Orthopaedic Trauma Surgery
Head of the Department - Department of
Orthopaedic Trauma Surgery
MIOT started 10
years ago as a Centre for Trauma Care. Even today, this is a
vital department in MIOT Hospitals.
Trauma does not
affect one part of the body only. Today, because of the high
velocity of accidents and injuries, trauma affects almost
all the parts of the body. MIOT has the personnel and the
equipment to resuscitate a poly traumatized patient who is
critical. The Department is manned by qualified Surgeons,
Orthopaedic Surgeons, Abdominal Surgeons, Vascular and
Plastic Surgeons and Urologists.
received in resuscitation bays. Their contaminated clothes
and dressings are removed. The accident victim is covered
with sterile dressings, the general condition assessed,
blocked airways restored, adequate fluid and blood
transfusion given within a few minutes, and if all
investigations including CT Scan and MRI are executed
quickly, the patient is taken to the Operation Theatre for
Sometimes, after a
major accident we receive 30 to 40 patients and we are able
to manage them without any problem, because of the
availability of adequate staff and the right equipment.
Lengthening and Reconstruction
Individuals with the following conditions may be
candidates for Limb Lengthening and Reconstruction:
Leg Length Differences
Leg length differences (LLD) results from congenital,
developmentat, posttraumatic or post-surgical causes.
Congenital limb length discrepancy is present from birth and
is associated with many birth defects and deformities.
femur and tibia
focal deficiency, fibular and tibial hemimelia.
It occurs because the femur and/or tibia grow slower than on
the other side. The rate of increase of the leg, length
differences is progressive with one-fourth of the LLD
present at birth, one-third by age 1 year and one-half bye
age 3 years in girls and four years in boys.
occurs during childhood secondary to alteration in growth of
one or more growth plates of the femur or tibia. This may be
as a result of injury to the growth plate from trauma or
infection or slowing of the growth from disease processes
such as polio, Blount;s disease or Ollier’s disease.
Posttraumatic LLD occurs after fractures when bone heals in
a shortened position after surgery.
are correction of LLD with associated deformity while
preserving the function of muscles and joints.
Defects (Congenital Deformities)
Congenital problems include limb length discrepancy as
described above, contractures and stiffness of joints,
angular and rotational deformities of bones, missing of
bones, joints and parts of the limb )e.g. fingers, toes,
hands and feet). In the lower extremity, foot, knee and hip
deformities are commonly associated with congenital
are correction of deformity and improvement of joint
mobility and length discrepancy. In some cases, restoration
of missing parts )e.g. fingers, foot can be achieved.
Post traumatic bone deformities are fractures
that heal in a displaced, angulated, rotated or shortened
position. Gradually increasing deformity may result after
fractures of the growth plate.
are accurate correction of deformities for limb realignment
with simultaneous correction of associated problems (e.g.
limb length discrepancy and infection)
Fractures or osteotomies that do not heal result
in non-unions. These may be associated with deformities,
limb length discrepancy, infection and stiff joints.
are obtaining union with correction of associated deformity
and limb length discrepancy.
Loss from Tumour, Trauma or Infection
Tumour, trauma and infection can all lead to bone loss due
to either the injury or resection. Bone loss may be
manifested as a bone defect or as limb length discrepancy or
are re-establishment of the integrity of the bone with
elimination of the bone defect and restoration of limb
This rare disease leads to non-healing fractures
of th tibia and more rarely, the forearm bones.
are to obtain but also maintain union of the bone and to
correct deformity and limb length discrepancy
Joints may be limited in their movement from tight muscles
or capsule or from scarring in the joint.
are correction and increasing the range of motion of the
Bone infection may be a result of fractures or
blood borne infection (usually occur during childhood).
are elimination of infection and associated problem such as
non-union, deformity and limb length discrepancy.