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Month Red Autoclave(Infected Plastic Waste) Yellow- Incineration(AnatomicalWaste & Soiled Waste) Blue Autoclave (Glass- Bottles) Black Cytotoxic- Incineration( Cytotoxic Contaminated Items) White- Sharp Total Bags Total Weight(In KG's)
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Jul-17                     0 0.00
Aug-17                     0 0.00
Sep-17                     0 0.00
Oct-17                     0 0.00
Nov-17                     0 0.00
Dec-17                     0 0.00
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Mar-18                     0 0.00
YTD 3159 12099.065 2884 9379.155 808 3865.69 266 668.705 5505 2530.94 12622 28543.555

Orthopaedics and Joint Replacement

Home >> Taxonomy >> Orthopaedics and Joint Replacement

Clinical Directorate

For more info please call 8744 888 888 (Delhi – NCR) & 9988 422 333 (Chandigarh Tri-city), or mail at homecare@maxhealthcare.com

At Max Institute of Orthopaedics & Joint Replacement Surgery, our primary objective is "early mobilisation, minimal discomfort". This state-of-the-art specialised health care facility is designed to provide the highest levels of professional expertise and patient care. Here, every patient is tended to by a multi-disciplinary unit.

Tips for a Healthy Back

June 11, 2015 0 76 2 minutes, 17 seconds read

Back pain problems are endemic in today’s world. Many of these are lifestyle related – sedentary life, obesity, long hours of sitting. Fortunately, these are easily resolved.

How do we prevent back problems and stay healthy? Here are some tips.


  • The normal spine is a balanced construct with a double S curve; the head is supported on top of these curves. When the spine is unbalanced, muscles, ligaments and joints have to work harder. Fatigue and pain are inevitable.
  • Avoid prolonged sitting.
  • Walk around from time to time.
  • Raise and rest one foot on a block about six or eight inches high when standing.
  • If you have been bending forwards, stretch and bend backwards.
  • Crouch periodically to relax your back.


  • Sleep in a comfortable position; a pillow under the knees helps.
  • Mattress should be firm and supportive.
  • Remember mattresses have a limited life span and need replacing periodically.
  • Sleep adequate hours.


  • Maintain the weight that is ideal for your height.
  • Eat a balanced diet and drink plenty of water.
  • Drink adequate fluids to maintain proper hydration.
  • Take a calcium rich diet.
  • Expose your bare skin to the sun for 20 minutes to manufacture vitamin D.


  • Start with a daily brisk walk and with basic PT exercises taught in school
  • Specific back exercises for the back are extension and flexion exercises. Extension exercises are done by lying on the tummy and raising one leg and thigh and holding it for six seconds each time. One can also raise the upper body while keeping the pelvis on the couch. Each time the body is put to maximum contraction and held for six seconds to have the best toning of the muscles.
  • Flexion exercises are done by lying on the back and raising the straight leg; this stretches the nerve root and conditions the nerve. In this position, bend the legs fully, raise the pelvis to maximum height, and hold for six seconds. Lastly, in standing position raise the arms in front and half squatting and holding there for six seconds.
  • All exercises should be done in gradual, gentle manner to start and become tougher as the body gets conditioned. It may be wise to take the guidance of a physiotherapist while doing exercises.


  • Most of the back problems arise as result of unprotected bending forward. This is avoided by working on a workstation at the correct height.
  • Be especially cautious when making beds!
  • When sitting, the spine should be well supported, in the chair; the knees are at the same level as the hips and the feet rest flat on the ground.
  • The table should be at the correct height.

Pain, numbness, weakness, disability, associated fever, unexplained weight loss are reasons to see your doctor.

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Bone Disease in Women : Essential Facts !

June 11, 2015 0 68 4 minutes, 4 seconds read

Bone disease is a silent, disabling condition that develops through a woman’s life as age progresses.

Osteopenia refers to early signs of bone loss that can turn into osteoporosis. With osteopenia, bone mineral density (thickness) is lower than normal. However, it is not yet low enough to be considered osteoporosis.

It is important to remember that not everyone who has osteopenia develops osteoporosis. But osteopenia can turn into osteoporosis. Osteoporosis can result in easily fractured bones and other very serious bone problems. It can also cause disfigurement and lead to loss of mobility and independence.

With ageing, your body absorbs back the minerals from your bones, leading to weaker bones and making them vulnerable to fractures and other damage.

How is Osteopenia Diagnosed?

Bone health is measured in two ways.

The first is bone density. Bone density defines the thickness of your bone.

The second is bone mass. Bone mass means how much bone you have. Bone mass, or the amount of bone you have, usually peaks around age 30. Then bone mass begins to decline. Your body starts to reabsorb bone faster than new bone can be made.

