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Max Super Speciality Hospital, Saket
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Date: 
October, 2015 :15
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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. Ajay Bhambri

Dr. Ajay Bhambri
Principal Consultant- Max Institute of Orthopedic Surgery
Dr. Ajay Bhambri
Memberships: 
  • Indian Orthopedic Association (IOA)
  • National association of Interlocking Surgeons
  • American Association of Orthopedic Surgeons
  • Asia Pacific Orthopedic Association • International Society of Hip and Knee Surger
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PROFESSIONAL JOURNEY

Work Experience: 
  • Sr Consultant Joint Replacement, Fortis Hospital, Mohali( 2013- 2018)
  • Sr Consultant and Incharge of Limb Reconstruction Dept, Shalby Hospital, Ahmedabad (2012- 2013)
  • Sr Consultant and Head of Dept of Joint Replacement and Limb Reconstruction, Oswal Memorial Hospital, Ludhiana(1999 to 2011) 
Education & Training: 
  • MBBS from Govt Medical College, Solapur
  • D. Ortho from KIMS Karad
  • DNB from MGM Medical college N. Mumbai 
Awards Information: 
  • Performed about more than 10000 successful joint replacement surgeries
  • 2000 revision joint replacement surgeries
  • 800 Limb salvage and reconstruction surgeries
  • Successfully replaced total femur bone of the patient including the hip joint and the knee joint of the patient
  • Successfully replaced total humerus of the patient
  • Specially trained in revision joint replacements 
Speciality Interest: 
  • Primary joint replacement
  • Revision joint replacements
  • Difficult primary joint replacement
  • Orthopedic onco surgery
  • Bone and joint limb reconstruction
  • Revision Trauma 
Duration Of OPD: 

   Max Super Specialty Hospital, Mohali

  • Monday to Saturday (10 pm to 6 pm) 

Tips to Reduce Knee Pain in Old Age

July 2, 2018 0 190 1 minute, 16 seconds read

Walking - Inactivity is the primary cause of knee pain in most of the elderly population. As the activities and workload decrease with age, older people tend to stop their physical movement. To balance it, one must make it a routine to go for morning/evening walks to keep a check on the muscle strength and stamina. A sedentary lifestyle makes knees stiff and hence painful.

 

Knee press - Lie flat on the bed with your knee straight. Keep a rolled towel beneath your knee joint and press it against the towel and hold it for five seconds. It helps to improve the strength of quadricep muscles.

Heel press - Lie flat on the bed both your knees straight. Keep rolled towel beneath your ankle joint, and press it against the towel and hold it for five seconds. It helps to improve the strength of hamstring muscles.

Knee curl - Stand with your front facing the back of the chair. Place your feet slightly apart and shift your weight over the left leg. Keep your knee slightly bent and bend your right knee raising the right foot towards buttocks. Repeat 10 to 15 times. This will help to increase the flexibility of knee muscles.

Knee squats - Stand with your front facing the back of the chair place your feet slightly apart and bend your knees while keeping your back straight. This will allow you to strengthen your knees as a whole.

 

Before starting any exercise regime if you face any knee pain, then consult your physiotherapist.

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Dr. Nikunj Agrawal

Dr. Nikunj Agrawal
Consultant - Orthopaedics & Joint Replacement
Dr. Nikunj Agrawal
Memberships: 
  • Indian Orthopaedic Association
  • Indian Arthroscopy society (IAS)
  • Indian Arthroplasty Association (IAA)
  • Member of Royal college of surgeons (UK)
  • Life member Indian Medical Association
  • Registered with Delhi medical Council
  • Registered with UP medical council
  • Registered with General medical Council (UK)
     
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PROFESSIONAL JOURNEY

Work Experience: 

   Experience of more than 10 yrs in Orthopaedic Surgery

  • Specialised in Joint Replacement and Navigation Arthroplasty/ adult reconstruction surgery
  • Experience of working as Consultant Orthopaedics and Joint replacement for four years at Fortis Hospital, Noida
  • Clinical fellowships in Joint Replacement from NHS, Singapore and Harvard Medical School, USA
  • Formerly, worked as Orthopaedic Surgeon at Sir Ganga Ram Hospital, New Delhi
  • Worked as Senior Registrar Orthopaedics at Delhi  Government Hospitals
Education & Training: 
  • MBBS from Manipal University (MAHE)
  • DNB (Orthopaedic Surgery)
  • MNAMS (Orthopaedic Surgery)
  • MRCS (UK)
  • Clinical Fellowship in Adult Reconstructions & Arthroplasty (National Healthcare Group, Singapore)
  • Fellowship in Adult Reconstruction (Harvard Medical School- Boston, USA)
     
