Treatments & Procedures

Global Hospitals’ Orthopedic Institute brings together a team of highly qualified orthopedic surgeons to treat hip, knee and joint problems. Surgeons at the Orthopedic Institute see patients for a variety of orthopedic problems and conditions. Some of the common orthopedic issues treated here are:

  • Post Traumatic Arthritis Knee
  • Arthritis of Knee
  • Arthritis of Hip
  • Sports-related bone, tendon and ligament problems of the hind foot and ankle, including ankle instability, Achilles' tendon problems, ankle and subtalar arthroscopy, and reconstructive surgery.
  • Shoulder Injury
  • Hip Injury
  • Knee Injury
  • Forefoot deformities, such as bunions, hammertoes, digital neuromas, heel pain, tendonitis, acquired flat foot deformity, and late effects of clubfoot.
  • Knee Injury
  • Neuromuscular disorders affecting bones and joints.
  • Fractures of Various Bones
  • Fractures of Pelvis & Acetabulum
  • Degenerative problems of joints
  • Deformity correction
  • Reconstruction of failed fractures


 

A unique hip and pelvis service forms an integral part of the institute of orthopedics and joint replacement.

The hip is the largest joint in the body and the pelvis is the junction between the spine and the hip joints on either side. The problems of hip & pelvis that are treated by the institute are:

  • Development Dysplasia / Congenital Dislocation Hip joint slips out of its normal position in a newborn. Diagnosed early, it can be cured completely with or without surgery.
  • Septic Arthritis of Infancy– Growing children may develop infection in the hip joint.
  • Hip Fractures In case of hip fractures, the treatment is based on the impacted bone:
  •  


- Proximal Femur – This usually requires surgery

- Head of femur - A critical fracture to be treated appropriately by a specialist.

- Acetabulum - The socket of the hip joint when fractured can lead to a bad arthritis of hip, if not addressed properly. Surgery on such fractures requires special training, skill, and experience.

Pelvis Fractures -These can be a result of high velocity accidents and such injuries can lead to mortality unless treatment is given appropriately within a short time. Only a specially trained team can do subsequent reconstruction of the pelvis. Global Hospitals’ Hip & Pelvis service has the resources to undertake these complex problems successfully, a feat not achieved by many “premier” orthopedic centers in India.

Total Hip Replacement

One of the path breaking medical innovations, it has evolved to give near perfect results. Total joint replacement involves surgery to replace the ends of both bones in a damaged joint to create new joint surfaces.

To treat these orthopedic problems, some of the procedures commonly performed are:

- Minimally Invasive Orthopedic/Arthroscopic procedure

Surgeons can diagnose and treat many types of bone and joint problems using minimally invasive techniques (Arthoscopy). Most minimally invasive orthopedic procedures are done with the use of an arthroscope, a special instrument designed for viewing and treating problems inside a joint.

The arthroscope is fitted with a miniature camera high definition digital Aida2 and specialized lighting system that enables the structures inside the joint to be viewed on a monitor. The surgeon can attach special tools to the end of the arthroscope to shave, cut, or remove tissue or bone that are causing problems. Arthroscopic surgery is a treatment option for knee replacement surgery, orthopedic knee replacement, osteoarthritis knee replacement, and total knee replacement.

Keyhole arthroscopic procedures like complete arthroscopic ACL reconstructions, meniscal repairs, and cartilage repairs are performed at the Institute. A complete post-operative rehabilitation protocol is provided for the enhanced recovery of the patient designed by a team headed by a physiatrist.

In the shoulder, laberal tears, dislocations, impingement syndrome, are treated through arthroscopy of shoulder. In addition to arthroscopy of elbow, the procedure is also used to treat ankle and hind foot, thus helping quick return of normal function.

- Joint Replacement

The Institute has a well-qualified and widely experienced orthopedics surgeons’ team with expertise in joint reconstruction. The Institute offers treatment procedures, pre-operative and post-operative care measures devised to provide maximum comfort and convenience to patients. As a centre of excellence at Global Hospitals, the joint replacement has a dedicated Operation Theatre, ICU and is supported by highly skilled and specially trained support staff.

 

- Total Knee Replacement/Knee Joint Replacement

Most total knee replacement surgeries are executed by the minimally invasive approach that provide multiple benefits to patients mainly in terms of faster recovery, shorter hospital stay and incidental impact on cost and comfort. Knee replacement surgery removes the damaged joint lining and replaces the joint surfaces with a metal and plastic implant that functions similar to a normal knee. 

Knee replacement implants have been modified in order to provide the best possible functioning with long-lasting results. This effort to perfect knee replacement implants is constantly taking place.

More than 90% of individuals who undergo total knee replacement experience a dramatic reduction of knee pain and a significant improvement in the ability to perform common activities of daily living. However, total knee replacement will not make the patient a super-athlete or allow them to do more than they could before they developed arthritis.

Following surgery, the patients will be advised to avoid some types of activity, including jogging and high-impact sports, for the rest of their life.


