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ORTHOPAEDICS

Overview

The Department for Orthopaedics at AMALA IMS deals with all sorts of muscle, bone and joint disorders. Our Orthopaedists are doyens in arthritis, physical medicine, spine surgery, Orthopaedic Oncology, joint replacement and so on. The department focuses not only on immediate relief, but also on permanent cure.

With over three decades of experience, this department has established itself as a pioneer in orthopaedic oncology in Kerala The department's commitment to excellence is evident in its growth over the years, with the addition of subspecialties such as trauma, sports medicine, arthroplasty, spine surgery, and pediatric orthopaedics. This is a department that takes training seriously, with undergraduate training initiated in 2003 and postgraduate training started in 2013.

Facilities

  • Stainless Steel Theatre with Laminar Airflow
  • Arthroscopy Unit
  • Knail
  • Periosteal Elevator, Osteotome, Chisel
  • K wire, Ilizarov Wires (olive, wire, ring)
  • External fixator (full set)
  • Hemiarthroplasy-surgery
  • Bone cement antibiotics, plain
  • ACL-surgery
  • Shoulder Arthroscopy Surgery
  • Spine Fixation Surgery
  • Cervical Spine Surgery
  • PFN Surgery
  • ILN Femur, Tibia, Humerus Surgery
  • Cyrus Nailing Surgery
  • ORIF (Tibia,Femur, Fibula,Radius, Ulna,Humerus,DER)
  • Ortho Microscope-Zeiss
  • OT Light-Steris
  • LCD Monitor-Storz
  • Scope 30-Storz
  • Arthroscopic shaver- Smith & Nephew
  • Irrigation Pump- Stryker Hermes Ready
  • Ablator- Sportz Med
  • C-Arm- - ZIEHM BET Medicals Germany
  • Power Drill Machine- Man-man
  • Tourniquet Diamond - Electronic tourniquett microcontroller tourniquet
  • Battery Drill- Manman
  • Operating Microscope- Carl ZEISS Germany
  • Power Drills - Manman
  • Arthroscopy Instruments - STRYKER/ KARL STORZ

Services

24x7 casualty service and comprehensive poly trauma care are imparted by specialists from Orthopaedics, Neurosurgery, General Surgery, Thoracic Surgery, Plastic Surgery and Anaesthesia. Interlocking nailing for femur, tibia, humerus, using appropriate system like Sirus, AO, GK, PFN, Gamma, dynamic compression plating of various bones, DHS fixation for femoral neck fractures, hemiarthroplasty using AM prosthesis, Thomson prosthesis or Bipolar prosthesis (cemented or uncemented), mini fragment (2.5 and 1.5) system for fixation of small bones of hand and feet, Jess fixature system – fixation, management with Ilizaravo ring fixature, spinal and pelvic fracture fixation,management of compound fractures with external fixation system, closed reduction of fractures and dislocation are the procedures conducted.

Amala Orthopaedics Centre's Paediatric Orthopaedics Unit provides a comprehensive range of facilities for the management of various orthopaedic conditions in children. One of the core services provided by the unit is conservative correction by serial plastering for deformities such as clubfoot and clubhand. This approach involves using a series of casts or splints to gradually correct the deformity over time.


In addition to this, the unit also offers surgical correction of congenital deformities, which involves correcting any structural abnormalities present from birth through surgical procedures. This includes limb lengthening, which is a surgical procedure that aims to increase the length of a limb. The unit also provides both conservative and surgical correction of congenital dislocation of hip and knee, which are conditions where the hip or knee joint is not in the correct position.


The unit also specializes in the management of cerebral palsy and post-polio paralysis. Cerebral palsy is a group of neurological disorders that affect movement and posture, and the unit provides various treatments to improve these conditions. Post-polio paralysis is a condition that affects individuals who have had polio in the past and can cause muscle weakness or paralysis. The unit provides treatments to manage and alleviate symptoms associated with these conditions.


