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Max Super Speciality Hospital, Saket
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Bio Medical Waste Report For Shalimar Bagh

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)
  No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's) No. of Bags Weight (in KG's)    
Apr-17 924 2963.50 954 2994.10 239 1017.30 103 279.20 1645 606.40 3865 7861.00
May-17 1175 4624.12 1028 3498.40 276 1524.34 87 195.01 1803 823.85 4369 10665.71
Jun-17 1060 4511.45 902 2886.66 293 1324.05 76 194.00 2057 1100.69 4388 10016.85
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
Jan-18                     0 0.00
Feb-18                     0 0.00
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

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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.

Dr. Sameer Kakar

Dr. Sameer Kakar
Attending Consultant
Dr. Sameer Kakar
Memberships: 
  • Member SICOT
  • Member ISKSAA
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PROFESSIONAL JOURNEY

Work Experience: 
  • Attending Consultant at Max Hospital Saket & Gurgaon from July 2020 till date
  • Fellowship - Johnsosn & Johnson Arthroplasty, Fellowship from Max Hospital Delhi & Gurgaon - Jan 2020 till June 2020
  • Senior Resident - Department of Orthopaedics, Maharishi Valmiki Hospital, New Delhi; Dec 2016 till Dec 2019
  • Senior Resident - Department of Orthopaedics, SGT Medical College, Gurgaon,Sitaram Bhartia Hospital, Delhi, Artemis Hospital Gurgaon.
  • DNB Training, Department of Orthopaedics, Subharti medical college, Meerut - Aug 2007 to Dec 2010
Education & Training: 
  • M.B.B.S. from Bharti vidyapeeth Medical College (PUNE) - July 1999 to July 2004
  • D.N.B. Training in Orthopaedic surgery: Subharti Medical College, Meerut - Aug 2007 to Dec 2010
Awards Information: 
  • CASE REPORT: Congenital dislocation of knee with Ipsilateral developmental dysplasia of hip Sameer Kakar, Varun Gupta, Prabhjot Gupta Journal of Orthopaedics and Allied Sciences, Year 2017, Volume 5, Issue 2 [p. 80-83]
  • CASE REPORT: Giant cell tumour of Talus - Role of imaging Bharat B Sharma, Sandeep Sharma, Priya Ramchandaran, N.K. Maggu, Sameer Kakar, Vinay K Govila Indian Journal of Case report, Year 2016, Volume 2 Issue 3 [p. 79-82]
  • Correlation of Nutritional Parameters in long bone Diaphyseal Fracture Healing- S.Kakar, V.Trivedi
  • National Journal of Clinical Orthopaedics, Year 2019, Volume 3 Issue 3 [p. 85-89]
Duration Of OPD: 

       Max Hosital, Gurgaon

  • Wed: 4 PM - 6 PM
  • Thurs: 9 AM – 12 PM
  • Sat: 12 PM – 4 PM

Dr. Gaurav Govil

Dr. Gaurav Govil
Senior Consultant
Gaurav Govil
Memberships: 
  • Life member of the Indian Orthopaedic Association (IOA)
  • Life member of the Delhi Orthopaedic Association (DOA)
  • Life member of the North Zone Indian Orthopaedic Association (NZIOA) 
  • Life member of National Association of Interlocking Surgeons (NAILSCON)
  • Life member of the Central Zone Indian Orthopaedic Association (CZIOA)
  • Life member of the Uttar Pradesh Indian Orthopaedic Association (UPIOA)  
  • Life member of Indian Cartilage Society (ICS)
  • AO Trauma member, Switzerland 
  • Delhi Medical Council (Reg. No. 13716)
  • U.P Medical Council (Reg. No. 040713)
  • Medical Council of India (Reg. No. 1894)

 

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Biography

Biographical Sketch: 

