Chennai Ortho and Spine Centre offers a one-stop solution for all patients with musculoskeletal problems. COSC comprised of a dynamic multidisciplinary team that offers a holistic approach on the management of all kinds of musculoskeletal conditions including joint pain, back and neck pain, sports injuries, fractures, birth and congenital defects. Our treatments are thorough, comprehensive, tailored to patient needs and evidence based.
Our specialists focus is to get you back on your feet and provide you with highest possible quality of life.
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A bunion is very painful. They are bony bumps which form at the base of one’s big toe. It normally forms a union between this toe and the 1st metatarsal one. Bunion removal surgery helps correct the area of deformity that forms on foot near the big toe. The surgery is sometimes referred to as hallux valgus correction or bunionectomy.
This is an orthopedic surgical procedure where a damaged hip is replaced with an implant, i.e., a prosthesis. This procedure can be performed either as hemi-replacement (only femoral head is replaced) or total replacement (i.e., total hip arthroplasty where both the femoral head and acetabulum are replaced).
Shoulder Replacement (arthroplasty) is an operation in which a prosthesis is used to replace part or all of the glenohumeral joint to relieve disability and pain. It is used to fix shoulder joint damage or relieve arthritic pain. We have the traditional shoulder total shoulder arthroplasty and the reverse total shoulder arthroplasty approach. The latter has two approaches, i.e., the deltopectoral approach and the transdeltoid approach.
Its an ankle replacement surgery done to replace damaged joint articular surfaces with prosthetic implants. It is currently a more preferred option than arthrodesis.
Autologous Chondrocyte Implantation (ACI)
This is a new type of orthopedic procedure that is used to manage to isolate full thickness joint articular surface defect in the knees. It is performed in three stages where about 2000-300 milligrams of cartilage is sampled from a less weight bearing area of a joins, isolated enzymatically then grown in a lab for six weeks before transplanting in damaged areas so that they grow and form new cartilage.
Knee Ligament Surgery (ACL)
This is a procedure done to treat knee ligament tears. It is currently done as a laparoscopic procedure, but open surgery is still practiced in some regions of the world. It helps reduce pain and improve stability in the joint.
Benign Bone Tumor Removal
Benign Bone Tumors are not cancers hence do not metastasize to other areas of the body. They however greatly weaken a one. Common one tumor include giant cell tumors, osteoid osteoma, osteochondroma, and osteoblastoma. Treatment involves surgical excision of the tumor or scrapping out (curettage) of the tumor with bone grafting.
Congenital Hip Dislocation Treatment
Congenital Hip Dislocation is also known as developmental dysplasia of the hip. It is a condition where a child is born with an unstable joint due to abnormal formation of the joint in early fetal development stages. It is more common in girls than boys. Screening for the condition occurs at birth and in the first year of life. A baby younger than 6 years is treated using a Pavlik harness. If this fails, the condition is managed via surgery. Surgical options include open reduction or closed reduction, after which the hip and leg are placed in a cast for at least 12 weeks. A child who is 18 months or older is managed by pelvic or femoral osteotomy to reconstruct their hip.
Achilles Tendon Rupture
This is a complete tear through the tendon, usually about two inches from the calcaneal (heel) bone. The tendon it vital to activities like jumping, walking or running. The rupture is common in those suffering from Achilles tendinitis, illnesses like diabetes or on drugs like steroids and antibiotics. Surgery is essential for faster healing. However, a cast can be used to allow the leg heal naturally but will take quite long.
Ankle Fracture Treatment
Ankle fractures can be treated surgically or non-surgically. The method will depend on the degree of injury and the patient’s choice. The non-surgical options include casting and splinting.
This is the removal of a limb by surgery, medical or trauma. As a surgical measure, it is used to control a disease process affected limb like gangrene and malignancy or to control pain. It may also be carried of prophylactically to prevent these problems.
Bone Fracture Treatment
Treatment depend on the severity of the fracture, patient choice and cost of treatment. Medically, reduction is done to fix a dislocated or Brocken bone. Devices available to fix fracture include orthopedic casts, splints, elastic bandages, and traction splint. Therapeutic physical therapy and joint manipulation can be done. Surgery included internal and external fixation.