To find bone density, blood tests are done to measure the levels of minerals in your bones like:

  • Calcium
  • Phosphate
  • Vitamin D and its analogues

The denser the content of your bone mineral is, the stronger your bones are.

What are some risk factors for Osteopenia and Osteoporosis?

Risk factors for developing osteopenia are the same as those for developing osteoporosis. They include:
  • Being female
  • Being thin and/or having a small frame
  • Getting too little calcium in the diet
  • Smoking
  • Leading an inactive lifestyle
  • A history of anorexia nervosa
  • A family history of osteoporosis
  • Heavy alcohol consumption
  • Early menopause

Most people with osteopenia don't know they have it. In fact, the first sign may be a broken bone. A broken bone may mean that the condition has already become osteoporosis.

How can my Doctor Test for Osteopenia and Osteoporosis?

The most accurate way to diagnose osteopenia and osteoporosis is through bone mineral density testing. This is usually done with a dual-energy X-ray absorptiometry (DEXA) scan.

DEXA scan results are reported as T-scores:
  • Normal bone: T-score above -1
  • Osteopenia: T-score between -1 and -2.5
  • Osteoporosis: T-score of -2.5 or lower

Other tests can be done to help diagnose osteoporosis and osteopenia. Quantitative ultrasound is one such test. It measures the speed of sound in the bone to assess bone density and strength. However, DEXA scans are usually still needed to confirm results from ultrasound and other tests.

Who should get a Bone Density Test?

It is recommended that that you receive screening bone density scans if:

  • You are a woman 65 or older
  • You are a woman 60 or older with certain risk factors that put you at increased risk of fracture

The Female Athlete Triad and Osteopenia

The female athlete triad is a combination of three medical conditions that are becoming increasingly common in young female athletes. These conditions are eating disorders, amenorrhea -- or lack of menstrual periods, and osteopenia or low bone mass. These issues are of growing concern mainly because of the media's increased pressure on teens to maintain a "perfect" body weight and be thin.

Female athletes who compete in gymnastics, dancing, swimming, skating, and running are at high risk for the female athlete triad as they strive to appear lean and fit.

We know that more female athletes lack a menstrual period than women in the general population.

Not having a period is associated with decreased estrogen levels. Decreased estrogen levels may also be the cause of low bone mass or osteopenia.

Low-calorie diets are usually the first predictor of eating disorders. Excessive exercise or exercise obsession can be another sign of an eating. Each of these three problems must be medically evaluated and treated to ensure a good outcome for the woman.

How can I prevent Osteopenia and Osteoporosis?

Osteopenia is every woman's concern -- no matter what your age or health status. That's because osteopenia is the first step to full-blown osteoporosis or severe bone loss.Moreover, fractures don't wait until you have osteoporosis. The risk of fractures increases as your bone density decreases. Once you have just one fracture, you are at a greater risk for more fractures. The good news is that osteopenia can be prevented or reversed before fractures occur.

Here are some prevention tips:
  • Eat a balanced diet. Include plenty of calcium and vitamin D. You'll find these nutrients in foods like milk, yogurt, cheese, and broccoli.
  • Exercise regularly. Choose weight-bearing exercise like walking or running. Also do strength training using weights or resistance bands.
  • Avoid smoking.
  • If you drink, do so in moderation.
  • If you have gone through menopause, talk to your doctor about the newer osteoporosis.
  • medications. Depending on your individual health and risk factors, he or she might recommend an osteoporosis medication.

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Save yourself from Arthritis

July 1, 2014 0 81 2 minutes, 20 seconds read

Let's save our Generation Next from arthritis pain, says Dr Manuj Wadhwa, Director and Head, Max Elite Institute of Orthopedics and Joint Replacement Surgery. Arthritis affects over 15% approximately 180 million people in India, which is higher than many well-known diseases.

While much has been said about the high incidence of Diabetes, Hypertension, Cancer and HIV in India, recent studies suggest that Osteoarthritis beats them all to claim the no. 1 slot among ailments in the country.

Contrary to the misconception that arthritis only impacts the elderly, this disorder is increasingly found in the younger population. Age is not a factor for arthritis; it can affect young and old alike. Earlier, arthritis patients would be around 65 years or so, but now the younger lot in the age group of 40-45 yrs which is normally considered to be in their golden years are increasingly turning up for surgery. Higher levels of stress coupled with modern day lifestyles are increasing the incidence of Arthritis. The best way to beating Arthritis is by staying active.

