Preethi hospital has one of the well-known arthroscopy and sports-medicine centres. Our highly trained renowned doctors help to provide a tremendous success rate from simple fractures to grave injuries that result from heightened physical movements. Damage to ligaments, tendons, or cartilage is among the conditions frequently diagnosed during an arthroscopy. These ailments afflict those who have arthritis or a history of joint injury. We have advanced arthroscopic technologies, ensuring the best outcome.

Sports Injury

Many Indians are competing in sports more than ever before. It helps them keep their body fit and healthy. However, due to varied reasons such as improper warm-up or stretching, techniques and protective gear, the incidence of sports-related injuries is on the rise. It commonly affects your ligaments, cartilage and even bones causing stress fractures. Prevention is better than cure. So, always contact your healthcare provider before starting any physical activity, especially active types of exercises or sports.

Arthroscopy

Arthroscopy is a well-known and popular procedure to treat sports injuries. Arthroscopy is often performed as a day-care procedure to visualise, diagnose and treat problems in a joint. This keyhole surgery involves minimal incisions, an arthroscope, advanced fibre optic technology, cameras and monitors to repair and restore the functions of joints. The more safe and more secure procedure with faster recovery!

Conditions treated:

KNEE

• Ligament: ACL, PCL, MCL, LCL, PLC, MPFL & multi-ligament injuries.
• Meniscus and Meniscal tears: Bucket handle, complex tears, meniscal cysts.
• Cartilage: Chondromalacia, Cartilage defects, early arthritis.
• Others: Popliteal cysts, Loose bodies, synovitis, Patella dislocation.

SHOULDER

• Shoulder recurrent dislocations: Labral tears, Bony defects
• Rotator cuff tendon tears, SLAP tears, Impingement, Synovitis, Frozen shoulder, Loose bodies

ANKLE

• Arthritis, cartilage defects, Ligament tears, Calcaneal spurs, Synovitis, Loose bodies.

WRIST

• TFCC injury, Carpal instability, Carpal tunnel syndrome, Synovitis, Loose bodies.

HIP

• Impingement, Labral tears, Synovitis.

PROCEDURES OFFERED:

At Preethi hospitals, we offer the best treatment for all your illnesses based on the injured location.

KNEE

• Diagnostic & Therapeutic Procedures 
• Arthroscopic ACL reconstruction / ACL repair
• Arthroscopic PCL reconstruction
• Multi ligament reconstruction
• Arthroscopic Meniscal repairs/resection
• Medial Patello femoral ligament reconstruction
• Alignment procedures – High Tibial Osteotomies (HTO)
• Ligament realignment procedures – Quadricepsplasty, Patella ligament procedures
• Loose Body Removal, Synovectomy, Intra articular tumour resection
• OATS, Microfracture, Popliteal cyst decompression, PRP, BMAC

SHOULDER

• Diagnostic & Therapeutic Procedures 
• Arthroscopic Rotator cuff repairs – single row / double row
• Arthroscopic Bankart’s repair, Remplissage procedure, Latarjet procedure
• Arthroscopic SLAP repair, Biceps tenodesis, Anterior Capsular augmentation
• Adhesiolysis, Hydrodilatation, Loose body removal, Synovectomy.

ANKLE

• Diagnostic & Therapeutic Procedures 
• Haglund’s deformity – spur excision
• OATS, Microfracture, Loose body removal

OTHERS

• Diagnostic and therapeutic procedures of Hip, Elbow and Wrist.

Arthroplasty Department at Preethi Hospital is headed by Dr R. Sivakumar. The Dedicated unit has Dr.V.Somashekar, and Dr N.Arul Prakash, Consultants are well trained in surgical skills at the house as well as abroad. Also in place are the necessary Operating room conditions like state of art Laminar airflow theatre, skilled personnel, dedicated Physiotherapists and the most advanced, reliable and time-tested implants for the surgery.

Surgeries are performed after a thorough assessment of the patient’s general condition and risk factors, Post-surgery patients are taken care of by intensivists and pain specialists for any untoward events and pain-free recovery utilising Multimodal analgesia. Patients can go home pain-free, mobile, with a good range of motion and smiling. Preethi Hospital is proud to announce to cater all types of Arthroplasties like Total Hip Replacement, Total Knee Replacement, Total Shoulder Replacement, Total Elbow Replacement, Revision arthroplasty, and Custom mega-prosthesis including fixation of Periprosthetic fractures.

