indian Arthroscopy Association and President-elect of the Asian Shoulder Association.

Over a short period of time hundreds of people, including political bigwigs, industrialists, amateur and professional sportsmen and well-known personalities from the glamour world, have benefitted from the skillful hands of Dr.Sanjay Desai.

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Area of expertise

"Primary and Revision Knee / Hip Replacement Surgery.

Speciality-Revision of Infected Joint Replacements."

Brief write up

Dr. S. S. Mohanty is a renowned Joint Replacement Surgeon specializing in both Primary and Revision surgeries of Hip and Knee and has performed more than 7000 surgeries during last 25 years to his credit. His special interest includes revision of Infected Joints. He is a world authority on Management of Haemophilia Joints.

Awards/Fellowship

"1. James A. Rand Award by American Academy (AAHKS) for most outstanding paper in clinical knee research. Only Indian to receive this honour.

2. Best Paper in the 23 World Orthopaedic Congress (SICOT 2002) held in San Diego (USA).

3. A. A. Mehta Gold Medal for Best Paper by the Indian Orthopaedic Association.

4. Organized ""First Wrightington Hip Course"" at International level in India (Bone cement & Cementing technique) in Mumbai.

5. Organized 39th Western India Regional Orthopaedic Conference under the auspices of Bombay Orthopaedic Society at Mumbai.

6. Five University Gold Medals during MBBS career and awarded Best Graduate in Final MBBS.

7. Faculty at ""Advances & Techniques in Joint Replacement Surgery"" organized by Ranawat Orthopaedic Research Foundation, New York, USA.

8. Awarded by World Orthopedic Congress (SICOT), three times consecutively at Sydney (Australia), San Diego (USA) and ISTANBUL (Turkey)."

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Area of expertise

Ilizaroy Surgery.

Awards/Fellowship

"FELLOWSHIP

Fellowship in the methods of Ilizaroy at Division of Orthopaedics and Traumatology of the Ospedale Provinciale, Lecco, Italy.

Fellowship in Limb Lenhtening and Recontruction at University of Maryland, Centre of Lmb Lenthening and Reconstruction, Baltimore, Maryland, USA.

Fellowship in Trauma and Joint Replacement Surgery at Univeristy of Homburg, Sarr Country, Germany.

ACADEMICS/RESEARCH/AWARDS

Evaluation of Management of closed fractures of Metacarpais and Phalanges of hand - 'Disseriation topic submitted to Pune University in 1990.

'Management of Congenital Pseudoarthrosis of Tibia with Ilizarov Apparatus' - A case report, Bombay Hospital Journal, January 1995.

Plastic Deformation of Forearm - A case report, Journal of Postgraduate Medicine, Seth G.S. Medical College, Bombay.

Bilateral Equino cavus deformity in an adult due to Guinea-Worm Disease - Journal of Indian Medical Association, Calcutta.

'Hydatid cyst in lower end of Femur leading in Pathological Fracture' - A case report.

Management of Skelatal Manifestations in Neurofibromatosis with IIizarov Fixator - Research project with Dr. Catagni, Italy (submitted for publication to clinical orthopaedic and related research, USA).

Distraction treatment of Hypertrophic Nonunions - Presented and published in American Academy meeting of 1997, USA.

Limb Lenghtening and deformity correction with Ilizarov fixtor in Oller's disease - Research projet with Dr. Palay with Dr. Hezemberg, USA."

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