The key to arthritis management is finding a balance between activities and rest-exercising, as too much may stress sensitive joints while being too sedentary can cause stiffness and immobility. Stretching and gentle movements such as Yoga are easy on the joints and keep them fluid and supple.

Exercises such as riding a bike, swimming and water aerobics keep the heart healthy and muscles strong while putting too much pressure on the joints. Low impact exercises allow you to work your muscles without stressing your joints.Stretching often increases muscle tone and can help boost the range of motion of your joints. Just make sure you warm up your muscles and joints before stretching before warming up can further aggravate joint pain and even strain your muscles. By varying activities and following a well-rounded exercise routine with variety can help to maintain strength and protect your joints.

Maintaining a healthy weight can reduce stress on your joints, especially weight-bearing joints like your hips and knees. In addition, this can slow down the wear on your joints during daily activities such as walking.

When you have experienced a joint injury, protecting that joint will lower the chances of developing arthritis later. By taking care not to injure the joint again, you may also decrease the intensity of symptoms should arthritis develop later. Remember always listen to your body, Stop exercising if you experience sharp pain and don't try to work through joint discomfort.

Find activities that are gentle on the body and take them at a comfortable pace. Lastly but not the least, Drinking enough water keeps the cartilage in joints lubricated so bones don't rub up against each other. By eating foods rich in vitamin C and E and calcium, you'll help build a musculoskeletal system that can outlast degenerative conditions.

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January 15, 2020 0 4 minutes, 15 seconds read

Back pain is one of the most common reasons people go to the doctor or miss work and is one of the leading causes of disability in India. Most people have back pain at least once in their lifetime.

fortunately, you can take measures to prevent or relieve most back pain episodes. If prevention fails, simple home treatment and proper body mechanics after heal your back within a few weeks and keep it functional. Surgery is rarely needed to treat back pain.


  • Muscle ache
  • Shooting or Stabbing pain
  • Pain that radiates down your leg
  • Pain that worsens with bending, lifting, standing or walking
  • Pain that improves on reclining

When to see a doctor

Most back pain gradually improves with home treatment and self-care, usually within a few weeks. If yours doesn't improve in that time, see your doctor.

In rare cases, back pain signals a serious medical problem. Seek immediate care if your back pain :

  • Causes new bowel or bladder problems
  • Is accompanied by fever
  • Folks a fall, blow to your back or other injuries
  • Weakness or loss of strength in your legs
  • Increasing numbness in your legs
  • Spreads down one or both legs from back to buttocks to thighs to below the knee.

Also see your doctor if you start having back pain for the first time after the age of 50, or if you have a history of cancer, osteoporosis, steroid use or excessive drug or alcohol use.


Low back pain caused by spinal degeneration and injury.
Back pain that comes suddenly and lasts no more than six weeks ( acute) can be caused by heavy lifting or fall. Back pain that lasts for more than three months (chronic) is less common than acute pain.
Back pain often develops without a cause that your doctor can identify with a test of the imaging study. The condition commonly linked to back pain include:

  • Muscle or ligament strain
  • Bulging or ruptured disc
  • Arthritis
  • Skeletal irregularities
  • Osteoporosis

Risk Factors

Anyone can develop back pain, even children and teens. These factors might put you at greater risk of developing back pain:

  • Age: back pain is more common as you get older, starting around age 30 or 40
  • Lack of exercise: weak unused muscles in your back and abdomen might lead to back pain
  • Excess weight: excess body weight put extra stress on your back
  • Diseases: some type of Arthritis and cancer can contribute to back pain
  • Improper lifting: Using your back instead of legs can lead to back pain
  • psychological conditions: people prone to depression and anxiety appear to have a greater risk of back pain
  • Smoking: this reduces blood flow to the lower spine, which keeps your body from delivering enough nutrients to the disc in your back. Smoking also slows healing


You might avoid back pain or prevent its recurrence by improving your physical condition and learning and practicing proper body mechanics.

To keep your back healthy and strong :

  • Exercise: Regular low-impact aerobic activities - those don’t strain or jolt your back - can increase strength and endurance in your back and allow your muscles to function better. Walking and swimming are good choices. talk to your doctor about which activities you might try.
  • Build muscle strength and flexibility: abdominal and back muscle exercises, which strengthen your core, help condition these muscles so that they work together like a natural corset for your back. flexibility in your hips and upper legs aligns your pelvic bones to improve how your back feels. Your doctor or physical therapist can tell you which exercises are right for you.
  • Maintain a healthy weight: Being overweight strains back muscles. If you're overweight, trimming down can prevent back pain
  • Quit smoking: talk to your doctor about ways to quit

Avoid movements that twist or strain your back. Use your body properly :

  • Stand smart: Don't slouch. Maintain a neutral pelvic position. If you must stand for long periods, place one foot on low footstool to take some load off your lower back. Alternate feet. Good posture can reduce stress on the back muscles.
  • Sit smart: close a seat with good lower back support, armrests and a swivel base. Placing a pillow or a rolled towel in the small of your back can maintain its normal curve. Keep your knees and hips level. Change your position frequently, at least every half hour.
  • Lift smart: avoid heavy lifting, if possible, but if you must lift something heavy, let your legs do the work. Keep your back straight - no twisting - and bend only at the knees. Hold the load close to your body. Find a lifting partner if the object is heavy or awkward.

