Clinical Work

Clinical Work

With more than 200,000 new out-patients and 20,000 major surgeries every year, the unit stands as a leader in the field of orthopaedic surgery in this part of the world. Nearly 60 major orthopaedic surgeries are performed every day with a similar number in plastic and Hand surgery department. High quality trauma care is ensured by a healthy symbiosis and collaboration between the orthopaedic, plastic, anaesthetic, neuro and facio-maxillary surgery departments. The Clinical work is periodically audited to make sure that high standards are maintained at all stages of treatment.

The high clinical load is well supported by excellent infrastructure facilities with 480 beds, 20 operating theatres, state-of-the-art radiology department with in-house MRI and CT scan facilities. The operating theatres have AIRO CT guided computer navigation surgery platform, sophisticated C-arms, high end operative microscopes and state-of-the-art operative equipments all of which help to ensure the best possible results to the patients, Excellent recovery of patients is aided by well equipped department of physiotherapy and rehabilitation.

Out-patients Registrations

2016 2017 2018 2019 2020 (Upto March)
2,21,107 2,49,739 2,00,210 2,00,548 66,439



Emergency Casualty Attendence

2016 2017 2018 2019 2020 (Upto March)
18,865 20,540 20,904 21,700 7,456



Major Orthopaedic Surgeries

2016 2017 2018 2019 2020 (Upto March)
16,709 16,450 16,855 17,926 4,043



Orthopaedic Physiotherapy Patients

2016 2017 2018 2019 2020 (Upto March)
47,854 49,445 54,149 54,197 9,416


Trauma Surgery

Setting High Standards

  • Polytrauma team to enable optimal care of critically injured patients with systemic injuries and multiple fractures
  • State-of-the-art Trauma Intensive Care Unit
  • Round the clock trauma and emergency services
  • Dedicated and experienced team of trauma surgeons
  • On arrived anaesthesia ("nerve blocks") to provide immediate pain relief
  • Thorough preoperative planning and a definitive treatment plan for all complex fracture
  • In-house availability of supportive service like Radiology, Neurosurgery, Blood bank & Bone bank

proof

The hospital has a state of the art orthopaedic trauma unit catering to a huge population of the western zone of Tamilnadu, adjoining states and also complex trauma are referred from remote frontiers of India and other neighboring countries like Bangladesh, Nepal, Maldives etc. The trauma team is headed by Dr. J. Dheenadhayalan, four Consultants: Dr. Venkatadass K, Dr. Ramesh Perumal, Dr. Devandra Agraharam and Dr. Arunkamal and two Associate trauma consultants : Dr. Mohammad Zackariya, Dr. Velmurugesan P, 11 registrars, 6 fellows and 10 post graduate students, who provide round-the-clock trauma and emergency cover.


Year 2015 2016 2017 2018 2019 2020 (upto march)
Acetabular fractures 95 112 144 108 89 48
Pelvis fractures 93 66 39 21 30 14
Hip fractures 441 424 422 401 349 434
Femur fracture - nailing 1180 1404 1433 1489 1722 303
Femur fracture - plating 436 393 348 378 446 125
External fixator application 864 913 884 900 934 398
Knee joint fractures 303 187 147 166 278 67
Tibia fractures - nailing 717 876 751 843 901 298
Tibia fractures - plating 649 697 676 758 752 285
Ankle joint fractures 567 651 403 679 587 186
Foot injuries 24 55 289 93 112 79
Miscellaneous procedures 2274 1652 2178 1590 1947 652
Total 7643 7430 7714 7426 8147 2889

The unit has 5 dedicated operation theaters for trauma surgeries. Additionally 3 operation theaters are available for emergency surgeries and open injury management. The 24/7 availability of trauma anaesthetist, plastic surgery consultant and orthopaedic consultant enables the unit to provide recusitation and appropriate management for all major injuries at any time of the day. The consultant level input right at the arrival of the patient makes a huge difference "golden hour" after the accident by expert resuscitation and early damage control surgical care.