At Preethi Hospital since the inception of the unit, nearly 3648 Joint Replacement Surgeries (2189 Total Knee Replacements and 1459 Total Hip Replacement) have been performed with more than 10000 patients benefitted.

TOTAL KNEE REPLACEMENT (TKR)

Total Knee replacement is the most commonly performed surgery for advanced arthritis in patients over more than 60 years. Often patients come very late in the natural history of degenerative osteoarthritis resulting in gross deformities. It is challenging for the surgeon to treat them. However, Preethi hospital is equipped with skills and resources to treat them showing excellent and reproducible results.

Case example 1: Severe Bilateral Osteoarthritis Knee with Varus deformity. Managed with TKR Semi constraint type of prosthesis.

Case example 2: Severe Bilateral Osteoarthritis knee with Varus deformity and Fixed flexion deformity with medial tibial bone loss. Managed with TKR with medial tibial screws and Stem augmentation.

Uni Condylar knee Arthroplasty (UKA):

Uni condylar Knee arthroplasty is a procedure, where only the degenerative side of the Joint is replaced, conserving the normal portion of the joint. This is usually done in symptomatic patients presenting with a very early stage of Osteoarthritis, a condition called Anteromedial Osteoarthritis.

Case example 3: UKA – Patient with Left Medial compartment Osteoarthritis, with stress views showing intact lateral joint space, with correctable Varus deformity. Managed with UKA.

TOTAL HIP REPLACEMENT

Total Hip Replacement is commonly performed for fractures in the elderly population due to weak osteoporotic bone. It’s also commonly performed for young in the Indian sub-continent for Avascular Necrosis and Juvenile Rheumatoid Arthritis. Preethi hospital can perform bilateral hip replacement in these young patients who can lead a healthy and active life. Many patients are benefitted from these procedures returning to their earlier status otherwise they were very much incapacitated due to illness.

Case example 1: Bilateral Severe Hip arthritis, managed with Bilateral Uncemented Total Hip replacement

Revision Hip Surgery for Peri-implant fracture, Managed with a Locking plate, retaining the stable prosthesis (Case 2) and by Replacing the loose primary stem with a long stem with plate augmentation (Case 3)

Case example 4: Uncemented Total Hip Replacement done for Right Neck of femur fracture in an elderly patient

Case example 5: Revision uncemented Hip arthroplasty with long stem done for failed Right hemiarthroplasty with aseptic loosening

CUSTOM MEGA PROSTHESIS RECONSTRUCTION AFTER TUMOR EXCISION

Orthopaedic oncology is an emerging branch with few reconstructive surgeons available. Patients with bone tumours usually need to travel to far-off places like Mumbai, Chennai and Coimbatore to get treatment. Preethi Hospital is the best hospital with a skilled surgical team to cater for the whole of Southern Tamil Nadu. The new hospital block is in process of setting up a Bone bank and a Radiotherapy Unit as well. This completes the holistic approach to treating diverse Bone tumours.

Tumours left apart, Joint replacement of the hip and knee using custom mega-prosthesis has its application in the treatment of complex periarticular fractures in the elderly with the advantage of getting the patient to reach the pre-injury status at the earliest possible, without any need to wait for fracture union in an already fragile patient.

Case Examples 1 & 2: Total Knee Replacement using Custom Distal femur (Case1) and proximal femur replacement (Case 2) mega-prosthesis after complete resection of the pathological distal femur and proximal femur in cases 1 and 2 respectively

TOTAL ELBOW ARTHROPLASTY

TEA as it is called is commonly performed in advanced arthritis like rheumatoid arthritis, and posttraumatic arthritis. However, due to the recent increase in high-velocity side swipe injuries where there is bone loss and failed reconstruction, TEA is a salvage procedure. Preethi Hospital has a high success rate in a TEA in young patients.

Image Showing Total Elbow Replacement Procedure

Case example 1: TEA for Complex elbow fracture

TOTAL SHOULDER ARTHROPLASTY

Hemiarthroplasty is a commonly performed procedure for severely comminuted osteoporotic fractures. However, if the patient has rotator cuff insufficiency along with non-reconstructuble fracture Reverse shoulder Arthroplasty is being performed in our centre.

