Orthopaedics

Vision

Centrepar excellence, in teaching, research and patient care delivery.

Mission

Provide the highest quality patient care to all people through innovation, latest research and training
Competency based training of the next generation of surgical health care professionals and scientists
leadership role in orthopaedic teaching and research at both regional and national level

Faculty

Name & Qualifications	Designation	Areas of Interest	Email ID / ORCID ID / Research-gate Page
Dr. Pankaj Kandwal MBBS, MS (Orthopaedics)	Professor & HOD	Clinical :- Spine surgery( Deformity correction, MIS, Spinal Infection) Research :- Basic and clinical research related to spine	pankaj.orth@aiimsrishikesh.edu.in https://orcid.org/0000-0002-8801-6909
Dr. R. B. Kalia MBBS, MS (Orthopaedics)	Professor	Clinical :- Arthroplasty, pelvi-acetabular trauma, complex periarticular trauma Research :- Basic and clinical research	roop.orth@aiimsrishikesh.edu.in https://orcid.org/0000-0002-3418-5943
Dr. Mohit Dhingra MBBS, MS (Orthopaedics)	Additional Professor	Clinical :- Adult reconstructive surgery, Tumor Surgery Research :- Basic and clinical research related to Adult reconstructive surgery and Tumor surgery	mohit.orth@aiimsrishikesh.edu.in https://orcid.org/0000-0001-6798-9173
Dr. Vivek Singh MBBS, MS(Orthopaedics)	Additional Professor	Clinical :- Pediatric Orthopaedics, Shoulder Arthroscopy, Elbow, Wrist & Hand Surgery Research :- Pediatric Hip, Pediatric Foot, Shoulder Instability, Rotator Cuff Tears	vivek.orth@aiimsrishikesh.edu.in https://orcid.org/0000-0001-6781-9043
Dr. Pradeep Kumar Meena MBBS, MS (Orthopaedics)	Associate Professor	Clinical :- Foot and ankle Surgery, Spine surgery ( Trauma, Degenerative) Research :- Basic and clinical research related to foot, ankle and spine	pradeep.orth@aiimsrishikesh.edu.in https://orcid.org/0000-0001-7278-3671

Photo	Name & Qualifications	Designation	Areas of Interest	Email ID / ORCID ID / Research-gate Page

Services

Services Available in the department:

Outpatients department:
- General OPD:
  - Which kinds of disorders are catered to in general OPD
  - Schedule- day and consultant wise
- Specialty Clinics/ services (Diagnostic and/or Therapeutic)
  - Schedule- day and consultant wise
In-patients department: Bed strength, area of the hospital where the ward is situated e.g., C2 area
- Bed Strength- 39
- Block – C1
Procedures (Diagnostic and/or Therapeutic) offered by the department:
- Any special procedures which are done in department in OPD or IPD basis

Spine Surgery

Complex reconstruction in high grade Spondylolisthesis
Spinal deformity correction
Anterior decompression in Thoracolumbar trauma
C1-C2 fixation
Minimally invasive Spine Surgery
Surgeries using neuromonitoring and Advanced Intra operative imaging using o arm

Pediatric Orthopaedics

Ponseti casting
Limb deformity correction
Developmental Dysplasia Hip(DDH)
Pelvic and proximal femoral osteotomy

Joint Replacements

Knee and Hip replacements
Shoulder replacements
Revision of previously done joint replacements
Fractures around previous replacements

Sports Injuries and Arthroscopy

Ligament Injuries of Knee
Surgeries for shoulder dislocations, Rotator cuff tear
Hip arthroscopy
Arthroscopy of elbow and ankle joints

Adult Reconstruction

Reconstruction of adult deformities
Management of neglected trauma
Management of acute hand injuries
Fracture fixation by MIPO techniques
Complex trauma surgeries
Complex joint reconstruction (without replacement)

Foot and Ankle Surgery

Management of Complex Foot and Ankle Trauma (Fracture Calcaneum, Fracture Talus, Lisfranc injuries, Chopart Injuries, Syndesmotic injuries etc)
Deformity correction by soft tissue release, osteotomies, arthrodesis around Foot and Ankle (CTEV, Flat Foot, Rheumatoid foot, Hallus Valgus, Hallux Rigidus) using Ilizarov, Ortho SUV.
Ankle Arthroscopy
Ankle Replacement
Various Orthotics and Prosthesis for management of complex foot and ankle disorders
Gait Lab for evaluation of gait abnormalities
Physiotherapy for early rehabilitation

Bone tumors

Curettage and bone grafting for benign tumors
Resection and complex reconstruction in malignant tumors
Reconstruction using Megaprosthesis

Hand and microvascular

Tendon transfers
Pollicization of thumb
Carpal instability

What are they aimed at?

