orthopaedic surgery


Orthopaedic surgery uses both surgical as well as non-surgical procedures to treat ailments of the Musculoskeletal System. At the Kauvery Institute of Orthopaedics and Neurosciences, the Orthopaedic multidisciplinary team specialize in diagnosis, prevention and treatment of disorders to the musculoskeletal system, which comprises of the bones, joints, muscles, nerves, tendons, cartilages, ligaments and spine. Treatment of trauma to the musculoskeletal system, sports injuries, congenital disorders, tumours, infections, and degenerative diseases are all attended to by this experienced and efficient, multidisciplinary team, comprising of specialists and sub-specialists, who are surgeons, physicians, skilled experts in trauma care and intensive care, Oncology Specialists, Radiation Oncologist, Diagnostic and Interventional radiologist, Pathologist, Nurses, and other medical professional and supportive experts.

This multidisciplinary team meets as often as is necessary to regulate and resolve the optimum treatment for every patient under their care. By working together our team of experts, provide the best, comprehensive evaluation with an individualized patient treatment plan. This unique approach and collaboration continues all through the treatment process, with continuous monitoring and periodic re-evaluations.

  • 24 hours Accident and Trauma care

    Orthopaedic injuries can be serious and traumatic, requiring immediate care and possibly surgeries. Accidents happen, even to the most careful people and therefore, providing immediate and appropriate management of trauma care contributes very significantly to the long, short or intermediate term results. At The Kauvery Institute of Orthopaedics and Neurosciences, we provide special care in the management of both simple and complex injuries to the musculoskeletal system.

    24 hours Accident and Trauma care

    Commonly treated trauma injuries include but are not limited to:

    • Injuries that impact part or parts of the musculoskeletal system in an accident
    • Compound fractures of a complex nature to the hips and knees
    • Shoulder, wrist, elbow trauma management
    • Ankle fractures
    • Minimally invasive fracture repairs
    • Complications arising on account of trauma
    • Ankle Sprain
    • Shoulder dislocation
    • Stress Fractures
    • Meniscus Tear
    • Tennis Elbow
    • Plantar Fasciitis
    • ACL Tear
    • Rotator Cuff Tear
    • Distal Radial Fracture
    • Carpal Tunnel Syndrome

    Our round the clock accident and trauma management services offer the highest level of all possible care to the seriously injured patients. The Kauvery Institute Orthopaedic Accident and Trauma care team of medical experts, include trauma/acute care surgeons, neurosurgeons, vascular surgeons, plastic surgeons and other physicians who address traumatic injuries. This collection of expertise ensures that patients receive the best possible care to help maximize recovery and speed up their return to normal activities.

    Our specialized intensive care units are equipped with:

    Intensive Care Units
    • The most advanced medical technology
    • A constant upgrade of an array of diagnostic devices and orthopaedic instruments

    We treat patients, who are the victims of a fresh auto accident or are sufferers of injuries from long term aftereffects of an auto accidents, with the use of the latest orthopaedic techniques.

    A fractured bone can become infected. Our trauma care experts initiate quick efforts to decontaminate the broken ends of the bone (s), so as to expeditiously stabilize the patient and help in the healing process. Speed is always of the essence in detecting bone infections in patients and in treating it.

    Pelvic and acetabulum (cup shaped socket of the hip) fractures are of a very serious nature and depending on the displacement or instability of the hip, our team of surgeons may perform a surgery. The surgery will be performed to align the cartilage surface, to remove any debris from the joint and consequently to restore stability to the hip.

    In some case mal-union of fractures or non-union of fractures can occur. When a bone does not heal within 6 to 9 months, after a fracture, it is said to be a non-union. In cases of mal-union, the bone heals irregularly in an imperfect position. In both cases it causes pain and allows limited mobility for months or even for years after the original injury.

    Regardless of the nature of trauma to your musculoskeletal system, at The Kauvery Institute of Orthopaedic and Neurosciences, we endeavour to provide the best of care, utilizing our collective, medical acumen, state of the art technology and international medication safety care to restore our patients’ quality of life.

  • Joint Replacement Surgery

    A joint is where the ends of two or more bones meet. For example, a bone of the lower leg, called the shin or tibia and the thighbone, called the femur, meet to form the knee joint or hinge joint. Likewise, the hip is a ball and socket joint. It is formed by the upper end of the thighbone-the ball at the end of the femur, fitting into the socket-part of the pelvis called the acetabulum. Other joints in the musculoskeletal system are at the shoulder, ankle, elbow, and wrists. The ends of the bones are covered in cartilage, which help to cushion and enable smooth, easy movement. When the cartilage wears away either due to injury or because it is diseased, the bones become rough and grind against each other, causing disability and pain.

    Joint Replacement Surgery

    Several types of conditions can cause joint pain or cause disability, consequently requiring a patient to consider joint replacement surgery. A joint replacement surgery would be suggested when non-surgical treatments like medications, physiotherapy and changes to a patient’s daily activities fail to provide any relief from pain and disability. Anti-inflammatory medications are prescribed to treat a patient non-surgically, along with physiotherapy and individually designed exercises that can be performed at home.

