Orthopaedics

This Department provides 24 hours Trauma Care Service. It provides Arthroplasty, ArthroScopic Surgeries, corrective surgery for deformities Spine Surgery. The infected surgery for and Fractures are specially treated by Ilizarov instrumentation these procedures are being taken care of by special clinics viz Arthroplasty clinic every Wednesday, Spine Clinic every Tuesday and Friday, Arthroscopy Clinic every Thursday, Club Foot clinic every Saturday by efficient surgeons. CME & Seminares are regularly conducted for Post Graduate and Under Graduate students.

Department of Orthopaedics, Sri Manakula Vinayagar Medical College, Puducherry, one of the premier departments in the field of orthopaedics in this part of the country. It is well equipped to treat various orthopaedic conditions thus maintaining and improving the musculoskeletal health of the community. The department is well staffed for providing world-class education to the undergraduates and post-graduates. The staffs strive for utmost patient care, research and clinical teaching. Well organised sub-speciality services are also provided by the department by well trained specialists catering to the need of all age groups- from paediatric to geriatric. The faculties besides being excellent clinicians and teachers are good researchers who constantly strive hard to contribute novel concepts and ideas to the orthopaedic world. Sure, a career in Orthopaedics at SMVMCH is an extra-ordinary opportunity.

Department

Prof. Murugan is the Head of the Department. He concentrates on trauma and is specialised in complicated and neglected trauma. Prof. Latchoumibady is in-charge of spine clinic. Spine fracture fixation and discectomy/instrumented fusion are being done routinely. Dr. Elango and Dr. Jagadeesh are in-charge of arthroplasty clinic. They deal with primary hip and knee as well as revision arthroplasties. Dr. Pragash is in-charge of Arthroscopy and Sports Medicine clinic. He is specialised in arthroscopic ACL/PCL reconstruction and Bankart’s repair. Dr. Justin Moses, in-charge of the CTEV clinic, deals with congenital deformity correction. Dr. Satyanarayanan runs the CP/polio clinic and is specialised in deformity correction due to neurological cause.

In addition, the department also maintains the smooth functioning of 24 hour trauma centre. Trauma clinic is conducted on all days. There is a 24 hour trauma service and a good blood bank facility, thus emergency cases are attended as 24 hours service by our duty specialists. The operation theatre is equipped with state-of-art facilities like C-arm image intensifier, arthroplasty, arthroscopy and spine instruments. The trauma operating room with sophisticated operating tables and image intensifier facilitate state-of-art fixation of fractures. The department also supervises the artificial limb centre which provides custom-made orthosis and prosthesis. Well-equipped physiotherapy and rehabilitation unit with state-of-art facilities come under the supervision of the department.

Laboratory

Biochemical and pathological tests are done round the clock. In addition, laboratories are available in the side room of each orthopaedic ward for staining techniques.

Museum

State-of-art museum with flowcharts, photographs of eminent orthopedicians, bone models and pathological specimen is available at the second floor of hospital building near the faculty room.

Library

Departmental library is located at the second floor near the ortho faculty rooms. The library hosts around 637 books mostly the latest editions of orthopaedic text including reference books along with pre-clinical and Para-clinical texts. A second set of orthopaedic texts with added reference books along with standard journals are available at the central library with good internet facility.

Equipment and instruments

General orthopaedic instruments, spine sets, joint replacement sets, arthroscopy and Ilizarov sets are available adequately to meet the demands of any orthopaedic surgery.

OPD

OPD have 5 consultation rooms, 5 examination cubicles, 1 plaster room, 1 treatment room, 2 waiting areas, 1 minor OT and 1 demonstration room. Outpatient clinics function from Monday to Saturday. Special clinics like CTEV clinic, spine clinic and CP and polio clinic function in the afternoon of Wednesdays, Thursdays and Fridays.

Ward

90 beds are available at the general ward in fourth floor of hospital building, separate for male and female patients with demonstration rooms and doctor’s duty room in each ward.

OT

A separate OT complex for orthopaedics is available at H wing first floor of hospital building. The complex hosts 1 receiving room, 1 recovery room and two state-of-art operating rooms. Orthopaedic radiolucent table with fracture reduction accessories and C-arm image intensifier are available in each operating room. The following surgical procedures are being routinely done

  1. Upper limb and lower limb fracture fixation
  2. Pelvis and acetabular fracture fixation
  3. Deformity correction both congenital and acquired
  4. Spine – fracture fixation, discectomy and instrumented fusion
  5. Arthroplasty – knee and hip
  6. Arthroscopy – knee (ACL/PCL reconstruction, meniscal excision/repair) and shoulder (Bankart’s repair)
  7. Tumour excision and reconstruction
  8. Ilizarov fixation
  9. Research laboratory – Available at the college building

Academic activities

UG training

The department provides intense training for the undergraduates through regular theory and clinical classes along with bi-monthly appraisal exams.

PG training

Postgraduate course has been started from 2012 academic session. At present there are 2 M.S. Ortho seats. The postgraduates have regular clinical discussion, journal clubs and case presentations. Inter-departmental meeting with pathology and radiology departments are being held periodically. Well equipped department library with internet facility can be accessed by the students.

Other training

The department also conducts regular training for nursing students.

Clinical activities

Special clinics

CTEV clinic, Spine clinic and CP/polio clinic function on the afternoon of Wednesdays, Thursdays and Fridays respectively.

Special procedures
Camps

Camps are being conducted once in every month in the nearby villages to identify any orthopaedic problem and to educate the society on maintaining the musculoskeletal health.

Conference

The department offered active participation and assistance for conducting OASISCON 2008 in association with Pondicherry Orthopaedic Association. Our faculty are part of the organising committee of OASISCON 2013.

Research projects

Currently several clinical studies are under process.

Conference attended and Paper/poster presentations

The department faculties attend all the regional and national conferences that take place annually and present papers and posters. In addition, the faculties and the postgraduates attend all the CMEs organised once in two months by the Pondicherry Orthopaedic Association and discuss the rare cases and their management. The posters that were presented in the POACON 2012 are

  • Pseudoarthrosis of distal fibula ® with secondary involvement of tibia in case of neurofibromatosis treated by Ilizarov fixation
  • Type III A compound complex fracture ® distal femur with segmental bone loss treated by bone transport with LRS and bone grafting
  • Unusual presentation of chondromyxoid fibroma in diaphysis of femur – a case report