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MS (Orthopedics), FIJS (Germany, USA, Belgium & South Korea)
Department - Orthopaedics
Director - Orthopaedics
MS (Orthopedics), FIJS (Germany, USA, Belgium & South Korea)
Director - Orthopaedics
Senior Consultant - Orthopedics
After an accident, Mr. Venkateshwar Rao had almost lost hope for recovery until he came to Sakra World Hospital, Bangalore. Under the care and medical
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I would say Sakra World Hospital is the best hospital in the city. I would like to appreciate the service of the nursing staff
Food was good. We felt the quantity of gravy can be increased a little as it was less for the amount of rice provided. Otherwise,
Very hygienic, excellent service, timely and helpful, good staff. Thank you so much for your service Much appreciated.
Dr. Chandrashekar and another relative who was operated for lumbar spinal referred my mother to consult Dr. Satish Rudrappa for the
I am an Ex-serviceman of the Indian Army. I suffered an ACL & Lateral Meniscal Ligament tear in my left knee in a fall. I
My mother was suffering from a lot of pain in her knees for long and was even able to walk. We consulted a lot of
Hi, I am Vikalp, I got an injury in the month of July 2016 post which I did a lot of research looking for a
We are pleased to inform you that Sakra World Hospital is one of the best Hospital in south India and Dr Chandrashekar P is an
Ms. Rina Nandi and her Daughter share their experience of undergoing Bilateral knee replacement surgery. Both Ms. Rina and her daughter are extremely happy with
Hi All, I am a typical sports person used to play all outdoor games. Unfortunately, while playing badminton, I got my ACL and Meniscus injured,
Best orthopaedic surgeon ever/god's gift to all his patients.
I was beyond impressed with my experience with Dr.Chandrashekar.He is the only doctor I have ever had
A change in lifestyle. A change in attitude. A change in spirit. Dr. Chandrashekar. P transforms the life of an individual tremendously. We, daughters of
Today, I am enjoying a sound sleep at night and am walking with a normal walking gait after suffering for over ten years. I owe
I was suffering from knee (leg) pain for the past one and half years. I cannot say in words how the pain was. I was
Dear Doctor, Things were not at all easy for me. In 1992, I was caught in the cruel hands of a severe disease known as
Dear Sir,
This mail is just to express our gratitude for the excellent job Dr.Chandrashekhar and his team did for us. I underwent a “Total Hip
I have had the best experience at Sakra World Hospital. I had bilateral Total Knee Replacement 15 days ago and I must say it truly
I am Sirnivasan, I am 80 years old. I underwent total knee replacement operation at Sakra World Hospital by Dr. Chandrashekar. I have been practising
I, Biblab, have come from Kolkata to Bangalore for the treatment of my leg. After meeting Dr. Chandrashekar. P, I felt very happy with the
Dear Dr. Chandrashekar, I am Basavaraju, 47 years from Mandya and I was
I would like to thank Dr. Chandrashekar. P at Sakra World Hospital because
I have had the best experience at Sakra World Hospital. I had bilateral Total Knee Replacement 15 days ago and I must say, the hospital
Dear Dr. Chandrashekar, I am Dr. Vasu - a junior orthopaedician. My mother was suffering from bilateral osteoarthritis which made her bedridden. I have consulted
Dear Dr. Chandrashekar, I would like to convey my thanks and deep sense of appreciation for the fantastic work that you and your team did
Good morning, I am Saraswathi Shivashankar. I am pleased to share my experience of my knee replacement at Sakra Hospital, Bangalore done by Dr Chandrashekar
Total Knee Replacement (TKR) surgery has today become a commonly performed and highly successful surgical procedure. Recent innovations...
Sakra World Hospital introduces Computer Navigated Partial Knee Replacement Surgery
Only 7 Computer Navigated Partial Knee Replacement Surgeries have been performed...
What is Meniscal transplant surgery?
Replacing the missing or damaged meniscus with a meniscus from a cadaver donor or live amputee...
It is a common misconception that a total knee replacement surgery, a procedure that brings back the weight-bearing ability of...
There are a subset of patients suffering from arthritis pain and also suffering from ligamentous meniscal injuries, who have to...
Importance of Knee Joint
The knee is one of the important joints in the body because it carries the weight of...
Bengaluru, December 13, 2020:Sakra World Hospital is one of the leading healthcare providers in Bengaluru and India’s first FDI hospital...
September 06 2016
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There is a subset of patients suffering from arthritis pain and also suffering from ligamental meniscal injuries, who have to put the surgeries forward due to COVID.