    When a patient is referred for a joint replacement program, the Orthopaedic Surgeon will suggest treatments based on the findings and diagnosis, taking into consideration the age, activity levels and medical history of the patient. The evaluations will be based on radiological, medical, physical and historical records of the patient. Both non-surgical and surgical options will be considered and discussed by the orthopaedic surgeon, as a part of counselling and educating the patient.

    Total joint replacement is considered when non-surgical efforts fail to provide any modicum of relief from pain. Joint replacement is a surgical procedure in which arthritic or damaged joints parts are removed and replaced with plastic, metal or ceramic prosthesis or devices which are designed to duplicate movement of the joint, as closely as the original joint.

    Once you have chosen to have your joint replaced, the orthopaedic surgeon will schedule the surgical procedure. The surgical team will administer anaesthesia, which could be either spinal or general. Once the anaesthesia takes effect, the surgical team will replace the damaged joint with a prosthesis.

    The length of the surgery will depend on the extent of damage to the joint and therefore, each surgery will be different, depending on whether there are other complications involved. Post-surgery, the patient will be held in a recovery room, until such time the anaesthetic effect has worn off.

    After a knee or hip replacement surgery, the process to help you regain your mobility will begin, such as standing or walking. To begin with, our trained and experienced physiotherapists will assist you in strengthening the muscles with gentle exercises, so that you can regain mobility, . If the joint replacement was in your shoulder, generally you will be encouraged to begin exercising it the very same day of the surgery.

  • Keyhole surgery of the joints (Arthroscopy)

    An orthopaedic surgeon with the help of an arthroscopic instrument probes, diagnoses and treats problems with joints. It is a procedure that is generally used on the shoulder, elbow, wrists, knees and ankle joints. When a patient has joint problems such as swelling or stiffness an arthroscopy may be recommended by the Orthopaedic surgeon, in the event the imaging tests have not revealed the crux of the swelling or stiffness.

    Apart from permitting a surgeon to check inside a joint for probable cause of the problem, an arthroscopy is also used to treat a range of conditions that are the reason for pain. These conditions / problems are:

    • To repair any damaged cartilage present in the joints
    • To remove fragmented bones or cartilage debris
    • To treat shoulder contracture, also known as frozen shoulder or adhesive capsulitis – a condition where there is pain and stiffness in the shoulder joint.
    Keyhole surgery of the joints

    Arthroscopy is a minimally invasive surgery and it provides the orthopaedic surgeon with an excellent view of the joint with the problematic condition. This procedure is normally performed through two very small puncture holes, where one hole is used to pass the arthroscopic instrument through and the other hole is used for the camera, which is used to visualize the joint. It is also a very straightforward and safe procedure and is usually performed under general anaesthesia.

    Arthroscopy is also used to examine joints that are very painful due to a bad injury. The examination is done while the patient is under anaesthesia and it allows the surgeon to thoroughly examine the joint for obvious and subtle issues like joint movement and ligament tears.

    Post-surgery, the patient is stabilized in the recovery ward, before being taken to their room and generally discharged that day. A bandage will be applied at the site of the surgery and this can be removed the following day. The punctured wounds will be stitched with paper strips of a single stitch which will be removed ten days after the procedure. Two weeks after the surgery, using either still pictures or an operative video taken during the surgery, the surgeon will discuss the intra-operative findings, after the patient’s joint has been examined.

    For those patients who have undergone a knee joint arthroscopy procedure, crutches are generally not advised as they will be able to walk unaided. Within one to two weeks after the surgery, a patient may be able to do light physical activity and resume full physical activity like lifting or sports activity, after six to eight weeks.

    There are certain advantages in having an arthroscopy procedure done and they are:

    • Only small incisions are made in the skin and therefore there will not be large scars marring your skin
    • It is less painful than if you had undergone a traditional surgery
    • The healing time is much more quicker in comparison to traditional surgery
    • There is far more lower risk of the wound getting infected
    • Finally the most important of all reasons to have an arthroscopy is because the patient can return to their normal activities very quickly
  • Sports Injuries and Ligament Reconstruction

    Sometimes when engaged in sports activities or while exercising, “Sports Injuries” can happen, but sometimes they can even be accidents. Sports injuries can happen during practice or training sessions. They can even happen due to poor training, improper gear, when a person is not in proper form and due to lack of proper warming up / stretching before embarking on a sports activity. Some of the most common sports injuries are:

    • Swollen muscles
    • Knee injuries
    • Sprains and strains
    • Pain along the shin bone
    • Pulling a ham string
    • Damaging the Achilles tendon
    • Dislocating bones
    • Fractures

    Sports injuries are of two types. They are either chronic or acute in nature. Sudden injuries that occur (while participating in a sports activity or when exercising), like fractures to hands, legs, fingers, toes or a strained back or sprained ankles are acute injuries. Some of the acute indications of an acute injury are:

    Sports Injuries and Ligament Reconstruction
    • Swelling
    • Extreme arm or leg weakness
    • Sudden severe pain
    • Being unable to move a joint naturally
    • Unable to place weight on the ankle, leg or foot
    • Tenderness in the limbs, wrist or fingers
    • Visible signs of a bone or joint that is out of place

    Chronic injuries pertain to pain that occurs after you have been strenuously exercising or after a sports activity and continues to be there for a long time. Constant nagging pain when you play, pain when you exercise, a dull ache when you are resting or swelling are all symptoms of a chronic injury.

