Orthopaedics

Faculties

Sl No.	Name of Faculty	Designation	Qualification	Research papers ongoing projects
1.	Dr. Vinod Kumar BP	Professor & HOD	PhD, M Phil, MS, DNB (Ortho)	1. Determinants of back ache a case control study at Riyad ,Saudi Arabia. Journal of evidence based medicine and health care 2017, Volume 4, issue 32.
				2. An epidemiological study among injury victims seeking service in a tertiary care centre in Kerala during 2008-2009.Journal of evidence based medicine and health care 2017, Volume 4, Issue 48.
				3. Determinants of bad outcome in spinal injuries -a case control study.Journal of evidence based medicine and health care 2017, Volume4, issue 51.
				4. Burden of Disease, Costing and Disability among injury victims in Kerala. IJSR 2017, Volume 6, issue 7.
				5. Central cord syndrome a clinical study. Journal of evidence based medicine and health care 2019, Volume 6, issue 30.
				6. Acromio-Clavicular injuries -a prospective clinical study at a tertiary care centre in Kerala during 2018-2019.International journal of scientific research. Volume 8, Issue7-2019.
				7. Risk factors associated with surgical site infection in hip fracture surgeries among geriatric population in a teritiary care centre IOSR-JDMS, volume22, Issue 6 Ser.2 (June 2023).
				8. Do all functional grafts give same functional outcome in the normal population after ACL reconstruction? IJISRT volume 8 - Issue 5-May 2023.
				9. Effectiveness of total knee replacement with posterior stabilised knee prosthesis-a prospective study JAMP volume 5, Issue 4, 2023.
2.	Dr. Sethu sivan			1. Cannulated percutaneous repair for closed tendo achilles rupture- alleppey technique, IJOS 2016; 2(3): 27-32 ISSN:2395-1958
				2. Stellate block using blunted needle as an OPD procedure in the symptomatic management of cervicobrachial neuralgia. IJOS 2016;2(4): 11-16 ISSN:2395-1958 DOI:10.22271/ortho.2016.v2.i4.003
				3. Functional Outcome and Safety of Percutaneous Trigger Thumb Release Journal of evidence based medicine and healthcare Date and year of acceptance 24-03-2021 Date and year of publication 10-05-2021 Volume 8 Issue 19
				4. Converting Universal External Fixator to Ilizarov frame Retaining the Original Schanz Pins in the Definitive Management of open Fractures- A Prospective Study European Journal of Molecular & Clinical Medicine (EJMCM) Date and year of acceptance 15-02-2023 Date and year of publication 15-03-2023 volume 10 Issue 4
3.	Dr. Alen Sigamani	Assistant Professor	MS (Orth)	1. Clinical study of ankle fracture and role of fibula fixation, journal. IJOS 2018;4(3):522-525 ISSN:2395-1958 DOI:10.22271/ortho.2018.v4.i3j.92
				2. Different management modalities in chronic osteomyelitis. IJOS2018;4(4):586-590 ISSN:2395-1958
				3. Hip fracture accelerated treatment track- An International RCT- Lancet 2020
				4. Hypotension vs hypertension analytical strategies - Poise 3
4.	Dr. Unnikrishnan	Assistant Professor	MS Ortho DNB Ortho	Outcome of tibial condyle fractures after fixation using buttress plate and screws (KOA Journal –June-2013)
5.	Dr. Pradeep	Assistant Professor	MS, DNB	Ongoing Projects 1. Clinical outcome come of multiple needle puncture techniques in the treatment of tennis elbow
				2. Results open surgical procedure in the management of TENNIS ELBOW
				3. Clinical outcome of P R P in the treatment of tennis elbow
6.	Dr. Jyothis George	Assistant Professor	MS(Ortho) DNB (Ortho) MRCS(Edinburgh)	1. Comparative Study Of Middle Third Clavicle Fracture Treated By Conservative And Operative Method Functional And Radiological Assessment - Dissertation Title Submitted to Kerala University Of Health Sciences 2016
				2. Micro Core Decompression With Intralesional Zoledronic Acid Infiltration For Treatment Of Osteonecrosis Of Hip A Novel Technique http://Dx.Doi.Org/10.18203/Issn.2455-4510.Intjresorthop20203060
				3. Covid 19 Awareness Among Final Year Medical Students A Questionnaire Based Study Doi: 10.37421/Ijphs.2020.5.193
				4. Mini Open Non Vascularised Fibular Graft Harvesting Without Using Any Specialized Instruments A Case Report https://doi.org/10.22271/ortho.2021.v7.i3g.2784
7.	Dr. Salim. M. P.	Associate Professor	MBBS-1989 DNB-2000
8.	Dr. Bindulal. V. A.	Associate Professor	MBBS-1988 MS - 2005
9.	Dr. Ramanujam. P.	Assistant Professor	MBBS-1992 MS-1997 DNB-1998 PhD - 1996
10.	Dr. Thomas Koshy	Assistant Professor	MBBS – 2001 MS – 2008

Patient Care Infrastructure OP

Orthopaedics Casualty

There is a dedicated Orthopaedics casualty in the Surgery Casualty area. 24×7 service is provided here. Closed manipulations under analgesia and plaster applications are done in the adjacent plaster room.

Male Ward

The male ward (ward no 4) has total number of 60 beds available for orthopedic cases.

Female Ward

The female ward(ward no 18) has total number of 30 beds available for orthopedic cases.