Duration Of OPD: 

       Max Multi Speciality Hospital, Noida

  • Monday & Friday - 11:00AM to 1:00PM
  • Tuesday - 5:00PM to 8:00PM
  • Wednesday, Thursday & Saturday - 10:00AM to 1:00PM
  • Thursday - 6:00PM to 8:00PM

Dr. Kadam Sagar Balasaheb

Dr. Kadam Sagar Balasaheb
Attending Consultant
Kadam Sagar Balasaheb
Memberships: 
  • National Academy of Medical Sciences (MNAMS) – since 2018 – life member
  • North Zone Orthopaedics Association (NZOA) – since 2018 – life member
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • Senior Resident (Orthopedic Surgery), Fortis Hospital Mohali, May 2017 to May 2018
  • Senior Resident (Orthopedic Surgery), Govt Multispecialty Hospital, Sector 16, Chandigarh, Dec 2016 to Apr 2017
  • Junior Resident (Orthopedic Surgery), Govt Multispecialty Hospital, Sector 16, Chandigarh, Sept 2014 to Sept 2017
  • Junior Resident (Orthopedic Surgery), King George Medical University, Lucknow, Jun 12 to Jun 14
  • Internship, Dr. DY Patil University, Kolhapur, Feb 2010 to Feb 2011
     
Education & Training: 
  • DNB (Orthopedics), National Board of Examinations (New Delhi). Nov 2016
  • D.Ortho, King George Medical University, Lucknow, Dec 2014
  • MBBS, Maharashtra University of Health Sciences, May 2011
     
Awards Information: 
  • “The Young Achiever’s Award” at 4th Annual Conference Stem Cell Society (INDIA)
  • “National Talent Search” Scholarship Awardee
Speciality Interest: 
  • Trauma
  • Deformity Correction
  • Plaster Techniques
  • CTEV Correction
     
Duration Of OPD: 

   Max Super Specialty Hospital, Mohali

  • Monday -  Saturday : 10 a.m. to 5 p.m.

Dr. Gaurav Saini

Dr. Gaurav Saini
Consultant - Trauma & Sports Medicine, Institute of Orthopedic Surgery
Gaurav Saini
Memberships: 
  • National academy of medical sciences (MNAMS) ‐ Since 2011 – life member
  • Indian orthopedics association (IOA) ‐ Since 2011 – life member
  • North Zone chapter of Indian Orthopedics Association (NZOA) ‐ Since 2011 ‐ life member
  • International society for knowledge for surgeons in arthroscopy and arthroplasty (ISKSAA) ‐ Since 2015 – life member
  • AO Trauma Member
     
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PROFESSIONAL JOURNEY

Work Experience: 
  • Consultant, Fortis Hospital Mohali, Apr 2014 to May 2018
  • Consultant Orthopedic Surgeon, JP Hospital Zirakpur, Feb 2014 to Mar 2014
  • Senior Resident (Orthopedic Surgery), PGIMER, Chandigarh, Jan 2011 to Jan 2014
  • Senior Resident (Orthopedic Surgery), PGIMS Rohtak, Aug 2010 to Jan 2011
  • Junior Resident (Orthopedic Surgery), PGIMS Rohtak, Jun 2007 to Jan 2010
  • Internship, GMCH, Chandigarh, Jan 2005 to Dec 2005
     
Education & Training: 
  • DNB (Orthopedics), National Board of Examinations (New Delhi). Dec 2010
  • MS (Orthopedics), PGIMS Rohtak, Jun 2007 to Jun 2010
  • MBBS, GMCH Chandigarh, May 2000 to Dec 2005
     
Speciality Interest: 
  • Sports Injuries, Knee Shoulder Arthroscopy
  • Complex Trauma
  • Revision Surgeries
  • Polytrauma, Deformity Correction
     
Duration Of OPD: 

   Max Super Specialty Hospital, Mohali

  • Monday -  Saturday : 10 a.m. to 5 p.m.