Academic trauma meetings are conducted three times a week and all trauma cases operated are discussed in an open forum to provide the best possible care for patients. For complex fractures, pre-operative treatment plan is formulated during trauma meetings

Spine Surgery

SAFE SPINE SURGERY -    A REALITY

  • Ganga Hospital is the first unit in Asia Pacific region to install the BrainLab CT AIRO navigation services for computer aided spine surgery. This ensures safety and precision.
  • Intra-operative neuromonitoring enables performance of complex spinal cord surgery without risking injury to the spinal cord
  • Cell Saver machines enables long and complex surgeries maintaining patients safety.
  • The availability of the latest spinal implants allow safety and precision in surgery.
  • High resolution 1.5 Tesla MRI scanner, Siemens Symphony CT scanner and digital radiographs provide the best imaging support to accurately diagnose diseases

proof

Over the last 25 years, the Spine Surgery unit of Ganga has provided comprehensive services in alleviating the pain and improving the functional ability of patients. The unit is one of the largest tertiary care referral centres in India and so far, more than 12000 spine surgeries have been performed.


The unit is headed by Prof S. Rajasekaran, and comprises of two Consultants Dr. Ajoy Prasad Shetty and Dr. Rishi M Kanna. The clinical team includes eleven Spine Fellows, ably supported by three physician assistants and spinal physiotherapists to provide specialised care to all patients with spinal pathologies


Year 2015 2016 2017 2018 2019 2020 (upto march)
Lumbar microdiscectomy 435 291 373 361 390 121
Lumbar microdecompression 196 212 201 195 157 61
Transforaminal Lumbar Fusion 464 564 499 473 596 193
Thoracic decompression, fusion 6 39 31 68 59 10
Spinal infections - Surgery 114 110 88 74 44 32
Anterior cervical microsurgery 244 235 233 341 263 98
Posterior cervical decompression 149 179 170 188 170 52
Spinal fractures - Surgery 316 238 305 269 287 122
Percutaneous biopsy 93 78 87 74 77 32
Scoliosis/kyphosis surgeries 168 199 193 166 155 39
Spinal cord Surgeries 31 28 12 33 49 14
Tumor surgeries 55 23 34 17 9 9
Vertebroplasty/kyphoplasty 8 26 21 38 10 19
Spinal injections 234 348 350 404 516 175
Miscellaneous 108 92 132 164 160 84
Total 2621 2662 2729 2865 3003 1089

On the clinical side, the unit aims to provide safe spine surgery through expertise and experience. Blostered by periodic technology advancements, the unit currently has one Intra-operative computer navigation system, two 3D navigation image intensifiers, intra-operative spinal cord monitoring systems and advanced cell saver technology, the only centre in the country to have all under one roof. The unit is well known internationally for its path breaking research works in the field of disc biology. It has been the proud recipient of many internationally awards such as ISSLS award in 2004, 2010, 2012 and 2016, EuroSpine Open Paper Award in 2008, Sofamer Danek award in 1996 and 2002, Silver Jubilee Research Award in 2004, and ASSI Research Award from 2000-2014. The unit has also more than 200 journal publications in spine surgery and many chapters in international textbooks.

Arthroscopy and Sports Medicine

KEY HOLE SURGERIES    HIGHLIGHTS

  • Competent Arthroscopic surgical team with more than 15 years experience.
  • Two fully furnished operation theatre with a dedicated team of surgeons, nurses, and anesthetists.
  • State of the art Advanced arthroscopic equipment.
  • Specialized Musculoskeletal radiologists and physiotherapists to ensure the best outcomes for the patients.
  • Key hole surgeries are performed for knee, shoulder, ankle, hip and wrist joints.

proof

The Arthroscopy and sports medicine unit of Ganga hospital is headed by Dr. S R Sundararajan. The unit is efficient in performing several complex surgeries of knee, shoulder, hip, ankle, wrist and elbow joint. Our centre has an intake of yearly one FNB (national board of examinations) and two Tamilnadu Dr MGR University Post doctoral fellow students. It is one of the two centres in India to have FNB course in sports medicine. The unit has several research publications in national and international indexed journals. The unit recently won the best publication award at the National Arthroscopy Association meeting.


