Institute of Orthopaedics at SIMS Hospital is also known as AJRI (Asian Joint Reconstruction Institute). The combined experience of the senior consultants in the institute is unmatched in this part of the world. This internationally renowned facility attracts patients from all parts of the world for the cutting edge procedures that it offers. More than 1000 patients from the U.S and CANADA have travelled to SIMS – AJRI for various orthopaedic procedures.
Our customized programs offer pain-relief solutions for arthritis or impaired function of the joints, paying special attention to joint replacements, osteotomies and joint revision surgeries. Our services comprise of the following:
COMPUTER AIDED HIP & KNEE NAVIGATION SURGERY AND CUSTOM INSTRUMENTATION FOR TOTAL KNEE REPLACEMENT
Accuracy of component placement is the most important variable that influences the outcome of joint replacement surgery especially the function and the longevity of prosthesis. Orthopaedic Surgeons has been the key designer for computer navigation systems to fine tune the accuracy of component placement to optimise outcomes for both hip and knee replacement surgeries
Institute of Orthopaedic Surgeons is also involved in the development of “PrePlan* – 2 pin Concept”, a patient specific custom instrumentation based on CT scan that enables precision in key surgical steps.
REVISION JOINT REPLACEMENT SURGERY
Revision or redo hip and knee reconstruction is becoming common in India. Revision is required for patients whose primary replacement implants have failed due to varied reasons (wear and tear, infection and primary failure). Surgical experience is a critical ingredient while addressing to a variety of issues encountered during revision surgeries.
Complex revision joint replacement surgery is one of the most technically challenging interventions in orthopaedics. The team at Institute of Orthopaedics has vast experience in complex revisions and reconstructions of the hip and knee involving the use of allografts, porous tantalum material, non cemented metaphyseal sleeves and custom revision components.
PARTIAL/UNICONDYLAR KNEE REPLACEMENT
Total Knee Replacement is not the only solution for all types and stages of painful arthritis.In some patients only one compartment is predominantly affected. These situations are best suited for joint conserving procedures like corrective Osteotomies / Unicondylar replacement. Since all the ligaments are preserved and as the procedure is minimally invasive, the recovery is rapid and functions near normal.
Traditional Total Hip Replacement is characterized by 3 important disadvantages:
- The relatively small-sized head makes it prone to dislocation
- The polyethylene articulation wears out rapidly in younger active
- patients necessitating revision surgery
- Conventional stem design makes revision surgery very difficult
The Deltamotion eliminates these 3 weak links by providing:
- Incrementally large head proportioned to the native size which allows near normal activity postoperatively. This is made technically possible by a factory fitted component.
- Deltaceramic on deltaceramic articulation which shows unrivalled longevity amongst bearings.
- Bone friendly stems that make revision surgery (if required) very easy to do.
Institute of Orthopaedic surgeons have developed the surgical technique for ideal implantation of Deltamotion.
BONE CONSERVATIVE SURGERY (BIRMINGHAM HIP RESURFACING)
Unlike the western population hip arthritis occurs in young patient in India/Asia. Hence conserving bone becomes crucial. The BHR (Birmingham Hip Resurfacing) and BMHR (Birmingham Mid Head Resection) prosthesis is specifically developed for younger and more active patients.Institute of Orthopaedics has experience of over 2000 BHR/BMHR procedures which makes it the largest volume centre in Asia. In addition, the centre has the largest experience of this procedure for avascular necrosis of hip in the world.
OXINIUM (CERAMIC) KNEES
Conventional knee replacement is not suitable for relatively younger and active patient due to the potential of rapid wear and early failure.
Oxinium knee reduces the wear by 50%. It is popularly known as the “30 year knee” in North America. This innovation was brought to this region by Institute of Orthopaedic surgeons in early 2010, enabling the employment of the knee replacement procedure for relatively younger patients.
Institute is specialized in:
- Musculoskeletal Radiologist / Pathologist / Infectious diseases consultants
- Advanced bracing & taping techniques
- Non-operative management
- Rheumatology service
- High performance primary joint replacement surgery
- Osteotomy (Realignment of bone)
- Arthroscopy (Key Hole Surgery)
- Complex revision joint replacement surgery