Fortis Hospitals, Mulund Awarded Best Ortho Hospital in India -

In a survery of 4000 hospitals and healthcare providers , Fortis Hospitals, Mumbai at Mulund was chosen by Doctors, consumers and a panle of distinguished juries, as best specialty Orthopaedic Hospital at the ICICI Lombard and CNBC Tv 18 Healthcare Awards

This may seem like something out of a movie, but virtual surgery has just made a mark in Mumbai. 61-year-old Neena Aggarwal is patient who has started walking – after a decade- thanks to this latest advancement. Neena suffered with severe osteoarthritis which resulted in bow shaped legs, and the fact that she weighs 114 kilos, made surgery a risky option.

“Every possible balm she has applied, every possible medication she has tried and it was torture. It has actually been torture for her,” said Neena’s daughter.

Doctors decided to for virtual treatment – performing what’s known as Patient Specific Instrumentation or PSI Knee Replacement surgery – for the first time ever in Mumbai.

What happens during the PSI knee replacement surgery is that the doctor prepares an exact 3D image of the knee on the computer – and that replica helps the doctor to virtually plan for the entire surgery – so that the surgeon knows, what cuts to make, what the alignment should be like – so much so, that the implant sits perfectly on the knee (fitting the model-implant).

This surgery has only been performed in the US, Canada and England, and there are clear benefits, doctors say.

Dr Kaushal Malhan, Knee and Joint Replacement Surgeon, Fortis Hospital says, “Obviously when you are taking lesser time, when you are doing less damage to the tissues , when you are cutting less, when your planning is already done and you already know what you are going to do in theatre, in terms of what angle and placement, I think you are on surer footing, in terms of that, so probably the complications may be lesser.”

Considering one in eight knee replacements in India is unsuccessful, according to the Arthritis Foundation of India, that’s the best news for Neena, even though this sort of surgery costs about Rs 40, 000 more than traditional surgery.

Neena’s daughter says that her not just her mother, but her father is also looking forward to the surgery anxiously and has already planned a post-surgery vacation.

“My dad has already planned a trip with her he’s like, once you are out of the hospital, we are planning a trip to Goa,” said Neena’s daughter.

A team of Orthopedic Surgeons at Fortis Hospitals, Mulund led by Dr. Sachin Bhonsle, Consultant Orthopedic and Joint Replacement Surgeon, performed a complicated hip revision surgery on a 45 year old man who had a three times failed hip surgery in the previously

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Patient Mr. Vijay Joshi, age 45, underwent left hip surgery in mid 90’s. During surgery his blood vessels got severely damaged resulting into avascular necrosis which made hip replacement a necessity. (Avascular Necrosis is a disease resulting from the temporary or permanent loss of the blood supply to an area of bone. Without blood, the bone tissue dies and the bone collapses and the joint becomes arthritric).

He underwent first hip replacement in 1998. A year later he got severe hip infection due to which doctors had to perform a second hip replacement on him in 1999. The second hip worked for 4-5 yrs, but it thereby loosened out leaving his hip with severe pain.
“This case is a fine example of a very complicated hip replacement operation. Mr. Joshi’s hip had had become very fragile and brittle with a huge amount of scarring due to three previous operations in 10-15 years and needed high degree of accuracy & meticulous asepsis. I had to remove existing hip replacement as well as plates and screws already in the bone and then carefully position a brand new hip joint. It was highly challenging to perform a fourth revision without harming the bone any further and ensure we give the best result in long term to avoid further revision,” said Dr. Sachin Bhonsle

“Having undergone three surgeries before (one regular surgery and two hip replacements), I thought that a fourth correction could never be performed on my hip and I will have to lead a challenged life for the rest of my years. However, I did not lose hope,” said Mr. Vijay Joshi.

“I realized that the real reason for my misery has been a lack of treatment at the hands of right experts. Since my hip had become very fragile and vulnerable, I realized that I can no longer take a chance and will consult the best medical centre with proven expertise in the area of hips. This led me to come to Fortis Hospitals, which had a proven centre of excellence for joints. I consulted Dr. Sachin Bhonsle at the hospital, who had the experience of doing some complicated hip replacement surgeries with finesse.”
The surgery was successful with an uneventful recovery and patient was discharged after few days. Dr. Bhonsle is very optimistic that the patient will lead a normal life and will not require another revision in his lifetime.

A team of Orthopedic Surgeons at Fortis Hospitals, Mulund led by Dr. Sachin Bhonsle, Consultant Orthopedic and Joint Replacement Surgeon, performed a complicated hip revision surgery on a 45 year old man who had a three times failed hip surgery in the previously.