Club foot is also known as congenital talipes equinovarus. It is a combination of four thing in one i.e. cavus, adductus, varus and equinus. There are several types of clubfoot. It is a highly disabling condition if not managed early. The condition can be managed Non-operatively by Ponseti technique, Kite technique and French technique. Surgical options included: Posteromedial soft tissue release, Osteotomies, Triple arthrodesis, Achilles tenotomy and JESS.
This s a procedure done to replace elbow joint that has been damaged by disease or trauma. It is indicated in severe loss of function, instability, joint destruction, severe pain or deformity. It is successful in relieving people of pain and improving the overall quality of life of the patient.
Knee Ligament Surgery (MCL)
The MCL is one of the four ligaments of the knee. A Knee Ligament Surgery is done to treat torn ligament as a result of injurer. As the MCL surgery is located outside the joint, no surgical key hole are usually necessary. The torn ligament can be reattached with staples, screws and screws through a small incision.
These is a surgical procedure that is done to teat or diagnose knee joint problems like injuries and diseases. During the procedure, a small incision is made and an Arthroscope (tiny camera) inserted into the knees therapy allowing the examiner to see the inside of the joint on a live screen.
Ankle Fusion Surgery
Also known as ankle arthrodesis, is a surgical procedure done to fuse the different bones that make up the ankle joint into one piece. It is done when the joint become painful and worn out due to disease or previous trauma.
The procedure is also known as total ankle arthroplasty. It is an orthopedic procedure done to replace the ankle joint articular surfaces that have been damaged by disease or injury with prosthetic components. It is done to treat ankle arthritis.
Abscess is by infectious process that features collection of pus that is surrounded by inflamed tissue. The Debridement entails incision and drainage of the lesion followed by packing then proper dressing of the wound. The patient is then made to undergo a course of antibiotics.
Knee Arthroscopy is a surgical technique that can diagnose and treat problems in the knee joint. During the procedure, your surgeon will make a very small incision and insert a tiny camera - called an arthroscope - into your knee. This allows them to view the inside of the joint on a screen.
Artificial Disc Replacement
Sometimes also called total disc replacement or total disc arthroplasty. The procedure involves replacing a painful damaged disc with an artificial disc. The procedure can be performed on the neck (cervical spine) or lumbar spine (lower back). The procedure helps preserve motion in the intervertebral discs. It is performed in patients with damaged discs, e.g., due to disease or cervical disc herniation unresponsive to non-surgical management.
Cervical Disc Disease Treatment
The treatment of cervical disc diseases begins when your doctor takes a good history, carries out a physical examination and then order appropriate investigations. The investigations of choice of choice are CT, MRI, and X-rays that will help your doctor localize the problem. Based on this the doctor will decide whether to use the surgical or nonsurgical option. Non-surgical modalities include lifestyle modification, physiotherapy, and analgesia and heat therapy. Surgical option helps one heal fast and include cervical artificial disc replacement and anterior cervical discectomy and fusion (available in India).
This is a surgical procedure used to remove areas of the vertebral bones called lamina. Muscles of the back are pushed sideways during the procedure rather than cut and sections of the vertebra adjacent to the lamina left intact. It’s sometimes referred to as decompression surgery. It helps relieve purser on the spinal nerves and spinal cord. Commonly done to manage spinal stenosis.
This is a surgery done on the spine to treat back pain, or other damages are done on the spine by trauma or disease scoliosis, spinal stenosis, and disc herniation. It is recommended when conservative treatments are unsuccessful. It can either be done as an open or minimally invasive procedure. Common surgical approaches are lateral, posterior and anterior. Spinal surgical techniques included laminotomy, laminectomy, microdiscectomy, disc replacement, spinal fusion, and foraminotomy.
This is a surgical operation that involves removing part or all a vertebral body usually as a mean of decompressing the nerves and spinal cord. It is sometimes performed in association with discectomy. It is commonly done in a patient with spinal stenosis due to osteophytes.
This is a minimally invasive surgical procedure sued to treat the compression of the spine following a fracture. The spinal compression fractures usually occur majorly in spinal vertebral bones weakened by osteoporosis. It helps relieve pain and correct deformities.