Post operative ward

Post operative ward for males (ward 5) is having 10 beds.

Post operative care cubicles for females is located in ward 18. Total number of beds available are 10.

Specialized Arthroplasty care rooms

Joint Replacement patients are taken care of in specialized areas to minimize postoperative infections. Three are three cubicles for female patients.

Patient Mobility

For patient mobility within the hospital enough number of wheel chairs and trolleys are available. Electric mobility vehicles are being planned in future.

Operating rooms

Modernized Exclusive Operation Theatres with foolproof sterile protocols are available where highly complex orthopaedic surgeries are performed. Maintaining high standards of work discipline and availability of hi tech equipments help us to provide unmatched patient care.

C Arm

Flash Autoclave

Arthroscope

Flash Autoclave

Academic Infrastructure

The institution of Govt TDMC is committed to generate highly trained medical professionals professionals. The Academic infrastructure is well suited to develop the knowledge and skills of students passing out from this institution.

The state of Art Seminar Halls with multimedia

We have Research lab, Academic office, Museum and Library to coordinate the academic activities.

Academic Activities

Undergraduate programme

4th semester, 6th semester and 9th semester students are posted in the department as per the academic programme of the KUHS and are given clinical training. students get experience to examine and present orthopedic cases. Regular seminars and clinical discussions are conducted. With adherence to the academic protocol of the department the students get good clinical experience.

Postgraduate courses

The department trains 1 MS (Orthopaedics) and 2 diploma in orthopedics students per year.

Post graduate training

Postgraduates are exhaustively trained to master the discipline. They have regular clinical discussion, seminars, paper presentations in conferences. They have regular mock exams in theory. There is a skill lab which is going to be upgraded. Students initially do orthopaedic procedures in synthetic bone and mannequin. subsequenty they assist orthopedic surgeries and hands on training is given by faculty.

Research Activities

Hip Attack Randomised control trial

The department is participating in this International Randomised control trial involving nearly 12 countries and 60 centres .This study is being done by a cardiologist of Canada to study mortality in elderly patients with low velocity Hip fractures. The sponsor of this study is PHRI(Population Health research Institute) a Govt of Canada Public health research organisation based in Toronto.

GTDMC Joint Registry Database

In accordance with the increased demand and continually upgraded infrastructure and manpower the department is able to perform large number of joint replacement surgeries. The department has started a joint register with access to authorised personnel only.

Post graduate training

Department Review Meetings

There is weekly department clinical meeting every Tuesday with clinico radiological discussions case presentations and other academic activities. Attendance Has been made mandatory for post graduate students and faculties.

Faculty Improvement Programmes

As per the government norms regular faculty training and other improvement programmes are conducted regularly.

Patient Care Activities

OPD starts functioning at 8 am. When the inpatient visits by the faculty is over the full fledged functioning of OPD will starts. There are three OPD cubicles where the unit chief, associate, assistant professors and rest of the faculty can be consulted. The head nurse in charge of OPD, grade 2 attendants, and nursing assistants help in providing OPD services. Token system will be implemented in the near future

OP procedures

Inpatient Department

MDICU

Beds assigned to orthopaedic patients are available in the advanced multi disciplinary ICU.

Trauma Care

The trauma care unit with international system of training is being implemented in the casualty.The surgical casualty is being upgraded with central aid. A new trauma ICU being opened
Orthopaedic Surgeries preformed
Regular Trauma surgeries
Arthroplasty - Total replacement arthroplasties of hip, knee, shoulder and elbow
Image guided minimal access surgeries – closed pinning closed nailing and other minimal access open reduction surgeries
Arthroscopy Various arthroscopic surgeries of knee and shoulder
Spine Surgeries – Laminotomies, Intervertebral disc surgeries,Spine fusions, Scoliosis correction surgeries
Ilizarov methodology and deformity correction – Limb lengthening procedures,3 dimensional complex deformity corrections
Tumor surgeries - Radical and limb salvage surgeries,Tumor resection and custom made prosthesis implantation
Pelvi acetabular surgeries – complex pelvi acetabular trauma internal fixations
Day care minor surgical procedures like carpal tunnel release, deroofing procedures are performed on routinely in the minor operation theatre

Achievements

Future projects

Surgical sports injury centre – arthroscopy and minimal access surgeries
Specialised Arthroplasty units dedicated to Individual Joints
Orthopaedic oncology department
Advanced limb length and deformity correction unit
Paediatric Orthopaedics unit
Hand Surgery unit
Foot and Ankle Surgery unit
Spine unit (trauma and deformity)
Early total fracture care (24×7 total surgical care for all hemodynamically stabilized fractures)
Computer Assisted and Robotic arm orthopedic surgery facility
Cartilage repair and other cell based therapy facility
Orthopaedic Research Center - (Implants and prosthesis research Epidemiological studies, surgical technique research, protocol formulations etc)
Orthopaedic Rehabilitation Centre
Orthopaedic Nurses Training Centre
The Media, Information and publications centre
Cadaveric and synthetic model based training centre at the medical college near department of Anatomy
State bone bank and bone graft substitute facility

A premium institution to provide authentic bone grafts and substitutes to different surgical facilities in the state who perform limb defect reconstruction and tumor reconstruction surgeries
Different projects have been submitted to authorities and are being discussed

Send your queries to – tdmcortho@gmail.com

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