Year 2015 2016 2017 2018 2019 2020 (upto march)
ACL reconstruction / fixation 246 393 624 648 624 208
PCL reconstruction / fixation 31 22 42 39 26 15
Multi-ligament reconstruction 13 21 38 66 94 24
Meniscal repair or removal 507 178 246 162 246 62
Cartilage surgeries - 9 26 27 5 2
Patellar instability 10 2 5 14 6 2
Shoulder Arthroscopy 104 204 161 247 333 99
Other joints (ankle, elbow, hip) 3 4 5 9 6 3
Miscellaneous 3 26 59 26 30 15
Total 917 1092 1206 1238 1370 430

The Unit also conducts international and national level meetings in sports Medicine and Arthroscopy & Training Courses and Workshops for Physiotherapists. We have three well-equipped operation theatres with experienced theatre staff. All procedures are performed based on current clinical evidence and implants used are of best quality available on par with international standards at a very affordable cost. Apart from good surgical results, post-operative rehabilitation is provided through experienced physiotherapists to get patients back to normal activities. Comprehensive post operative rehabilitation for all Sports and Ligament injuries are guided by an exclusive team comprising of 19 trained physio-therapists.

Department of Arthroplasty

JOINTS FOR LIFE

  • Ultra clean, spacious operating rooms, coupled with strict aseptic techniques and highly trained professionals enable resultsmon par with international standards.
  • Computer navigated joint replacement surgery is routinely performed for both difficult primary and revision surgeries to obtain perfect alignment consistently.
  • Specialized anesthesia technique ("nerve blocks") ensure that the post-operative periods are less painful and comfortable for elderly patients and enable early mobilization.
  • Digital alignment Xrays for specific planning & templating for the most suitable sized artificial joints for each patient.
  • Latest and time tested high performance bearing implants are used.

proof

Year 2014 2015 2016 2017 2018 2019 2020 (upto march)
Primary TKR 1130 1071 1205 1192 1309 1432 348
Revision TKR 67 18 27 116 81 176 42
Primary THR 255 261 294 236 300 250 87
Revision THR 35 19 52 73 26 121 44
Total 1487 1369 1578 1617 1716 1979 521

Arthritis of the joints is rising in incidence thanks to our longevity. Arthritis affects the people from having normal mobility. The joint replacement (Arthroplasty) unit of Ganga hospital helps in alleviating the pain and disability due to advanced arthritis through joint replacement surgeries. The excellent results afforded to the patients have made it possible for us to provide "Ganga Joint for Life" Assurance program an insurance coverage for our joint replacement patients.

The Unit has three consultants Prof S Rajasekaran, Dr P Dhanasekara Raja and Dr N Rajkumar and six fellows, dedicated physician assistants and physiotherapists. The unit also collaborations with three other major South Indian Arthroplasty centres (South Indian Arthroplasty Association) to facilitate exchange of knowledge, periodic academic and educational purposes.

The Unit has grown rapidly and has performed 1716 surgeries 2018. The Unit has adopted most recent patients. Joints with newer bearing surfaces like ceramic on ceramic, modular hips with larger heads, augments for acetabular defects, rotating platforms for knee, metaphyseal sleeves for bone defects are all performed routinely in appropriate patients to achieve the best functional results in both primary joint replacement and revision arthroplasty.

Our extensive experience enables us to treat complex arthritic conditions with safety and low infection rates. This facilities the patients to heal and recover faster with fewer post-operative complications.