    Sports injuries like sprains and strains are generally treated by the RICE method – rest, ice, compression and elevation of the injured limb. Anti-inflammatory drugs that are non-steroidal in nature will be prescribed, to reduce the swelling and the pain. Immobilization of the injured area is another form of treatment rendered to patients with sports injuries, so as to prevent more damages from occurring. Casts, leg immobilizers, slings and splints are used to immobilize. Surgery is performed when there are torn tendons or ligaments, and broken bones. Rehabilitation plays a key role in the treatment of patients with sports injuries. Finally, resting plays an important part in the healing of a sports injury. Though moving an injured part is good, adequate rest is also necessary and your doctor will guide you to maintain that balance between rehabilitation and rest.

    Ligament damage often occurs from a sports injury. Ligaments are sinewy, strong elastic bands that surround a joint to support and limit the movement of the joint. The ligaments most prone to get damaged in a sports activity are the knee ligaments and the ankle ligaments. The ligaments tear or get stretched due to twisting during sudden motion.

    Reconstructive surgery of a ligament tear is performed only when there is a complete tear of the ligament which consequently causes instability in the knee or ankle joints. During surgery the torn ligament is replaced with a piece of a healthy tendon from either the knee cap, ankle or hamstring. The tendon is grafted into place to hold the knee or ankle joint together.

  • Backache and Spine Clinic
    Backache and Spine Clinic

    The treatment and diagnosis of back pain is very often more complex than most other medical conditions, and there are numerous causes why humanity suffers from back pain / neck pain. It must also be understood that back pain is a symptomatic problem to a medical condition. Medical conditions that cause back pain are:

    • Mechanical Complaints is owed to the movement of your spine in certain directions. The most common back ache is due to a condition called intervertebral disc degeneration that is an age related issue, where two discs of the vertebrae, break down. The cushion between the vertebrae wears off due to wear and tear as we age and hence this causes back pain. The rubbing of the vertebrae when the back is stressed causes pain. The spinal cord or backbone is also made of large vertebrae that are called facet joints. Any wear or tear on these vertebrae also causes back pain. Herniated discs or ruptured discs, spasms and muscle tensions are some of the other mechanical causes that activates back pain.
    • Injuries to the spine, such as fractures or sprains can cause short term or chronic back pain. When twisting or turning awkwardly the ligament supporting the spine tears causing a sprain. Back pain can be caused by accidents while osteoporosis causes the spinal vertebrae to fracture.
    • Infections and Tumours, though not very common, can cause back pain. Osteomyelitis is an infection that infects the vertebrae and discitis is an infection that infects the discs in the spinal cord. Tumours rarely originate in the back but in cases where the cancer has spread over the rest of the body, it has been known to finally affect the back causing back pain.
    • Acquired Medical Problems and Diseases such as rheumatoid arthritis and ankylosing spondylitis, scoliosis, various forms of arthritis including osteoarthritis, spinal stenosis and spondylolisthesis, all are conditions that cause back pain. Pregnancy, kidney infections and kidney stones, fibromyalgia and endometriosis are the other medical problems that cause back pain.

    At the Kauvery Institute of Orthopaedics and Neurosciences we provide integrated spinal care, with the aid of advanced technology and medical acumen. At our integrated spinal clinic we work together to effectively treat and diagnose patients suffering from back pain or neck pain. The back ache and spine centre at The Kauvery Institute of Orthopaedics and Neurosciences team of trained spine surgeons, occupational health physicians, physiotherapists and other specialists work together to provide comprehensive management and treatment of spinal pain, disc herniation , stenosis, tumours, trauma and scoliosis.

    Some types of back pain are more responsive to osteopathic physiotherapy or to medical treatment (such as medications or cortisone injections). Sometimes surgery is necessary with prolonged neck, back or leg pain.

    If a spine surgery is deemed necessary, our experienced orthopaedic surgeons will employ the latest minimally invasive techniques to make small incisions to operate, with the least amount of severance of the muscle and soft tissues. This sort of surgery helps the patient to recover very quickly with the shortest amount of stay at our hospital. Our back ache and spine clinic is also equipped to surgically replace degenerated cervical discs with artificial discs that perform as well as the normal healthy disc.

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