With normal use and activity, every knee replacement develops some wear in its plastic cushion. Excessive activity or weight may accelerate this normal wear and cause the knee replacement to loosen and become painful. With appropriate activity modification, knee replacements can last for many years.

The procedure itself takes approximately 2 hours. The orthopedic surgeon will remove the damaged cartilage and bone and then position the new metal and plastic joint surfaces to restore the alignment and function of the knee.

When a knee replacement is performed, the bone and cartilage on the end of the thigh bone (femur) and top of the shin bone (tibia) are removed. This is performed using precise instruments to create surfaces that can accommodate the implant perfectly. A metal and plastic knee replacement implant is then placed in to function as a new knee joint. Depending on the condition of the cartilage underneath the kneecap, the kneecap surface may also be replaced


With normal use and activity, every knee replacement develops some wear in its plastic cushion. Excessive activity or weight may accelerate this normal wear and cause the knee replacement to loosen and become painful. With appropriate activity modification, knee replacements can last for many years.


After surgery, the patients will be moved to the recovery room, where they will remain for 1 to 2 hours while their recovery from anesthesia is monitored. After they awaken, they will be taken to their hospital room.

 

Hip Replacement/Total Hip Replacement - Total hip replacement surgery replaces the upper end of the thighbone (femur) with a metal ball and resurfaces the hip socket in the pelvic bone with a metal shell and plastic liner. This can be cemented or uncemented, conventional metal on polyethylene, ceramic on ceramic, metal on metal depending on the materials used. Minimally invasive hip replacement and ceramic hip replacement are the latest technologies in this procedure. Global Hospitals and Health City, Chennai performs these in sustainable cases.

 

Hip Joint Resurfacing - Hip Resurfacing procedure has been promoted as an alternative to Total Hip Replacement and is commonly indicated in patients younger than 55 years of age. It involves the removal and replacement of the surface of the femoral head with a hollow metal hemisphere. This hemisphere fits into a metal acetabular cup. This technique conserves femoral bone and does not compromise the possibility of future Total Hip Replacement, if need be. Hip Resurfacing can be Partial Hip Resurfacing or Total Hip Resurfacing. Failing joints, if diagnosed early, only need hip resurfacing surgery to regain normal flexibility without pain. Global Hospitals focuses keenly on inculcating early intervention practices across disease zones.
   
Revision Joint Replacement - Revision joint replacement is necessary when the artificial joint surfaces wear cut. This requires special techniques. Revision hip replacement may be partial when only one side of the artificial joint is revised or total if both sides are revised.

The expertise combined with the experience of the surgeons and the facilities available at Global Hospitals enables carrying out revision joint replacement without any complications.
   
Sports Medicines - The department of sports medicine offers treatment for sports related injuries in the shoulder and knee joints. Highly experienced doctors use the latest and sophisticated arthroscopic equipment to ensure the best possible treatment. 

The Sports Medicine specialty includes orthopedic surgeons with training in arthroscopic surgery, rheumatology, Physical therapists, and athletic trainers. The advantages of this minimally invasive technique are:
 

- Day care surgery, suture less technique
- Early return to sports
- Less pain, Restoring stability of Joint, cartilage therapy
- Reasonable cost

   
Shoulders - Shoulder problems including Rotator Cuff Tears, Labral Tears, Dislocations, Instability, Impingement, A-C Joint Arthritis, and Shoulder Joint Arthritis as well as osteoarthritis shoulder are treated on a routine basis. Most procedures are performed arthroscopically (key hole surgery) thus minimizing pain and enhancing recovery. The surgeons in the hospital are amongst the few in the country to have performed total shoulder Arthroplasties.
   
Pain Management - specializes primarily in treatment of painful disorders orthopedic and joints. The goal is to improve the quality of life through utilizing safe, effective, and advanced treatment modalities for long-term alleviation of pain and suffering.
   
Ankle Joint Replacement Surgery - The goal of ankle joint replacement surgery is to resurface the ankle joint with mechanical parts that allow continued ankle motion and function without pain.
   

Preventive care

Arthritis Risk assessment check
Rehabilitation services - Supported by a large physiotherapy and rehabilitation unit, the Institute of Orthopedics and Joint Replacement provides care of excellent standards on par with the best in the region. The monitored rehabilitation program ensures that the patients meet the goals of successful rehabilitation after discharge.
Knee Check - The department also runs preventive health packages like Knee check to ensure:
 

- Prevention of knee disorders by creating awareness among the public
- Early and precise diagnosis by the exclusive knee checks packages
- Preventing disease progression that offers long-term support and service to people with knee disorders
- Management of sports related disorders and injuries to knee

Institute of Orthopedics, Joint replacement & Sports medicine

Copyright © Forte International. All rights reserved.



Global Hospitals Information Centre for Sri Lanka

No. 01, Boteju Road, Colombo 05, Sri Lanka. 

Forte International
15/6 Malwatta road Dehiwala , Colombo 10350LK
Phone: 0773633134 Website: www.forteglobal.org