Dr Govil is Specialist Orthopedic Surgeon with more than 20 years of experience in field of Orthopedics. He haa extensive training in the field of Joint Replacement Surgery (Knee and Hip). He has the expertise to perform complex orthopaedic trauma surgeries.He aims to provide a complete patient care during treatment and recovery stages with compassion and personal approach

PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Consultant, Orthopaedic & Joint Replacement, Max Super Speciality Hospital, Patparganj, Delhi  
  • Associate Consultant, Orthopaedic & Joint Replacement, Max Super Speciality Hospital, Patparganj, Delhi
  • Consultant Orthopaedics, Vinayak Hospital (Noida), Kailash Hospital (Greater Noida), R K Orthopaedic Hospital (Delhi)   
  • Chief Specialist, Regional Spinal Injury Centre, Jabalpur
  • Chief Resident, VIMHANS & Apollo Hospital, Delhi

 

Education & Training: 
  • Master of Surgery in Orthopaedics (NSCB Medical College, Rani Durgavati University, Jabalpur) 
  • Bachelor of Medicine Bachelor of Surgery (King George Medical College, Chhatrapati Shahuji Maharaj University, Lucknow)  
  • AO trained Trauma Surgeon

 

Awards Information: 
  • Gold Medallist in MBBS at King George Medical College, Lucknow  
  • Gold Medal Winner of Post-graduate Orthopaedic Quiz Contest 
  • Organising Member, National Orthopaedic Conference (IOACON - Jabalpur) and International Orthopaedic Conference of Asia-Pacific (APOA-12) Orthopaedic Conference 
  • Outstanding Contribution award in Reviewing for Journal of Clinical Orthopaedics and Trauma by Editors, Elsevier, Amsterdam, Netherlands 
  • Certificate of Appreciation by the International Association of Lions Club

 

Speciality Interest: 
  • Replacement Surgeries
  • Complex trauma and Pelvi-acetabular surgery
  • Reconstruction & corrective surgeries of joints
  • Arthroscopic surgery knee and shoulder  
  • Spine Fixation and discectomies
  • Rehabilitation policies

 

Duration Of OPD: 

       Max Super Speciality Hospital, Patparganj

  • TUES,THURS : 09:00 AM - 11:00 AM
  • TUES,THURS(PR) 04:00 PM - 06:00 PM

Some Tips For A Healthy Back

March 19, 2020 0 2 minutes, 16 seconds read

Back 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.

POSTURE

  • 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

  • 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.

DIET

  • 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

EXERCISE

  • 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.

WORK

  • 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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LOW BACK PAIN

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.

Symptoms

  • 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.

Causes

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

Prevention

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.

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

  1. rickets– problems with bone development resulting from a lack of vitamin D and calcium
  2. obesity 
  3. loose knee ligaments
  4. an injury or infection affecting the knees or leg bones
  5. genetic conditions affecting the development of the bones or joints
  6. 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

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:

  1. 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.
  2. 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

Memberships: 
  • 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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Biography

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.

PROFESSIONAL JOURNEY

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 : 04:00 PM - 06:00  PM

       Max Multi Speciality Centre, Noida

  • Mon, Thu & Fri - 4.00 PM to 6.00 PM
  • Tue - 12.00 PM to 2.00 PM

Dr. Vivek Vaibhav

Dr. Vivek Vaibhav
Associate Consultant
Dr. Vivek Vaibhav - Max Hospital
Memberships: 
  • IOA: Indian Orthopaedic Association
  • UPOA: Uttar Pradesh Orthopaedic Association
  • APOA: Asia Pacic Orthopaedic Association
  • SICOT Orthopaedic Association
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PROFESSIONAL JOURNEY

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
Duration Of OPD: 

   Max Super Speciality Hospital, Saket

  • Thu : 4:00 PM  - 8:00 PM

Dr. Gaurav Prakash

Dr. Gaurav Prakash
Consultant - Orthopaedics
Gaurav Prakash
Memberships: 
  • 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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PROFESSIONAL JOURNEY

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

  • SUN : 03:00 PM - 6:00 PM
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