Overall, Amala Orthopaedics Centre's Paediatric Orthopaedics Unit provides a comprehensive range of services for the management of various orthopaedic conditions in children, with a focus on conservative and surgical correction of deformities, limb lengthening, and management of cerebral palsy and post-polio paralysi·

The Department of Orthopaedics at Amala Institute of Medical Sciences is renowned for its groundbreaking work in orthopaedic oncology. In 1988, under the guidance of Dr. Dominic K Puthur, the department established itself as a leader in this field in Kerala. Along with Dr. K C Gopalakrishnan, they are revered as the pioneers of Orthopaedic oncology in the state. The department offers a comprehensive approach to bone cancer care, with the support of medical oncology and radiation oncology. What's more, Amala provides this 360-degree care at an affordable rate. The department is undertaking numerous procedures, including CT-guided biopsy, minimally invasive tumor surgery like microwave ablation of bone tumors, extended curettage and cementing, rotationplasty, reconstruction with ulnar translocation, and tumor excision and reconstruction with modular megaprosthesis. The department's dedication to innovative and effective treatments in orthopaedic oncology makes it the go-to destination for patients seeking world-class care

Total hip replacement, total knee replacement and shoulder and elbow replacement are done with absolute precision

Minimally Invasive Spine Surgery (MISS), Microscopic Spine Surgery for Disc Prolapse and Lumbar Canal Stenosis, Balloon Kyphoplasty for Osteoporotic Spine Fracture and selected Spinal Tumours and Thoracoscopic Spine Surgery for Scoliosis, fractures and tumours of spine are available.

In conjunction with plastic surgery department, the department provides skin cover for de gloving injuries, reconstruction for tendon injuries, tendon grafts and tendon transfers. Primary and secondary nerve repairs are done routinely. A full-fledged upgraded physiotherapy department takes care of the rehabilitation of patients, if/when it is required

Faculties

Dr. Jose Francis C

Professor & HOD

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Dr. Dominic K Puthoor

Professor

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Dr. Sudheer U

Professor

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Dr. Kishore P

Professor

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Dr. Dijoe Davis

Associate Professor

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Dr. Ajith John K

Assistant Professor

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Dr. Noufal S

Assistant Professor

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Dr. Scott Chacko John

Senior Resident

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Dr. Tony Jose

Senior Resident

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CME

CME Details Date of Conduct
Name : CME and hands on workshop on basic orthopaedic pathology was conducted at AIMS
Theme/Subject :

2019
Name : CME and hands on workshop on basic orthopaedic pathology was conducted at AIMS
Theme/Subject :

2018
Name : Basic nurses CME based on orthopaedic techniques
Theme/Subject :

2018
Name : Amrita Trauma CME 2016
Theme/Subject : Amrita Trauma CME 2016

2016
Name : KOA advanced CME - Fractures of Distal Femur - 2016
Theme/Subject : KOA advanced CME - Fractures of Distal Femur - 2016

2016
Name : Basic orthopaedic pathology CME, AIMS
Theme/Subject : Basic orthopaedic pathology CME, AIMS

2016
Name : Spinal Trauma recent advances - KOA additional CME 2017
Theme/Subject : Spinal Trauma recent advances - KOA additional CME 2017