Surgeries offered for the surgical departments

Statistics

Courses & Short term Trainings

Name of the course	Duration of course	Present number of students	Objectives/ brief description of the course
MS (Orthopaedics)	3 years	24	At the end of the postgraduate course in Orthopaedics, the student should have acquired the following: Cognitive knowledge: Describe applied anatomy, embryology, physiology, pathology, clinical presentation, diagnostic procedures, possible management options (nonsurgical, surgical, rehabilitative, preventive) pertaining to musculo-skeletal system. Clinical decision making ability and expertise for management: Diagnose the musculo-skeletal disease process from history, clinical examinations, interpretation of diagnostic tests and formulate an individualized management path for the patient and follow the same. Teaching: Acquire ability to teach an MBBS student in simple and straight forward language about the common orthopaedic disorders ( etiopathology, clinical presentation, diagnosis, management ) Research: Develop ability to conduct research on the clinical material available Patient Doctor Relation: Develop ability to communicate with the patient and the relatives pertaining to the disease, available treatment options, risks and benefits of the treatment and prognosis. Preventive aspects: Acquire knowledge and pursue the prevention of orthopaedic disorders like osteomalacia, osteoporosis etc, also prevention of development and progression of deformities and the complications thereof following poliomyelitis, cerebral palsy, congenital defects, pott’s and rheumatoid etc. Follow guidelines: Should follow hygiene and cleanliness to decrease infection, use proper hospital waste management guidelines, judicious use of available drugs, careful handling of instruments (surgical instruments, arthroscope, microscope, image intensifier etc). Presentation of seminar / paper: Should develop public speaking ability and should be able to make presentation on orthopaedic disorders/ research topics to fellow colleagues using audiovisual aids in seminar/ conference. Research writing: Should develop acumen to write paper for publication in scientific journals Team work: Team spirit should be developed both as a member or leader of the team to work and share responsibility both medical personnel and paramedics (nurses and other staff ) Identification of special interest within the subject: Identify special area(s) of interest e.g. arthroplasty, arthroscopy, hand surgery, oncology, spine, sports medicine, pediatric orthopaedics etc.
MCh(Pediatric Orthopaedics)	3 years	5	The program provides broad exposure to all facets of the discipline, while allowing individuals to pursue special interests, and is structured so that the Candidate has the opportunity to regularly attend clinics and operate with each of the faculty on the Pediatric Orthopaedic Service. The Candidate works closely with consultant surgeons and residents, assisting in the diagnosis, treatment, and management of a multitude of pediatric orthopaedic conditions, including: scoliosis; clubfoot; limb length discrepancy; developmental dysplasia of the hip; slipped capital femoral epiphysis; pediatric sports injuries; pediatric fractures / trauma; spina bifida; osteogenesis imperfecta; and cerebral palsy.
MCh(Spine Surgery)	3 years	5	Orthopaedic Spine Surgery MCh program is three-year program in which the student/resident will obtain a comprehensive experience in spinal problems, with an emphasis on diagnostic techniques, surgical and non-surgical treatment apart from dedicating time for research.
MCh( Joint replacement & reconstruction )	3 years	3	The primary goal of the MCh (Joint replacement & reconstruction) is to enable the fellow to practice adult reconstructive surgery at the highest clinical level and to equip the fellow for a possible academic career. The course will provide advanced training in adult joint replacement and ligament reconstruction. This will offer an equal emphasis on primary, primary complex and revision total joint that will provide the students with a multifaceted approach. They will also be trained in ligament reconstruction of knee and various shoulder instability and reconstructive procedures.
PDCC (Sports Medicine)	1 year	2	To provide a comprehensive, diverse, educational experience in the field of Sports Medicine. Fellow will possess the clinical competence needed to diagnose and manage medical illnesses and injuries related to sports and exercise in a variety of athletes and physically active patient populations.
PDCC (MusculoSkeletal Oncology and Orthopaedic tissue Banking)	1 year		The course is intended to provide the following skills to the fellow- Approach to a suspected/ already diagnosed/ already treated/ recurred/ case of musculoskeletal neoplasm of all ages. Investigate the patient to diagnose the exact pathology, its extent and implications to limb function and life of the patient Understand and interpret the histopathology of individual tumours and ue the nformation in management planning. Plan a team approach for medical, radiotherpapeutic and surgical management for the patient Plan exact surgical procedure and reconstruction of the limb with maximum function within possible facilities Be conversant with principles of musculoskeletal tissue banking, actual storage and processing of allografts and use the allografts in tumor surgeries. Plan and conduct research in oncology.
PDCC (Foot and Ankle surgery)	1 year		Objectives- At the end of the course, the orthopaedic surgeon will be able to Understand the anatomical and biomechanical peculiarities of the mature and immature human foot function and is able to apply the knowledge effectively in the management of orthopaedic foot problems. Diagnose subtle and gross gait changes due to foot problems arising from all varieties of aetiologies and address them by appropriate modalities of investigation for planning the management. Make appropriate use of various treatment modalities —conservative, orthotic and surgical — to restore near the normal function of the foot. Customize treatments for complex, uncommon and neglected foot problems to restore back useful foot function. Manage primary foot and ankle trauma effectively. Perform joint replacement surgeries for small and large joints of foot and ankle as per current practices. Keep track of the current concepts and can contribute to new research in foot and ankle surgery and concepts
Senior Resident	3 years	3	At the end of the postgraduate course in Orthopaedics, the student should have acquired the following: Cognitive knowledge: Describe applied anatomy, embryology, physiology, pathology, clinical presentation, diagnostic procedures, possible management options (nonsurgical, surgical, rehabilitative, preventive) pertaining to musculo-skeletal system. Clinical decision making ability and expertise for management: Diagnose the musculo-skeletal disease process from history, clinical examinations, interpretation of diagnostic tests and formulate an individualized management path for the patient and follow the same. Teaching: Acquire ability to teach an MBBS student in simple and straight forward language about the common orthopaedic disorders ( etiopathology, clinical presentation, diagnosis, management ) Research: Develop ability to conduct research on the clinical material available Patient Doctor Relation: Develop ability to communicate with the patient and the relatives pertaining to the disease, available treatment options, risks and benefits of the treatment and prognosis. Preventive aspects: Acquire knowledge and pursue the prevention of orthopaedic disorders like osteomalacia, osteoporosis etc, also prevention of development and progression of deformities and the complications thereof following poliomyelitis, cerebral palsy, congenital defects, pott’s and rheumatoid etc. Follow guidelines: Should follow hygiene and cleanliness to decrease infection, use proper hospital waste management guidelines, judicious use of available drugs, careful handling of instruments (surgical instruments, arthroscope, microscope, image intensifier etc). Presentation of seminar / paper: Should develop public speaking ability and should be able to make presentation on orthopaedic disorders/ research topics to fellow colleagues using audiovisual aids in seminar/ conference. Research writing: Should develop acumen to write paper for publication in scientific journals Team work: Team spirit should be developed both as a member or leader of the team to work and share responsibility both medical personnel and paramedics (nurses and other staff ) Identification of special interest within the subject: Identify special area(s) of interest e.g. arthroplasty, arthroscopy, hand surgery, oncology, spine, sports medicine, pediatric orthopaedics etc.
Plaster Technician	1 year	2	Patient care, plastering basics, techniques, principles, Basic anatomy, physiology

