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Departments
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Orthopaedics
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Shoulder and Upper Limb (Elbow and Wrist)
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Dr. Ram Chidambaram
MBBS, D.Orth, M.S.Orth, Dip.N.B.Orth, FRCS
Gen Surg ( Glasgow), FRCS Trauma & Orth
Head of Department - Shoulder and Upper Limb Unit |
At MIOT’s Shoulder
and Upper Limb Unit, we offer wide range of procedures
including Arthroscopy (Key hole surgery), Joint Replacement
and Trauma reconstruction of Shoulder, Elbow, Wrist and
Hand.
Dr. Ram Chidambaram is the head of department of Shoulder
and Upper Limb Unit. He had over 12 years of extensive
training and consultant experience in UK. He specializes in
disorders affecting shoulder, elbow, wrist and hand. Prior
to joining MIOT hospitals, he was working as Consultant
Shoulder and Upper Limb surgeon at Epsom St Helier
University Hospitals NHS Trust, UK. He has a great interest
in teaching and has organized live surgery courses and
workshops on advanced shoulder arthroscopy, reverse shoulder
arthroplasty, wrist arthroscopy and wrist replacement.
Procedures
performed
I. Arthroscopy (Key Hole Surgery)
We offer the state
of the art Arthroscopic facilities and perform the
following:
A. Shoulder Arthroscopy
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Arthroscopic
Rotator Cuff Repair |
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Arthroscopic
Stabilisation (Bankart repair) and Capsular Remplissage for
recurrent dislocation of shoulder |
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Arthroscopic
Capsular Plication for Multidirectional instability |
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Arthroscopic
SLAP repair |
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Arthroscopic
Biceps tenotomy and Biceps tenodesis |
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Arthroscopic
Sub-acromial decompression |
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Arthroscopic
Acromio-clavicular joint excision |
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Arthroscopic
calcium excision for calcific tendonitis |
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Arthroscopic
capsular release for Diabetic Frozen Shoulder |
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Arthroscopic
fixation of greater tuberosity fracture |
B. Elbow Arthroscopy
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Arthroscopic
removal of loose bodies |
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Arthroscopic
Release for Post traumatic stiff elbow |
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Arthroscopic
Osteocapsular Arthroplasty for Osteoarthritis elbow |
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Arthroscopic
Radial head excision |
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Arthroscopic
treatment of Osteochondritis Dessicans |
C.
Wrist Arthroscopy
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Diagnostic
arthroscopy |
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Arthroscopic
TFCC debridement |
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Arthroscopic
assisted TFCC repair/reconstruction |
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Arthroscopic
assisted Scapho-Lunate repair |
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Arthroscopic
excision of ganglion |
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Arthroscopic
Trapeziectomy |
II.
Upper Limb Joint Arthroplasty
A. Shoulder Arthroscopy
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Anatomical
Shoulder Arthroplasty
The Department offers Total Shoulder Replacement, shoulder
resurfacing and the latest ‘Stemless’ shoulder replacement.
The early results of ‘stemless’ shoulders are very promising
and patients recover movement fully and much earlier
compared to the traditional stemmed implant surgery. |
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Reverse
Shoulder Arthroplasty (RSA)
Reverse Shoulder Arthroplasty is a major complex surgery and
has to be performed carefully to get the best outcome. The
patients recover full range of painless movements with very
short recovery time. Originally developed for cuff tear
arthritis, this procedure is now also performed in
clinically challenging conditions like previous unsuccessful
shoulder replacements, failed or neglected fracture
management, very bad fractures, dislocations and bone
tumors. |
B.
Elbow Arthroplasty
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Elbow is a
complex hinge joint with well matched surfaces and strong
ligaments. Arthritis occurs when the cartilage is damaged or
worn. This often follows a previous injury such as elbow
dislocation or fracture. Patients report with pain, grating
sensation, locking and stiffness.
Arthroscopic surgery is useful in early stages, when
stiffness or locking is a predominant issue. At arthroscopy,
we remove any loose bodies, debride the joint of any
inflammatory or dead tissues, smooth out irregular surfaces
and release the tight capsule. If the joint is severely worn
away or badly fractured, Total Elbow Arthroplasty is
indicated. With newer implants and appropriate patient
selection, the improvement in pain and function can be
dramatic. |
C.
Wrist
Arthroplasty and DRUJ replacement
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Wrist and Distal
Radio Ulnar Joint (DRUJ) arthritis can occur as a result of
wear and tear, injury or Rheumatoid disease. When this is
causing severe pain and dysfunction, it warrants surgical
treatment. In the past, this was only treated by fusing the
wrist. But, in the recent years, wrist replacement surgery
is getting popular as a successful option. |
D.
Hand and Finger
joint replacement
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Finger arthritis
is common in Rheumatoid arthritis. When the knuckle joints
are affected, this will cause severe pain and limitation of
hand function. This can be helped by MCP joint replacement,
which will restore mobility with good pain relief. Thumb
base arthritis and scaphoid related arthritis can be helped
by interposition arthroplasty. |
III.
Upper Limb Trauma
We specialize in
Shoulder, Elbow and Hand Trauma and utilize the latest
implants and technology to achieve excellent outcome. This
facilities very rapid return of function to the injured
shoulder or hand.
A. Shoulder & Elbow Trauma
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Acromioclacvicular Joint stabilization using tightrope
anchor system |
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Fixation of
proximal humeral fracture with locking plate system |
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Hemiarthroplasty
and Reverse Shoulder Arthroplasty for comminuted fracture of
shoulder |
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Fixation of
elbow fracture with locking plate system |
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Total Elbow
Replacement for comminuted fracture of elbow |
B. Wrist and Hand Trauma
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Fixation of
distal radius and ulna fracture |
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Percutaneous
scaphoid fixation and Non union surgery |
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Scapholunate and
perilunate ligament repair |
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Distal Radio-ulnar
joint stabilization |
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Fixation of
complex metacarpal and phalangeal fractures using compact
Hand system |
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Repair of Volar
plate injury and fracture dislocation of finger joints with
mini anchors |
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Repair of Ulnar
collateral ligament injury (Game Keeper’s thumb) |
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Repair of Mallet
finger |
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