Centre of Excellence: Department of Orthopedics and Orthopedic Surgery

The Department of Orthopedics check paper and Orthopedic Surgery grammatical at NBNC, approved Siliguri offers diagnostic and therapeutic services for the management of disorders of bones, joints and associated structures. The team of highly qualified and experienced surgeons are known for their skill in 300-101 exam performing joint replacement surgeries and keyhole surgeries. The services offered include medical and surgical care for bone and joint problems resulting from injuries, infections, nutritional or metabolic disorders. We constantly update our medical technologies to perform flawless operations and thereafter follow it up with the best in class post-operative care.

To succeed in life, you need three things: a wishbone, a backbone and a funny bone- Reba McEntire

Our Facilities

The department is supported by a radiological suite with X-ray and imaging facilities. Physiotherapy and rehabilitation services are available to restore the health and functional abilities of people after spinal cord disorders and injuries, amputation, joint replacement, sports injuries, fractures and ligament injuries. Orthopedic surgeons are part of the trauma team that is available round the clock to treat polytrauma patients.

Our Experience

We have proven experience and expertise in successfully completing several complex surgical procedures such as

• Total Hip Replacement A total hip replacement is a surgical procedure whereby the diseased cartilage and bone of the hip joint is surgically replaced with artificial materials.

• Cervical Discectomy Cervical discectomy is surgery to remove one or more discs from the neck. The disc is the pad that separates the neck vertebrae; ectomy means to take out.

• Tibia Plating And Nailing Plates and screws can be used to stabilize the reduced fracture fragments or an osteotomy in bones such as the tibia and fibula in the leg, the calcaneus, and the metatarsals in the foot.

• Femur Plating And Nailing A specially designed metal rod is inserted into the marrow canal of the femur. The rod passes across the fracture to keep it in position. An intramedullary nail can be inserted into the canal either at the hip or the knee through a small incision. It is screwed to the bone at both ends. This keeps the nail and the bone in proper position during healing.

• Vascularised Bone Grafting Vascularized bone grafts (VBGs) are techniques in the management of certain types of carpal pathology. VBGs have traditionally been advocated for conditions including delayed and nonunion of fractures and avascular necrosis. The concept of vascularized bone grafting has been shown to be effective in facilitating healing of difficult fractures, avascular necrosis, and nonunions of bone.

• TBW Patella Tension-band wiring is commonly used to treat transverse patella fractures. The most common configuration has parallel Kirschner (K) wires and a stainless steel wire loop placed in a vertically oriented figure of eight. Early mobilisation is important but can cause detrimental displacement at the fracture site.

• Amputations Amputation is the surgical removal of all or part of a limb or extremity such as an arm, leg, foot, hand, toe, or finger. The most common is poor circulation because of damage or narrowing of the arteries, called peripheral arterial disease. Without adequate blood flow, the body’s cells cannot get oxygen and nutrients they need from the bloodstream. As a result, the affected tissue begins to die and infection may set in.

• Dynamic Hip Screw (DHS) Or Sliding Screw Fixation It is a type of orthopaedic implant designed for fixation of certain types of hip fractures. which allows controlled dynamic sliding of the femoral head component along the construct. One of common use is internal fixation of intertrochanteric fracture of femur, which is common in old osteoporotic patient.

• Limb Lengthening Limb lengthening methods extend the length of bones (height); either growth stimulators administration or surgical operations (distraction osteogenesis). At this considerable results are possible only in artificial lengthening of lower extremities bones length by various construction devices.

• Surgery For Lumbar Disc Prolapse is to relieve nerve root irritation or compression due to herniated disc material. The usual indication for surgery is to provide more rapid relief of pain and disability in the minority of patients whose recovery is unacceptably slow.

• External Fixation Of Compounded Fractures An open fracture is a broken bone that penetrates the skin. This is an important distinction because when a broken bone penetrates the skin there is a need for immediate treatment, and an operation is often required to clean the area of the fracture. We have a full spectrum of spine care, from conservative measures and pain management 300-101 exam to minimally invasive procedures and large scale reconstruction of spinal deformity.

Microscopic Lumbar Disc Surgery A discectomy is a surgery done to remove a herniated disc from the spinal canal. When a disc herniation occurs, a fragment of the normal spinal disc is dislodged. This fragment may press against the spinal cord or the nerves that surround the spinal cord. This pressure causes the symptoms that are characteristic of herniated discs, including electric shock pain, numbness/tingling, and weakness. The surgical treatment of a herniated disc is to remove the fragment of spinal disc that is causing the pressure on the nerve.

• Cervical Disc Surgery A “cervical fusion” or a cervical disc surgery is the name for a surgical procedure that links together damaged segments of the vertebral column in the neck. This surgery is usually required when the cervical vertebrae — and the discs between each vertebrae — have become damaged as a result of an injury or chronic wear-and-tear. During surgery, the disc(s) between one or more vertebrae are removed, and bone growth is stimulated to link together adjacent vertebrae. Often, a metal device is used to stabilize the fusion until the bone growth is solid.

• Spinal Tumor Surgery A spinal tumor is an abnormal mass of tissue within or surrounding the spinal cord and spinal column. These cells grow and multiply uncontrollably, seemingly unchecked by the mechanisms that control normal cells. Spinal tumors can be benign (non-cancerous) or malignant (cancerous). Primary tumors originate in the spine or spinal cord, and metastatic or secondary tumors result from cancer spreading from another site to the spine. Indications for surgery vary depending on the type of tumor.

• Spinal Trauma Surgery Spinal cord trauma is damage to the spinal cord. It may result from direct injury to the cord itself or indirectly from disease of the surrounding bones, tissues, or blood vessels.

Spinal cord trauma can be caused by a number of injuries to the spine, including:

• Assault

• Falls

• Gunshot wounds

• Industrial accidents

• Motor vehicle accidents

• Sports injuries (particularly diving into shallow water) A spinal cord injury is a medical emergency that needs to be treated right away. The time between the injury and treatment can affect the outcome. Surgery may be needed to: • Remove fluid or tissue that presses on the spinal cord (decompression laminectomy). • Remove bone fragments, disk fragments, or foreign objects • Fuse broken spinal bones or place spinal braces • Spinal Instrumentation E.g. Pedicular Screws Cervical Plating, Lateral mass fixation etc. Spinal instrumentation utilizes surgical procedures to implant titanium, titanium-alloy, stainless steel, or non-metallic devices into the spine. Instrumentation provides a permanent solution to spinal instability. Medical implants are specially designed and come in many shapes and sizes. Typically these include rods, hooks, braided cable, plates, screws, and interbody cages. Cages are simply structures that support bones (either between bones or in place of them) while new bone growth occurs through and around them.

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