Dr. Ramesh Kumar Sen

Dr. Ramesh Kumar Sen
Senior Director and Head of Department - Institute of Orthopedic Surgery
Ramesh Kumar Sen
Memberships: 
  • AO TRAUMA – Gold member, WOC (World Ortho Concern), SICOT AOAA, APOA, AADO, VICE PRESIDENT- Indian Orthopaedic Association 2012-2013, IAA, IMA, IAMS, NACCM, TSI, IOA North Zone Association, IOA HP Chapter, Chandigarh chapter IOA, IABMR
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PROFESSIONAL JOURNEY

Work Experience: 
  • Director, Dept of Orthopaedics, Fortis Hospital Mohali
  • Professor, PGIMER Chandigarh
  • Additional Professor, PGIMER Chandigarh
  • Associate Professor, PGIMER Chandigarh
  • Assistant Professor, PGIMER Chandigarh
  • Pool Officer CSIR, IGMC, Shimla
  • Consultant, H.C.M Centre Mandi, H.P.
  • Senior Resident Ortho., IGMC, Shimla
Education & Training: 
  • Ph.D Orthopaedics, PGIMER Chandigarh
  • D.N.B. Ortho, National Board Exam New Delhi
  • MS Ortho, IGMC, Shimla, H.P
  • MB.B.S. ,IGMC, Shimla, H.P.
     
Awards Information: 
  • OASAC (Ortho surgeons of SAARC) Oration Award at COLOMBO 27th oct 2012
  • PLENARY SPEAKER (Baltic states Orthopaedic Surgeons conference 2013,RIGA LATVIA. 20-21st Sept 2013
  • Baroda Ortho. Society Oration Award 22nd Sept 2007 Baroda GUJRAT
  • 1st Golden Jubilee Commemoration Oration in IOACON 2008 at BANGALORE by IOA
  • Prof BB Ohri Oration award MP Chapter IOA 4th Oct 2008 INDORE
  • Gaziabad Oration of UP Chapter 2010, 20th feb ALLAHABAD
  • Prof G Swaminathhan Oration award 2011 MADURAI
  • Dr M L Chatterjee Oration WBOA chapter July 14th 2013 KOLKATTA
  • Dr Mahurkar Oration Award CHIOA on Sept 28th 2013 BHILAI
  • Dr Marthandam Oration award Jan 22nd 2014 SRM University CHENNAI
  • Dr Ranga reddy Oration award Feb 2016 kakinada ANDHRA PRADESH
  • Dr Agasge Oration Award March 2016 Pune MAHARASHTRA
     
Speciality Interest: 
  • Pelvic- Acetabulur Trauma                
  • Complex Pelvis Surgeries
  • Complex Acetabulum Surgery          
  • Joint Replacement
  • Revision- Hip & Knee Arthoplasty     
  • Stem Cells in AVN
  • Complex & Revision Trauma
     
Duration Of OPD: 

   Max Super Specialty Hospital, Mohali

  • Monday -  Saturday : 10 a.m. to 5 p.m

What Do You Need To Know About Shoulder Arthroscopy?

May 28, 2018 0 122 1 minute, 55 seconds read

Shoulder arthroscopy is a surgical procedure used to visualize, diagnose, and treat various problems inside the shoulder joint and in the space surrounding the rotator cuff. This is done through small incisions that allow the insertion of specialized instruments. The arthroscope is a 4mm pencil-sized tool that contains magnifying lenses and a light source. This is attached to a small camera that projects a clear, enlarged image of the joint on a TV monitor, allowing your surgeon to see all the structures inside your shoulder.

When is arthroscopic shoulder surgery used?

Dr. Raju Easwaran, Senior Consultant, Max Super Speciality Hospital, Shalimar Bagh says, Arthroscopic shoulder surgery is used to treat a variety of common shoulder problems, including bursitis, tendonitis, arthritis, impingement, rotator cuff tears, lateral tears and shoulder instability/ multiple dislocation Usually patients who need shoulder arthroscopy have not responded well to other treatment options like rest, physical therapy, anti-inflammatory medications, and steroid injections (if required).

As with any injury, your doctor will be the best source of advice on the appropriate treatment method for your situation.

How is shoulder arthroscopy performed?

Arthroscopy is typically performed in an inpatient surgery setting. The type of anaesthesia used is decided after discussion between the patient, surgeon, and anaesthesiologist. Two or three small incisions, each the size of 4mm-6mm are needed to insert the scope and any necessary instruments. The joint is filled with sterile fluid to allow the surgeon to see more clearly. Most procedures take less than one hour to perform. Following surgery you may be in a sling or a special shoulder immobilizer' depending on the type of surgery performed. You will be given specific instructions about whether or not you are allowed to move your arm immediately after the surgery.