There are a lot of people who are suffering from immense pain, they have postponed the surgery thinking that they will do it later, but now since COVID has taken 6-7 months these patients are finding it tremendously difficult to do household activities like getting out of the bed, going to the restroom.
For example, a patient with very severe knee arthritis with a stress fracture or a patient with very severe hip arthritis, ligament injury with instability bleeding to bucket-handle meniscal tears. These are the people who are feeling difficulty doing normal household activities because they have to limp or there is a constant fear of falling due to severe arthritis.
We have found the best way to operate on patients who are considered elective but unfortunately because of the pain, they cannot wait for a long time. We think that with our exposure, we did 200 surgeries but we are very happy to say that neither the doctors nor our patient got infected with COVID.
Among these 200 elective procedures involved knee joint replacement and many arthroscopic procedures like ligament, meniscus injury, and shoulder arthroscopy procedures.
Strict surveillance eye is very much required, from the time the patient decides to go for the surgery, better to go for COVID testing and also segregate the hospital into three zones, one is a COVID zone or red zone with patients who tested COVID positive and one is holding zones, where patients are waiting to get results. The Holding zone is treated with the highest protocols which are also considered COVID-negative zones and there is a completely COVID-free zone where the patients have been tested for COVID and the result came out negative
Post-surgery rehabilitation is very important and we always try to encourage physiotherapists to do only home visits and not to do any OPD practice. So the rehabilitation specialists are doing only home visits when the patients are already tested by the hospitals. So there is never a mixing of COVID-positive and COVID-negative patients.
So far we have performed 300 to 350 orthopaedic procedures without having any cross-infection rate both to the doctor and to the patient. Sakra also offers home health care where rehabilitation or post-fracture treatment, and post-replacement patients are treated. It is all about maintaining a proper chain so that the patient benefits at these times of crisis and also they don’t have the fear of getting infected by this coronavirus.
The knee is one of the important joints in the body because it carries the weight of the human being but is also important for sporting activities. So in the knee, there are structures like the meniscus which are the rubber pad for cushioning, and ligaments that support the stability of the knee.
The most common injuries to the knee are rubber pad injuries or meniscus injuries, ligament injuries, and cartilage injuries. Meniscus injuries are quite common because of the sporting population. Usually, when we do sports the twisting movements can cause meniscus and ligament injuries. Also slipping in the house or a fall, or a twist in the house can also cause meniscus injuries.
The meniscus is a C-shaped structure in the knee, there are two menisci, the inner menisci called the middle menisci, and the outer menisci called the lateral meniscus. It is divided into three zones:
Meniscus root tears are the tears in which menisci are attached to both the front and back of the leg bone or the tibia bone through a structure called a root. So we have an inner meniscus front attachment and back attachment, and another meniscus front, and back attachment. The detachment of the root from the bone is called root tears.
Not all meniscal tears require surgery, some can be managed conservatively. Small peripheral tears are red-red zone tears that can be managed conservatively without surgery because the blood supply to the outer portion of the meniscus is present whereas small tears can heal by themselves.
If the tears are extending from Zone 2 to zone 1 that is the red-white zone and white-white zone then surgery is contemplated or bigger tears in the periphery or the outer zone (red-red zone) need surgical treatment.
Removal of the meniscus - It is called a meniscectomy. It should be done when the tears are in the white-white zone and which is not repairable and also in the complex tears where the meniscus is crushed and the tissues are not good. One should be very very careful to remove as least meniscus as possible because removal of too much of the meniscus ends in losing the cushioning effect of the meniscus. The thigh bone and leg bone start crushing each other and develop cartilage damage or arthritis.
Repair of the meniscus - It is called meniscus repair. There are three techniques used in meniscus repair:
We are happy to introduce JuggerStitch by Zimmer Biomet, which is all inside a knotless meniscus repair device that doesn’t carry any implantable peak or biodegradable implant. It is made up of only suture material. This device has been introduced for the first time in the country by Sakra World Hospital. We are one of the premium hospitals in the country to do the meniscal repair.
The benefit of JuggerStitch by Zimmer Biomet is that it is knotless, an all-suture implant that allows easy implant insertion.
If meniscal repairs are followed up well you can do MRIs and see how the meniscus is healed and at the same time if you have retained the meniscus you can allow the patient to go back to complete sports activities after 6-9 months. Post-surgery good physiotherapy and rehabilitation are required, first, we do walking, then we do weight-bearing, then we train the patient for balance agility and sports training in the future.
At Sakra, we always suggest doing meniscal repair because if you remove the meniscus then there is no other option and the meniscus cannot regrow. If too much of the meniscus is removed then the only option left is a meniscus transplant where you have to get the meniscus from the cadaver labs and do the meniscal transplant. So it is better to save as much as possible.