Buyer beware

Because back pain is so common, numerous products or therapies promise prevention or relief. But there's no definitive evidence that special shoes, shoe inserts, back supports, specially designed furniture, specially designed therapies or massages (Ayurvedic or Kerala massage) or stress management programs can help.

In addition, there doesn't appear to be one type of mattress that's best for the people with back pain. it's probably a matter of what feels most comfortable to you.

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Knock Knees

December 27, 2019 0 3 minutes, 51 seconds read

Knock knee (genu valgum) is a condition where a person has a large gap between their feet when they're standing with their knees together. Normal many children have knock knees, which becomes obvious at around the age of 4. It's just a normal part of their development, and their legs will normally straighten by the age of 7. However, knock knees can very occasionally be a sign of an underlying condition that needs treatment, especially if the condition develops in older children or adults, or doesn't improve with age.

Symptoms of knock knees

If someone with knock knees stands with their knees together, their lower legs will be spread out so that the distance between their and ankles is creating the gap more than 8cm.

Knock Knees

Knock knees don't usually cause any other problems, although a few severe cases may cause knee pain, a limp or difficulty walking. Knock knees that don't improve on their own can also place your knees under extra pressure, which may increase your risk of developing arthritis.

When to get medical advice?

Knock knees in children aren't usually a cause for concern and should improve as your child gets older. However, visit Orthopaedic doctor, if you have following issues.

the gap between the ankles is greater than 8cm while standing with the knees together
there's a big difference between the angle of the lower legs when standing compared with the upper legs 
the problem seems to be getting worse
a child under the age of 2 or over the age of 7 has knock knees
only one leg is affected
there are other symptoms, such as knee pain or difficulty walking
you have any other concerns about the way your child stands or walks
you develop knock knees in adulthood


What causes knock knees?

Knock knees are common in healthy children under the ages of 7, and are just a normal part of growth and development. The legs will usually gradually straighten as the child grows, although mild knock knees can last into adulthood.

Knock knees that develop later in childhood or don't improve with age can sometimes be associated with an underlying problem, such as:

rickets– problems with bone development resulting from a lack of vitamin D and calcium
loose knee ligaments
an injury or infection affecting the knees or leg bones
genetic conditions affecting the development of the bones or joints
osteoarthritis or rheumatoid arthritis.


What is treatment for knock knees?

In most cases, knock knees don't need to be treated because the problem tends to correct itself as a child grows. Child doesn't need to avoid physical activity, wear supportive leg braces or shoes, or do any special exercises. Mild knock knees that persist into adulthood don't need to be treated unless they're causing problems, such as knee pain.


If knock knees are caused by an underlying condition, treatment for this may be necessary. For example, rickets can be treated with vitamin D and calcium supplements.


Adults with arthritis may benefit from wearing leg braces or special insoles to reduce the strain on their knees or sometimes surgery



Surgery for knock knees is rarely necessary, although it may be recommended if the condition is severe or persistent.


There are 2 main types of operation that may be carried out:

In children whose growth is not complete small metal plates are placed on the inside of the knees, which helps correct their growth over a period of around 12 months; the plates are removed once the treatment is complete.
When the growth is complete an osteotomy is performed, where the bone is cut at the level of deformity, realigned into the correct position; plates and screws are used to fix the bones in their new position.


A patient can usually return to all normal activities after having an osteotomy in few months.

Knock Knees

Case report:

We came across 21yrs old female presented to us with deformity involving both legs. Deformity was progressive which was causing difficulty in walking. On examination there was 15­o valgus in both knees. Figure 1 shows whole lower leg x ray showing genu valgum.

Corrective Femoral Osteotomy is done where the thigh bone is cut and wedge shape piece of bone is removed and cut ends are fixed with plate and screws as shown in figure 2

Knock Knees

Postoperatively the range of motion started on the day of surgery and weight bearing at 6wks. Patient resumed her pre surgery activities after 3months and was able to participate in sports after 5months of surgery which she was not able to because of knock knees. Patient reports that the surgery has improved her quality of life, confidence and ability to outperform her own expectations.