Shoulder and Upper Limb

SHOULDER AND UPPER LIMB

  • Shoulder and upper limb clinics operate twice a week in collabration with the plastic surgery and hand department, especially in the management of brachial plexus injuries
  • Treatment is focused on consevative measures and restorative techniques through Minimally invasive surgeries, including arthroscopy.
  • Surgical options are comprehensive and matched, based on patient needs.
  • Joint replacement is employed selectively, when required.
  • All surgeries and outcomes are analyzed to improve quality of care and develop new techniques for future applications.

proof

The Unit led by Dr. Dheenadhayalan, manage all shoulder parthologies including trauma and arthritis. The team includes 3 associate consultants and two fellows. The entire team focuses on adhering strictly to principles of evidence based medicine and offers their patients the most current proven techniques of management in shoulder and limb reconstruction.

Advanced surgical techniques are employed to improve comfort and outcome of the patients. Of the 600 and more shoulder surgeries done annually, Shoulder arthroscopy, open repairs, shoulder joint replacements-including reverse shoulder arthroplasty and routinely performed in improving patient's quality of life. The unit is ably backed by well equipped radiology department and a dedicated physiotherapy section with advanced pre and post operative rehabilitation protocols.

Diagnosis and therapeutic arthroscopic procedures for the shoulder are performed by the Sports Medicine team headed by Dr SR Sundararajan.


Year 2015 2016 2017 2018 2019 2020 (upto march)
Elbow replacement 2 18 5 5 - 2
Shoulder replacement 7 18 14 4 - -
Shoulder reconstruction surgeries 137 105 66 92 24 10
Fractures of shoulder joint 254 318 307 291 145 35
Shoulder injections / manipulation 206 106 79 100 67 43
Humerus fractures 316 353 417 370 530 182
Elbow joint fractures 233 203 178 330 277 164
Forearm fractures 687 1080 563 542 528 252
Wrist fractures 503 497 462 866 757 278
Shoulder Arthroscopy 104 204 161 247
Total 2449 2902 2091 2600 2346 966

Pediatric Orthopaedics

CHILDREN'S ORTHOPAEDICS

  • Trained pediatric orthopaedic specialist to provide optimal care to children.
  • Weekly group meetings and scientific delibrations are conducted to facilities the most appropriate care.
  • Exclusive club foot clinics to provide Ponseti method of correction for clubfoot.
  • 24 / 7 pediatric trauma care service enabling appropriate treatment for each child with trauma.
  • Special clinics for children with neuromuscular disorders and disablilty such as cerebral palsy, muscle dystrophy and poliomyelitis.

proof

The Paediatric Orthopaedic division of Orthopaedic surgery provides dedicated care to the musculoskeletal problems of children. Dr Venkatadass K is the Lead Consultant of the Unit and along with a team of doctors, physiotherapists and physician assistants work together to provide optimal care to all the children admitted in the unit. A child is not a 'small adult'; the tender musculoskeletal system behaves different from that of an adult. Moreover, they have growth potential which needs to be preserved for them to become mature adults. All these make children so special and thus the need for trained specialists to make sure that they get the best possible care.

Any musculoskeletal problem, be it a congenital deformity (birth defect), a fracture involving the growth plate or an infection can cause alternation in growth and deformity. Timely identification of the problem and right intervention will go a long way in preventing long term disability. Specialised services of paediatric orthopaedics include paediatric trauma care and hip preservation. Hip Preservation Surgery is a specialty developed to preserve the native hip to its maximum function and postpone arthritis. Femoroacetabular impingement (FAI) and Hip Dysplasia are two leading causes of early arthritis and there are advanced surgeries available now to restore the normal anatomy and biomechanics of hip and thereby preserve its function.


Year 2015 2016 2017 2018 2019 2020 (upto march)
Paediatric trauma 624 723 525 530 376 159
CTEV Tenotomy 52 50 19 31 81 19
CTEV Surgery 41 37 43 36 91 30
Cerebral Palsy 89 68 72 65 109 5
Hip Preservation Surgery 60 57 31 86 52 46
Limb deformities 126 116 47 127 79 47
Surgery osteomyelitis 23 46 12 32 29 9
Tumors 45 46 19 45 21 -
Miscellaneous 144 106 226 157 243 70
Total 1204 1249 994 1109 1081 385