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Orthopedics

Department of Orthopaedics is one of the busiest departments in Government TD Medical College Alappuzha. Being the only Hospital in Alappuzha providing round the clock Orthopedic Casualty Services, the department has envisioned treatment protocols and formulated different project proposals to materialize it’s dream project of ‘Early Total Fracture Care’ in the near future.

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.

Faculties

Sl. No.
Name of Faculty
Qualification
IMR Number
Current Designation & Date of Promotion
Nature of Employment
Details of Service in the Last 5 Years
Name of Lectures taken/ year
1.
Dr. Binoy S
DNB ORTHO
NA
Permanent
2.
Dr. Alen Sigamani
MS Orthopedics
NA
Associate professor (CAP)
Permanent
Assistant professor, orthopedics, Govt TDMC Alappuzha from 07/07/2010
150
3.
Dr. Sethu S
MS (Orthopaedics)
Not Available
Associate Professor (CAP) 2/7/2017
Permanent
Asst professor, orthopedics, Govt TD Medical College, Alappuzha from 02/07/2010 till date
150
4.
Dr. Shiju Majeed A
MS, Dnb
Not Available
Asst Professor (cadre)01.10.2007
Permanent
Asst professor, orthopedics, Govt medical College, Thiruvananthapuram 01.10.2007
150
5.
Dr. Bindulal. V.A
MS Ortho
NA
Associate professor (cap)19/6/2013
Permanent
Asso professor, orthopedics, Govt Medical College, Alleppey from 19/6/2013 till date
150
6.
Dr. Mathunny Manesh Steph
DenNB
NA
Assistant Professor (cadre) 17/7/2014
Permanent
Asst professor, orthopedics, Govt Medical College , Alleppey from 17/7/2014
150
7.
Dr. Muhammed Sameeh
MS orthopaedics
NA
Assistant professor (cadre)18/07/2014
Permanent
Assistant professor, orthopaedics, Govt.Medical college, Alleppey from 18/07/2014
150
8.
Dr. Thomas Koshy
MS orthopaedics
NA
Assistant professor(cadre) 12/10/2017
Permanent
Assistant professor, Govt medical college, Manjeri from 12/10/2017 to 20 /12/2018
150
9.
Dr. Unnikrishnan J
MS,DNB
NA
Assistant professor (11/7/2014)
Permanent
Assistant professor, Govt (TD)Medical college Alappuzha from 11/7/2014 till date
150
10.
Dr. Mohamed Ashraf
MS Ortho, DNB
NA
Professor(30/04/2014)
Permanent
PROFESSOR, dept of orthopaedics, govt TD medical College Alleppey, Kerala
150
11.
Dr. Salim M P
DNB
NA
Associate professor(30/04/2013)
Permanent
Associate professor, orthopaedics, govt TD medical College Alleppey, kerala
150
12.
Dr. Joseph Dickson Olivero
MS Ortho
NA
Assistant professor 13/01/2016
Permanent
Assistant professor, orthopaedics, govt TD medical College Alleppey
140
N.B.
1. Publications by faculty should be attached as annexure.
2. Publications should be quoted in Vancouver referencing style.
3. Medical Educator Training/ research methodology and dates
*To be updated every new session/academic year
**To be updated on 1st October each year

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
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.

Presentations and Publications

Dr. Mohammed Ashraf ; Evidence Based Med. Healthc., pISSN- 2349-2562, eISSN- 2349-2570/ Vo.l. 3/Issue 31/Apr. 18, 2016; calcar preserving osteotomy in cemented bipolr hemiarthroplasty in unstable trochanteric fractures.

Dr. Mohammed Ashraf ;Indian journal of applied research; vol 6 ;issue 4;april 2016;452-455; Use of poller screw in the management of distal tibial fractures fixed with intramedullary nails.
Dr. Mohammed Ashraf ; Journal of evolution of medical and dental science ., eISSN -2278-4748/vol.5/Issue 57 /July 21,2016 ; The Role of Synovectomy in Total knee arthroplasty ; A Prospective analysis of 30 Cases.
Dr. Mohammed Ashraf ; International Jouranl Of Orthopaedic Science Cannulated Percutaneous Repair for closed Tendoachilles Rupture –Alleppey Technique.Dr Mohammed Ashraf ; tensor fascia lata muscle pedicle grafting for avascular necrosis femoral head Dr Mohammed Ashraf ; the use of vacuum-assisted wound closure in musculoskeletal injuries
Dr. Mohammed Ashraf ; percutaneous fasciotomy in impending compartment syndrome-a prospective study of 25Dr Sethu s stellate block using blunted needle as an opd procedure in the symptomatic management of cervicobrachial neuralgia
Dr. Sethu S percutaneous fasciotomy in impending compartment syndrome-a prospective study of 25
Dr. Maneesh Stephen; JBJS 2011, british volume, vol 93-B,issue 6, 782-789,complications and outcome of tibial lengthening using ilizarov method with or without a supplementary IM Nail.
Dr. Maneesh Stephen ; Archives of Orthopaedics and Trauma Surgery Vol 131, Oct 2011, number 10 ,1333-1340.
Dr. Unnikrishnan. Outcome of tibial condyl fractures after fixation using buttress plate and screws (KOA Journal –June-2013)
Dr. Mohammed Sameeh stellate block using blunted needle as an opdprocedure in the symptomatic management of cervicobrachial neuralgia
Dr. Vinod Kumar B.P: BURDEN OF DISEASE, COSTING AND DISABILITY AMONG INJURY VICTIMS IN KERALA.
Dr. Vinod Kumar B.P: BURDEN OF DISEASE, COSTING AND DISABILITY AMONG INJURY VICTIMS IN KERALA.
Dr. Vinod Kumar B P : DETERMINANTS OF BAD OUTCOMES IN SPINAL INJURIES A CASE CONTROL STUDY.

AN EPIDEMIOLOGICAL STUDY AMONG INJURY VICTIMS SEEKING SERVICE IN A TERTIARY CARE CENTRE IN KERALA DURING 2008-2009.

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

Achievements

Future projects

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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