Case example 2: Left shoulder hemiarthroplasty is done for comminuted proximal humerus fracture

Post-op X-ray of Reverse shoulder arthroplasty

DEPARTMENT OF SPINE, DEFORMITY CORRECTIVE SURGERY AND REHABILITATION UNIT

The SPINE ORTHO UNIT with “Goal of Minimally Invasive SAFE SPINE SURGERY- MISSS” has had an experience over the last 20 years. With highly trained and skilled Spine Specialist doctors round the clock, the Spine Unit provides comprehensive services in the Nonsurgical and Surgical management of spinal disorders. Our multidisciplinary team of spine surgeons, physical therapists and nurses deliver surgical treatment and physical therapy that is customized for each patient, keeping in mind the ultimate goal to reduce pain, and improve functionality and patient’s quality of life.

The exclusive spine surgery department at Preethi Hospital is the first of its kind in this part of the state. Since the Department has grown in leaps and bounds and has served people with spine ailments from all walks of life.

Spine Ortho Unit caters to Highly Advanced Technological armamentarium like

• Zeiss Tivato Microscope – MicroTubular Endoscopic Discectomy, MISS TLIF Fusion
• Uniportal(PELD- Riwo set) and Biportal Endoscopy(UBE)- IVDP , Canal stenosis, Endoscopic fusion
• 2D Navigation / Intraoperative Neuromonitoring- Deformity SCOLIOSIS/KYPHOSIS correction surgery, Spinal Infections.
• Medtronic Medex Burr System and latest Spinal Implants,

Only largest tertiary care referral centres in Southern Tamilnadu to have all under one roof to make all SPINE SURGERIES SAFE and MINIMALLY INVASIVE a reality, and to have performed successful 7000 complex spine surgeries so far with excellent results.

• The SPINE unit is headed by Prof Dr R SIVAKUMAR
• Dr Sudeep Kumar V N – Senior Consultant
• Dr Vinoth K and DR R J Bharath – Consultant
• The clinical team includes 2 Spine Fellows, 2 Pain Physician Assistants and 4 Spinal Physiotherapists to provide specialized care to all patients

Clinical Service Offered

OPD Service

• Consultation with complete workup of spine-related disorders with solutions
• Complete Counseling and education about surgical procedures indicated and the possible outcomes as evidence-based
• Complete range of Physiotherapy for Neck and Back problems
• Pain Management with counseling and Image-guided Spinal Injections as day care procedures
• Complete Comprehensive Spine Rehabilitation Programme for SPINAL CORD INJURY Patients with PARAPLEGIA,

Spine Surgeries Performed in the Department

1. Minimally Invasive Spine Surgeries include
   • Micro Tubular Endoscopic Discectomy – MED – Medtronic Quadrant Tubes
   • Minimally Invasive Lumbar Fusion TLIF – MISS QUADRANT TUBULAR FUSION – LYTIC/DEGENERATIVE SPONDYLOLISTHESIS
   • Full Endoscopic Spine Surgery – Discectomy, Lumbar canal stenosis, Fusion surgery
   • UNIPORTAL ENDOSCOPY – (RIWO Spine Endoscopy set) 
   • UBE – UNILATERAL BIPORTAL ENDOSCOPIC Spine Surgery
   • Percutaneous Vertebroplasty/Kyphoplasty with MISS Screw – OSTEOPOROTIC VERTEBRAL FRACTURE in Elderly Patients
   • Micro Tubular Endoscopic Excision of SPINE TUMOURS
2. Cervical Disc Prolapse – Anterior Cervical Discectomy Disc Replacement / Fusion surgery  
3. Trauma – Cervical and Dorso-Lumbar FRACTURES – Emergency Reconstruction with Instrumentation for Early Neurological Recovery
4. Instrumented Spinal Reconstruction in Scoliotic and Kyphotic Deformity Correction
5. Craniovertebral Anomalies Surgery
6. Revision Spinal Surgery- Recurrent Disc prolapse, Infections
7. Spinal Infections – Pyogenic/Tubercular 
8. Post-Surgical Discitis, Implant related infections