2017
Name : Manglore Orthopaedic CME - 2018
Theme/Subject : Manglore Orthopaedic CME - 2018

2018
Name : Basic orthopaedic pathology CME, AIMS 2019
Theme/Subject : Basic orthopaedic pathology CME, AIMS 2019

2019
Name : Basic orthopaedic pathology CME, AIMS 2020
Theme/Subject : Basic orthopaedic pathology CME, AIMS 2020

2020
Name : Basic orthopaedic pathology CME, AIMS 2021
Theme/Subject : Basic orthopaedic pathology CME, AIMS 2021

2021

Publications

  • Jose Francis C-Vacum assisted closure in grade3 open Tibial fractures. Indian journal of applied research. Volume 7 April 2017
  • Jose Francis – Mippo technique in lower third tibial fractures. Indian journal of applied research Volume 7 April 2017
  • Jose Francis C- Fractures of Proximal Humerus treated with philos plate. Indian journal of appled research Volume 7 October 2017
  • Jose Francis C-Outcome of supracondylar Fractures treated conservatively. Indian journal of Applied research
  • Tumour like lesions and their management- a retrospective study D Davis, D Kuriakku Puthur, L Manathara Thomas International Journal of Research in Orthopaedics 4 (1), 159-165
  • Tumour-like Lesions— Are We Over Treating Them? D Davis, KP Dominic Journal of Bone And Soft tissue Tumours 5 (1), 3-8
  • Recurrences of Giant Cell Tumor of Bones After Extended Surgical Curettage– A Retrospective Cohort Study SN Puthur D K, Davis D Journal of Bone and Soft Tissue Tumors 6 (1), 9-12
  • The incidence and distribution of pathological fractures in giant cell tumours of bone—a retrospective study D Davis, FL Kuriakku Puthur Dominic Kerala Journal of Orthopaedics 31 (2), 27-31
  • Dominic Puthoor, Leo Francis, Rashik Ismail. Is sclerotherapy with polidocanol abetter treatment option for aneurysmal bone cyst compared to conventional curettage and bone grafting? Journal of Orthopaedics 25 (2021) 265–270
  • Giant cell tumour-curettage and bone grafting. Indian Journal of Orthopedics. Volume41(2) April 2007; page 121

     

    Management of Giant Cell Tumor of Bone: Computerized Tomography Based Selection Strategy and Approaching the Lesion Through the Site of Cortical Break   Orthopaedic Surgery/MAY  22 2012/Pages: 76-82 

     

    Periosteal chondrosarcoma of metacarpal bone: Report of a rare entity

    Australasian Medical Journal [AMJ 2012, 5, 11,589 592]

     

    A New Surgical Technique for Extensive Exposure of the Proximal Humerus and Shoulder- Orthopaedic Surgery/Volume05(04) NOV 2013.Pages:106-10 