This is a medical procedure done to relieve pressure applied to nerves that are being compressed by intervertebral foramina. Intervertebral foramina is a passage of the vertebral bone through which nerves bundles pass to the body from the spinal cord. It is performed via a minimally invasive operation where a cut is made in the back then the muscles pushed on to the sides to create a way. The surgeon will then drills a small hole in the vertebral bone.
Cervical Spondylosis Treatment
The management of this condition involves rehabilitative programs like occupational therapy, physical therapy, and recreational therapy. Surgery is advised when neurologic deficits progress, when there is documented spinal cord or cervical nerve root compression and when the pain becomes intractable.
Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts.it can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgical OPTIONS include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).
Spinal Disc Herniation Treatment (slipped disc)
This condition can be managed medically or surgically. Pain is managed using NSAIDs and therapies like physical therapy, stretching and chiropractic techniques are useful. Medical procedures included epidural steroid injection and therapeutic ultrasound. Spine surgery is the definitive management.
Scoliosis is a condition where ones spine bend LATERALLY (sideways). It arises commonly before pubertal growth spurts. It can be caused by muscular dystrophy, cerebral palsy or idiopathic. Surgery is the main modality of treatment. Surgical options include scoliosis fusion surgery and anterior scoliosis corrective surgery (VBT).
Spinal Fusion Surgery
Sometimes also called spondylosyndesis or spondylodesis. It is an operation done to stop motion in segments of the spine (thoracic, lumber or cervical) that are causing a patient pain. It helps to stabilizes and decompress the spine. The procedure involves the use of bone grafts which can either be allografts, autografts or artificial substitutes.
This is a minimally invasive procedure (sometimes referred to as percutaneous discectomy) used to treat patient suffering from problem caused by herniated discs such as leg pain and low back pain. It is performed by an interventional radiologist.
Lumbar Microdiscectomy Surgery
A lumbar microdiscectomy surgery is performed to remove the portion of a herniated disc that is irritating or inflaming the nerve root. A microdiscectomy is performed through a small incision in the midline of the low back. First, the back muscles, called erector spinae, are lifted off the bony arch, called the lamina, of the spine. Since these back muscles run vertically, they can be moved out of the way rather than cut. The surgeon is then able to enter the spine by removing a membrane over the nerve roots. This membrane is called the ligamentum flavum. Often, a small portion of the inside facet joint is removed both to facilitate access to the nerve root and to relieve pressure over the nerve. The nerve root is then gently moved to the side and the disc material is removed from under the nerve root. Only the herniated portion of the disc is removed; the healthy portion of the disc is left intact. After the piece of the disc that is irritating or inflaming the nerve root has been removed, the pressure is off the nerve immediately and it has room to heal. A herniated disc pressing on a nerve root can cause severe leg pain. While it may take weeks or months for the nerve root to fully heal and any numbness or weakness to get better, patients normally feel relief from the leg pain almost immediately after a microdiscectomy.
Spinal Tumor Surgery
A spinal tumor is a growth that develops in or near the spinal cord or within the bones and discs of the spine. Spinal tumors may be cancerous (malignant) or noncancerous (benign). Spine tumors, both benign and malignant can cause significant disability when they occur in the spine.
This a radiograph of the chest used to diagnose chest diseases injuries. It is done using an X-ray machine that passes X-rays through the chest into a film to create the image.
This is noninvasive imaging modality that involves exposing parts of one’s body to a small dose of ionizing radiation to produce images of inside the body. They are used for investigating patient’s complaints, e.g., chronic cough, abdominal pains, bone injuries and fever.
Specialists working with Chennai Ortho and Spine Center (COSC)
Dr Muralidharan Venkatesan, Senior Consultant Orthopaedic and Spine Surgeon MRCS(UK) MCh(Orth) (UK) FRCS(Tr&Orth) (UK) Fellow Spine Surgery (UK, France)
Spine, Ortho, Sports, Physio
Dr. P.R. Damodharan Senior Consultant Orthopaedic and Joint Replacement Surgeon MS (Orth) MRCS (UK) FRCS (Tr & Orth) Fellowship in Joint Replacement
Mr. Ramakumar Senior Physiotherapist
Physical Medicine and Rehabilitation
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