Rest, icing, and anti-inflammatory medications will help decrease pain and swelling. The surgical area should be kept dry when showering for the first 3-5 days. Modern dressing is water proof & allow direct shower over the dressing. Patients usually begin light exercise in 1 week.

Return to full activities may take several weeks to several months depending on the type of surgery performed.

Benefits of arthroscopic shoulder surgery

Benefits of arthroscopic surgery compared with older open surgical techniques include:

  • Minimal scars
  • Minimal hospital stay
  • Minimal pain and swelling
  • Minimal stiffness
  • Minimal risks and complications

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What Do You Need to Know About Rotator Cuff Injury?

May 8, 2018 0 78 2 minutes, 40 seconds read

A rotator cuff is a group of muscles and tendons that surround the shoulder joint, keeping the head of your upper arm bone firmly within the shallow socket of the shoulder. A rotator cuff generally produces severe pain in the affected shoulder especially at night, often preventing sleep!

Rotator cuff injuries occur most often in people who repeatedly perform overhead motions in their jobs or sports. Examples include painters, carpenters, and people who play baseball or tennis. The risk of rotator cuff injury also increases with age and with certain diseases like diabetes & thyroid disorders.

Many people recover from a rotator cuff injury with physical therapy exercises that improve flexibility and strength of the muscles surrounding the shoulder joint. Severe rotator cuff injuries, involving complete tears of the muscle or tendon, may require surgical repair.

It’s Symptoms:

The pain associated with a rotator cuff injury may:

  • Be described as a dull ache deep in the shoulder
  • Disturb sleep, particularly if you lie on the affected shoulder
  • Make it difficult to comb your hair or reach behind your back
  • Be accompanied by arm weakness

Dr. Raju Easwaran, Senior Consultant, Max Super Speciality Hospital, Shalimar Bagh, mentions few causes of rotator cuff injuries like:

  • Falling. Using your arm to break a fall or falling on your arm can bruise or tear a rotator cuff tendon or muscle.
  • Lifting or pulling. Lifting an object that's too heavy or doing so improperly — especially overhead — can strain or tear your tendons or muscles. This applies especially to people doing shoulder pressures in gym using unusually heavy weights or improper techniques.
  • Repetitive stress. Repetitive overhead movement of your arms can stress your rotator cuff muscles and tendons, causing inflammation and eventually tearing. This is the usual mechanism in racquet sports.
  • Bone spurs. An overgrowth of bone can occur on a part of the shoulder blade that protrudes over the rotator cuff. This extra bone can irritate and damage the tendon. This generally happens with ageing.

The following factors may increase your risk of having a rotator cuff injury:

  • Age. As you get older, your risk of a rotator cuff injury increases. Rotator cuff tears are most common in people older than 40.
  • Certain sports. Athletes who regularly use repetitive arm motions, such as baseball pitchers, archers and tennis players, have a greater risk of having a rotator cuff injury.
  • Construction jobs. Occupations such as carpentry or house painting require repetitive arm motions, often overhead, that can damage the rotator cuff over time.

Although resting your shoulder is necessary for your recovery, keeping your shoulder immobilized can cause the connective tissue enclosing the joint to become thickened and tight (frozen shoulder).

If you are at risk of rotator cuff injuries or if you've had a rotator cuff injury in the past, daily shoulder stretches and exercises can help prevent future injury.

Most people exercise the front muscles of the chest, shoulder and upper arm, but it is equally important to strengthen the muscles in the back of the shoulder and around the shoulder blade to optimize shoulder muscle balance. Your doctor or a physical therapist can help you plan an exercise routine. In extreme cases, you may require an arthroscopic cuff repair.

 

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Shoulder Pain: What Could Be the Reason?

May 4, 2018 0 391 5 minutes, 3 seconds read

The shoulder is a ball and socket joint, wherein the ball (humeral head) is large and the socket (glenoid) is small, facilitating movement in an almost 360 degree arc.

The two surfaces are covered by a polish (much like the paint on the wall) that reduces friction between the two surfaces when they glide against each other, constituting the gleno-humeral joint. However, the shoulder due to this anatomy is inherently unstable. To overcome this shoulder joint has certain special features- the socket has banking all around it (labrum) that is a slightly elevated region made of cartilage. This is akin to a plate that has raised edges and prevents food from spilling over. Apart from this, the shoulder is covered with muscles all around that contain the ball within the socket.