Name of the course	Curriculum	Duration of course	Present number of students	Objectives/ brief description of the course

Research

Projects

Title	Site-Investigators	Principal Investigator	Collaboration, if any (Department and institute)	Funding Agency	Projects Status
In vitro study of elution kinetics and biological activity of Piperacillin/Tazobactam and Gentamicin in acylic bone cement	Dr Tarun Goyal, Prof. Pratima Gupta, Dr Puneet Dhamija		Department of Pharmacology & Microbiology		Ongoing
Effect of Immunomodulation on Clinical Healing and Serological Markers in Multifocal Osteo-articular Tuberculosis	Dr. Pradeep Meena, Dr. Pankaj Kandwal, Prof Shobha Arora				Ongoing

Projects

Title	Site-Investigators	Principal Investigator	Collaboration, if any (Department and institute)	Funding Agency	Projects Status

Collaboration

Collaboration for	Collaboration with Department and institute	Services offered/ work undergoing in collaboration
Clinical	THDC	School screening programme for Scoliosis (under process) Dr Pankaj Kandwal
Academic	IIT Roorkee	PG Thesis " Comparison of Stress over vertebrae following various decompressive surgery: A Finite element Analysis" Dr Pankaj Kandwal

Collaboration for	Collaboration with Department and institute	Services offered/ work undergoing in collaboration

Expansion plan

Clinical Services: To start Spine division for comprehensive spine care To Establish Bone and Joint Centre

Academics and teaching: Cadaveric courses for residents

Research: research based on basic sciences and animal studies, 3D-Printing, Bone Banking