Patient Mr. Vijay Joshi, age 45, underwent left hip surgery in mid 90’s. During surgery his blood vessels got severely damaged resulting into avascular necrosis which made hip replacement a necessity. (Avascular Necrosis is a disease resulting from the temporary or permanent loss of the blood supply to an area of bone. Without blood, the bone tissue dies and the bone collapses and the joint becomes arthritric).

He underwent first hip replacement in 1998. A year later he got severe hip infection due to which doctors had to perform a second hip replacement on him in 1999. The second hip worked for 4-5 yrs, but it thereby loosened out leaving his hip with severe pain.

“This case is a fine example of a very complicated hip replacement operation. Mr. Joshi’s hip had had become very fragile and brittle with a huge amount of scarring due to three previous operations in 10-15 years and needed high degree of accuracy & meticulous asepsis. I had to remove existing hip replacement as well as plates and screws already in the bone and then carefully position a brand new hip joint. It was highly challenging to perform a fourth revision without harming the bone any further and ensure we give the best result in long term to avoid further revision,” said Dr. Sachin Bhonsle

“Having undergone three surgeries before (one regular surgery and two hip replacements), I thought that a fourth correction could never be performed on my hip and I will have to lead a challenged life for the rest of my years. However, I did not lose hope,” said Mr. Vijay Joshi.

“I realized that the real reason for my misery has been a lack of treatment at the hands of right experts. Since my hip had become very fragile and vulnerable, I realized that I can no longer take a chance and will consult the best medical centre with proven expertise in the area of hips. This led me to come to Fortis Hospitals, which had a proven centre of excellence for joints. I consulted Dr. Sachin Bhonsle at the hospital, who had the experience of doing some complicated hip replacement surgeries with finesse.”

The surgery was successful with an uneventful recovery and patient was discharged after few days. Dr. Bhonsle is very optimistic that the patient will lead a normal life and will not require another revision in his lifetime.

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Fortis Hospitals Bangalore performed India’s first ‘Hip Revision Surgery using Revitan Straight Revision Hip System’ for a patient suffering from Aseptic Loosening of a Total Hip Replacement.

Dr Manish Samson, consultant orthopaedic and joint Replacement Surgeon and his team at Fortis Hospital Bannerghatta road, Bangalore performed this surgery with the help of the new Revitan Straight hip revision System. The new highly modular hip implant works like a perfect instrumentation system giving the surgeon the intraoperative freedom to manage most of the bone deficiencies faced during any revision hip replacement surgeries in the most simplified and quickest way possible reducing the risk of infection following long operative hours.

“A surgeon has to handle two crucial factors in a Revision Hip surgery: removal of the existing failed implant with maximum bone preserved and selection of suitable new implant to negotiate the existing bone. Revitan Straight Revision hip system takes care of the latter,” stated Dr Samson.

The patient, Richard D’souza, a 42-year-old man, was suffering from AVN that hampers blood supply to the hip bone giving the patient an unbearable pain. The patient was suffering with this condition and had got operated with Cemented Total hip replacement surgeries on both the hips five years back. Since last one year he started experiencing severe pain in his left hip joint. Richard was brought to Fortis hospital where the doctors diagnosed him to have Aseptic loosening of the left hip joint. The revision surgery was very complex in nature, as the doctors have to remove the previously installed implant along with the cement filling that could fracture the bone to a great extent.

Conventional revision hip surgeries have long operative hours and end up in huge amount of bone loss in addition to damage to the soft tissues increasing the risk of infection. This new system saves valuable intra-operative time with maximum modularity making revision hip surgery quicker, simpler and cheaper, stated Dr Samson.

Failed Total Hip replacement surgeries due to various reasons in patients who are young and elderly patients with healthier bones are eligible for this revision surgery.

Revision hip replacement surgery is a procedure to replace a worn out or loosened hip replacement implant. Hip replacements wear out very slowly, but the problem does progress over the years. Ten years after a hip replacement, there is a 90 per cent chance the implant will be functioning well. 20 years after surgery, the chance is about 80 per cent.

Revision hip replacements are more complicated surgeries and the outcomes are not as good as the first hip replacement. Technical problems include the quality of the bone and the ability to adequately secure the revision hip replacements into position. Furthermore, removing the old hip replacement can necessitate more extensive surgery. Together, these problems often require the revision hip replacement to be much more complex. Careful planning by the orthopaedic surgeon is needed to ensure he or she will be able to construct a hip that will allow you to adequately recovery, said Dr Samson.