The muscles that move the shoulder are attached via rope like structures called rotator cuff tendons to a part of the ball. The whole functioning is much like a water well as it has a man/woman, a rope and a bucket. The bucket is the arm, the muscles the individual and the rope the tendons. If there is any problem with the rope or individual the bucket won’t come up. There are two more accessory joints that are less spoken of but part of the shoulder joint complex.

The joint between the collarbone and sternum (breast bone) is called as sterno-clavicular joint and between the collarbone and shoulder blade is called as the acromio-clavicular

joint). These joints are responsible for performing overhead activities like the extreme raising of the arms.

What are the common types of Shoulder Pain?

Adhesive Capsulitis (Frozen Shoulder): This condition is most commonly seen in people suffering from diabetes. The shoulder joint gets inflamed (swollen) and movement gradually gets restricted ultimately leading to a frozen shoulder. The condition is more often than not self-limiting, i.e. after on an average 6-9 months the condition subsides. However, during this period it is intensely debilitating with an inability to use/ sleep on the affected side. The condition has three stages:

a. Freezing: when it gradually gets stiff

b. Frozen: when movements are grossly restricted

c. Thawing: when movements begin to return

Treatment largely centres on pain management and preserving movement via physiotherapy. Injections into the shoulder are attempted at times to ease pain and facilitate physiotherapy. However if the condition does not subside within 6-9 months, arthroscopic (keyhole) release of the shoulder may be tried which is a quick and immediate solution to the problem.

Gleno-humeral (Ball & Socket) Arthritis: This condition is seen frequently in people who have suffered an injury to the shoulder or suffering from long-standing disease like rheumatoid arthritis or inflammatory arthritis. One presents with a gross restriction of movement in all directions with a grinding feeling in the joint whenever it is moved. In this condition essentially the cartilage /paint coating the two bony surfaces get rubbed off and ultimately bone grinds against bone. Treatment initially centers on local physiotherapy like a heat therapy. If the pain doesn’t subside an injection may be tried for temporary relief. Ultimately when the quality of life is grossly compromised a shoulder replacement may be the only solution.

Injury: Injuries to the shoulder are varied, ranging from bony (fractures), tendon (rotator cuff tendons) or dislocations. Fractures around the shoulder are relatively common with the ball being more frequently fractured than the socket. They are treated based on the fracture, a number of pieces and age of the patient. Treatment ranges from just an arm sling to plaster, external wires, internal plates and rarely replacements.

Tendon injuries occur largely in two groups of population: the sporty and elderly. People who are into sports may injure themselves while playing sport, while the elderly may get a trivia injury to an already weak tendon. The tendons when broken more often are difficult to fix back. This is one condition where vigorous physiotherapy, pre-operative methods may be detrimental because they may worsen the tear. The tear is repaired via arthroscopic (keyhole) or open surgery using tiny plastic/metal screws with threads coming out of them that are used to stitch the tendons.

Dislocations: These largely occur due to falls. If it’s the first time, then the treatment is largely conservative with rest in a sling for 3 weeks. If it occurs more than once, in all probability the banking of the socket has flattened out making way for the ball to slide out of the socket. Treatment involves repairing the banking via arthroscopic (keyhole) surgery.

Impingement: Above the tendons is a bone called the acromion. The space between the tendons and bone is enough so that the tendons never touch the bone when the arm is lifted up. Sometimes the shape of the bone above is more hooked and touches the tendons when the arms are lifted up. This causes swelling of the tendon covering and severe pain. This is called impingement. Treatment largely centres on physiotherapy and injecting local steroids in the region that reduce inflammation. If it still doesn’t subside arthroscopic surgery is done to flatten out the bone above to create more space.

Acromioclavicular Joint Arthritis: This pain typically occurs on the top of the shoulder and is worsened on the overhead lifting of the arm. Treatment involves physiotherapy and injection of a local steroid into this joint. Arthroscopic surgery is rarely used for rubbing bone surfaces.

Other causes:

Infection like tuberculosis may affect the shoulder causing severe pain, restricted movement with fever and significant weight loss. Occasionally a wound with draining pus may form. This condition is treated with antibiotics and anti TB drugs. Surgery may also be required in some cases. Taking care of one’s nutrition and general health is of paramount importance.

Tumours of both non-cancerous and cancerous may occur in the shoulder presenting with swelling and sometimes a fracture due to the weakening of the bone. There may be no antecedent injury preceding the fracture in these cases. Treatment involves surgical removal of tumours and fixing the bone to replacement.
 

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