  • Sudheer U, Dominic KP, Jayaprakash C. Functional outcome in patients who underwent lumbar microdiscectomy for intervertebral disc prolapse (IVDP). J. Evid. Based Med. Healthc. 2016; 3(88), 4795-4797. DOI: 10.18410/jebmh/2016/1010
  • Urampath S, Parambil RK, Chundarathil J. Functional outcome of intertrochanteric fracture of femur treated with proximal femoral nail fixation. J. Evolution Med. Dent. Sci. 2017;6(14):1143-1145, DOI: 10.14260/Jemds/2017/247
  • Sudheer U, Jayaprakash C. Clinical outcome of intra-articular hyaluronic acid injection for knee joint osteoarthritis: a prospective interventional study from a tertiary care hospital. Int J Res Orthop 2017;3:595-601.
  • Sudheer U, Jayaprakash C. Comparative study on the functional outcome of ligamentotaxis in comminuted fractures of the distal end of radius and with that of conservative means of closed reduction and casting. Int J Res Orthop 2017;3:614-8.
  • PUTHEZHATH K. Onsite virtual classroom versus physical classroom: A comparative study of learning and student perception in orthopaedic training. medRxiv. 2020 Aug 23;2020.04.13.20063164
  • PUTHEZHATH K. Expressing Cobb Angle as Linear Measurement in Scoliosis and Its Significance: A Clinical and Geometrical Analysis of Scoliosis. Korean J Spine. 2017;14(4):139-142. doi:10.14245/kjs.2017.14.4.139.
  • PUTHEZHATH K, Jayaprakash C. Is calcar referenced tip-apex distance a better predicting factor for cutting out in biaxial cephalomedullary nails than tip-apex distance? Journal of orthopaedic surgery (Hong Kong). 2017;25(3):2309499017727920. doi:10.117
  • PUTHEZHATH K, Puthur DK. A new surgical technique for extensive exposure of the proximal humerus and shoulder. Orthop Surg. 2013;5(4):293-296. doi:10.1111/os.12072.
  • Zacharia B, PUTHEZHATH K, Varghees I. Kirschner wire migration from subcapital humeral fracture site, causing hydropneumothorax. Chin J Traumatol. 2016;19(5):305-308. doi:10.1016/j.cjtee.2015.12.010.
  • Puthoor DK, PUTHEZHATH K. Management of giant cell tumor of bone: computerized tomography based selection strategy and approaching the lesion through the site of cortical break. Orthop Surg. 2012;4(2):76-82.
  • PUTHEZHATH K, Zacharia B, Mathew TP. Gluteal Abscess: Diagnostic challenges and management. J Infect Dev Ctries. 2010;4(5):345-348.
  • PUTHEZHATH K, Veluthedath R, Kumaran CM, Patinharayil G. Acute isolated dorsal midtarsal (Chopart's) dislocation: a case report. J Foot Ankle Surg. 2009;48(4):462-465. doi:10.1053/j.jfas.2009.01.016.
  • Zacharia B, Chundarathil J, Ramakrishnan V, et al. Black hip, fracture neck of femur and scoliosis: A case of ochronosis. J Inherit Metab Dis. 2009.
  • Marthya A, Patinharayil G, PUTHEZHATH K, Sreedharan S, Kumar A, Kumaran CM. Multicentric epithelioid angiosarcoma of the spine: a case report of a rare bone tumor. Spine J. 2007;7(6):716-719. doi:10.1016/j.spinee.2006.08.013.
  • Patinharayil G. Short Segment Anterior Correction Of Thoracic Scoliosis With Single Solid Rigid Rods.(In Adolescent Idiopathic Scoliosis). Journal of orthopaedics. 2008.
  • Extended curettage and reconstruction with proximal fibula for treating giant cell tumor of lateral femoral condyle: A prospective study RA Dijoe Davis, Dominic Kuriakku Puthur Archives of clinical and experimental surgery 6 (4), 189-194
  • PRIMARY MALIGNANT GIANT CELL TUMOUR OF THE BONE: A CASE REPORT. DK PUTHUR, D DAVIS, MC SAVITHRI, T JACOB Kerala Journal of Orthopaedics 29
  • Functional and Radiological Outcome of Non-operative Management of Simple Bone Cyst of Humerus Presenting with Pathological Fracture SMA Dominic Puthoor , Dijoe Davis Kerala Journal of Orthopaedics 32 (1), 17-22
  • A retrospective analysis of computed tomography guided biopsy in the diagnosis of primary bone tumours D Davis, D Kuriakku Puthur, T Jacob International Journal of Research in Orthopaedics 3 (3), 569-572
  • PAGETIC OSTEOSARCOMA PRESENTING WITH PATHOLOGICAL FRACTURE. DK PUTHOOR, D DAVIS, M LIBIN Kerala Journal of Orthopaedics 30
  • Fibrous Dysplasia; Is Aggressive Treatment Justifiable? Puthur, Dominic; John, K. Ajith; Jose, Tony Journal of Orthopaedic Association of South Indian States 19(1):p 7-16, Jan–Jun 2022. | DOI: 10.4103/joasis.joasis_24_21
  • Functional and radiological outcome of distal end of radius fracture treated with volar locking plate 2019. Kerala journal of orthopaedics
  • Noufal S, Vinodkumar B P, Vikraman C S. Difficult primary total knee arthroplasty in varus knees - A case series study. J Orthop Assoc South Indian States 2020;17:2-6
  • Noufal S, VinodKumar B.P, Vikraman C.S. | Osteopetrosis– An Experience of Open Reduction and Internal Fixation: A Case Report | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 56