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Dr. Hitin Mathur

Dr. Hitin Mathur
Senior Consultant
  • Delhi Medical Council (DMC)
  • Medical Council of India (MCI)
  • Delhi Orthopaedic Association (DOA)
  • Indian Society for Trauma and acute care (ISTAC)
  • Indian Foot and Ankle Society (IFAS)
  • Diabetic Foot society of India (DFSI)
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Biographical Sketch: 

Dr Mathur is a senior orthopaedic surgeon with more than 19 years experience in orthopaedics and related sub specialities. He passed out from the prestigious Kasturba medical college in Mangalore which is a part of the world famous Manipal University with colleges in Dubai, Malaysia, Nepal, Mangalore, Bangalore and Manipal. He did my post graduation in Orthopaedics from Sir Ganga Ram Hospital in New Delhi which is a premier research institute. Thereafter he trained in Trauma and hip and knee arthroplasty in the United Kingdom for 2 years and in Sir Ganga Ram Hospital in New Delhi for 3 years. He also obtained superspeciality training in foot and ankle surgery from Birmingham, Alabama, USA. He is one of the few trained foot and ankle surgeons in Delhi NCR. He is also an instructor for the Advanced trauma life support course organized by the american college of surgeons at RML Hospital and AIIMS. He practices in Noida, South and East Delhi as a foot and ankle specialist, sports injury and trauma surgeon.


Education & Training: 
  • MBBS-Kasturba Medical College, Mangalore, Karnataka (MAHE)
  • DNB Orthopaedics-Sir Ganga Ram Hospital, New Delhi.
  • PLAB, United Kingdom
  • Fellowship Foot and ankle Surgery-University of Birmingham, USA.
Duration Of OPD: 

       Max Super Speciality Hospital, Patparganj

  • Wed & Sat 4pm to 6pm

Dr. Vivek Vaibhav

  • IOA: Indian Orthopaedic Association
  • UPOA: Uttar Pradesh Orthopaedic Association
  • APOA: Asia Pacic Orthopaedic Association
  • SICOT Orthopaedic Association
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Work Experience: 
  • Senior Resident at Max Institute of Musculoskeletal Sciences, Max Super Speciality Hospital, Saket (2015-16)
  • Fellowship in Arthroplasty under Dr. SKS Marya: Max Institute of Musculoskeletal Sciences, Max Super Speciality Hospital, Saket (2016)
  • Attending Consultant in Orthopaedics, Medanta – The Medicity, Gurgaon
Education & Training: 
  • Diploma in Orthopaedics: Era’s Lucknow Medical College, Lucknow – 2014
  • MBBS: Himalayan Institute of Medical Sciences, Dehradun –2012
  • Advance Trauma Course, AO Switzerland - 2019
Awards Information: 
  • Won Gold Medal for PG Paper in UPOA Conference. Jim Corbett National Park (2014). Tibial Plafond Fracture: Plate vs nail a Comparative Study
  • Won Best Poster Award in APOA – 2015 Mumbai: “Tibilisation of Fibula: Still a Reasonable Option for Large Tibial Gap Non Union Defect”
Speciality Interest: 
  • Orthopaedic Trauma
  • Joint Replacement Surgery
  • Sports Medicine

Dr. Gaurav Prakash

Dr. Gaurav Prakash
Consultant - Orthopaedics
Gaurav Prakash
  • Life member of Indian Orthopedic Association
  • Life member of Delhi Orthopedic Association
  • Life member of East Delhi Orthopedic Association
  • Member of National Academy of Medical Sciences
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Work Experience: 
  • Attending Consultant - Department of Orthopedics at Max SuperspecialityHospital, Patparganj,Delhi, 2016
  • Senior Resident - Department of Orthopedics at Deep Chand Bandhu Hospital, Ashok Vihar, New Delhi, 2014
  • Senior Resident -Department of Orthopedics at Max Superspeciality Hospital, ShalimarBagh , NewDelhi, 2013
  • Registrar - Rockland Hospital, Qutub Institutional Area, NewDelhi, 2011
Education & Training: 
  • DNB Orthopaedics - Rockland Hospital, New Delhi - 2011
  • Diploma Orthopedics - Patna Medical College - 2009
  • MBBS - Patliputra Medical College,Dhanbad - 1999
Speciality Interest: 
  • Trauma
  • Hip & knee Arthroplasty
Duration Of OPD: 

   Max Super Specialty Hospital, Patparganj

  • Sunday: 3 pm - 6 pm
  • Monday to Friday : 9 am - 5 pm
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