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Orthopaedics

Success doesn’t turn up overnight “

Orthopaedics

Dr R. Sivakumar

M.s., Ortho., D.Ortho
Spine Fellowship (Germany)
Spine Fellowship (ASSI)
Senior Spine Consultant & Spine Surgeon

26 Years of Experience

Expertise

  • Spine Deformity Correction
  • Joint Replacement
  • Pelvi -Acetabular surgery
  • Complex Trauma Surgery
  • Congenital Deformity Correction Surgery

OPD TIME

  • MON - SAT 3.00 PM – 6.00 PM

Dr Prahlad Kumar Singhi

MBBS, D.ORTHO, DNB ORTHIO FISM (ASKELOPIS, GERMANY) IMRI Fellowship (Adelaide, Australia) AO Trauma International Fellowship (Portland, Maine, USA)

14 Years of Experience

Expertise

  • Complex Trauma, Limb reconstructive surgeries, Arthroscopy & Sports injury
  • National faculty & organized several CME and educational programs

OPD TIME

  • MON & THU 10.00 AM – 1.30 PM

Dr V.Somashekar

MBBS, MS Ortho
12 Years of Experience

Expertise

  • Joint replacement (primary and revision)
  • Pelvis and acetabulum
  • Paediatric deformity correction

OPD TIME

  • TUE & FRI 9.00 AM to 2.00 PM

Dr V.N.Sudeep Kumar

MBBS, MS (Ortho), FMISS (Germany)
13 Years of Experience

Expertise

  • Complex Trauma
  • Pelvic Acetabular Reconstruction
  • Spine Minimally Invasive Surgery in Biportal Endoscopic Disc (UBE) and Fusion Surgeries
  • Scoliosis Deformity Correction Surgery
  • Spine Trauma and Tumory
  • Reconstruction Surgery

OPD TIME

  • WED & SAT 9.00 AM to 2.00 PM

Dr R.J.Bharat Kumar

MS in Orthopedics, DNB, FISS
12 Years of Experience

Expertise

  • Orthopaedic Trauma Surgery
  • Spine Surgery and Deformity correction
  • LIMB Reconstruction Surgery

OPD TIME

  • WED & SAT 8.00 AM - 6.00 PM

Dr T. Vinoth

MS Ortho, FISS
7 Years of Experience

Expertise

  • Full endoscopic Spine Surgery, minimally invasive spine surgery, percutaneous vertebroplasty, spine fractures, revision spine surgery
  • Complex trauma surgeries, deformity correction limb lengthening procedures, CTEV management.

OPD TIME

  • MON & SAT 10.00 AM - 2.00 PM
  • THRUSDAY - 8.00 AM - 6.00 PM

Dr M.Harish Kumar

MBBS, DNB (Ortho), MNAMS, FIJR
8 Years of Experience

Expertise

  • Fellowship trained in Hip & Knee joint replacement surgery
  • Primary, complex primary, revision joint replacement, and managing periprosthetic fractures.
  • Trauma surgery including periarticular fractures

OPD TIME

  • TUE & FRI 9.00 AM - 2.00 PM

Best Orthopaedics Hospital in Madurai

“Success doesn’t turn up overnight “, Preethi Hospitals had a humble beginning as a 6 bedded nursing home at KK Nagar, Madurai. The Department of Orthopaedics was established in 2007 by our Chairman and Professor Dr R.Sivakumar, under the guidance of Professor Dr M.Chidambram.
Not only the technology and sciences advances, but the nature of injuries also advances in their pattern of Complication and hence the need for surgical techniques needs to be upgraded to a global standard. With changing times, the type of injury, its problems & complications vary, we at Preethi hospital have treatment strategies of International Standards to treat orthopaedic patients.
Our team doctors at Preethi Hospitals trained at various advanced and reputed centres around the world to overlook beyond trauma and as result, various subspecialties in orthopaedics emerged like
  • Complex deformity correction and rehabilitation,
  • Paediatric orthopaedics   
  • Hand and cosmetic reconstructive surgery etc.
Our tertiary care referral centre pioneered itself in managing complex and high-risk trauma. Various keyhole orthopaedic procedures in sports medicine, spine (Endoscopic and minimally invasive), mangled and crushed limb injuries along with vascular and plastic surgery experts.

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 M. Harish Kumar, 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.

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.

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.

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

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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.

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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.

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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.

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

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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

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

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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

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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.

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Image Showing Total Elbow Replacement Procedure

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Case example 1: TEA for Complex elbow fracture

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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.

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

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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
Our team follows the policy of early Total and complete care, close follow-up and complete Rehabilitation.
Our department’s strength results in near-normal health reflected by our performance with 35,000 outpatient visits and 3000 surgeries every year.
We infuse advanced techniques in every speciality for the benefit of our patients and we are at the forefront of offering advanced orthopaedic management across the globe.
The latest inclusion in our department includes navigation in Joint replacement, Endoscopic spine surgery, the Minimally invasive procedure of spine and fracture fixation Custom Mega Prosthesis in orthopaedic oncology, and keyhole surgeries for ligament reconstruction of the knee, shoulder, ankle and elbow.
The untiring hard work, clinical excellence and academic advances of our consultants are recognized by their presentation at national and international levels. Our Department is recognized for
  • Post-Doctoral Fellowship Program (Arthroscopy, Joint Replacement and Spine) by the Tamilnadu Dr MGR Medical University, Chennai since 2012,
  • National Board of Examination for Diploma in National Board (NBE-DNB) courses- orthopaedics.
We have cutting-edge facilities, equipment, and 8 fully automatic laminar flow operation theatres exclusively for the sub-specialities.
Our successful team of consultants, associate consultants, and registrar, post-doctoral fellows, postgraduates work round-the-clock along with paramedics, nurses, physiotherapists and rehabilitative specialists to bring back the normal life of our patients in each aspect.
We refine, learn and execute and educate other doctors by conducting various CMEs, conferences, live surgeries, and hand on skill workshops.
Our research works and academic activities in various fields make us improve our hospital into a research centre for the betterment of many lives.
Be wise “Reach the Right Place, at the First, for the Best “.

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