The Department of Orthopedics of Sri Ramakrishna Hospital has been functioning since 20years. This department has been providing all Trauma care with Poly Trauma, Spine and joint replacement services like Total Hip Replacement, Total Knee Replacement etc., exclusive State – of – the – Art Operation Theatre with fracture table and image intensifiers for early fixation of fractures and highly specialised sub speciality faculty to tackle the entire spectrum of Orthopedics.

MEDICAL OFFICERS
Dr.S.Rathinavel, M.S.,(Ortho)
Dr.G.Balasubramanian, M.S.,(Ortho)DNB.,(Ortho) FRCS(ED), FRCS(Ortho)

Visiting consultants
Dr.D.Balachander, M.S., (Ortho)

Diagnostic facilities
Arthroscopy
Skeletal radiography
CT Scan
MRI
Angiogram
Ultrasound

Operation theatre facilities
State of art operation theatre equipped with fracture table and semen’s image intensifier.

PROCEDURES
Arthroscopy Shoulder Diagnostic, Aebivedement, Repair for recurrent dislocation.
Menisectomy-partial/subtotal
Meniscal repair
ACL reconstruction
PCL reconstruction
Debridement
Total Hip Replacement
Hip Resurfacing
Birming ham hip resurfacing
Total Knee Replacement
Joint Replacement Arthroplasty
Interlocking Nailing – Humerus/Femur/Tibia
Internal fixation of Fore – arm bones
Management of Open Muscular Skeletal Inuries
Hand injuries
Ring Fixation – for limb lengthening / for correction of deformity / for treatment of non-unions.
Spinal surgeries – Discectomy/Fixation of Fractures/Spondylolisthesis correction/Tumour Management
Correction of congenital foot Deformities in children.

Mr.G.D is a retired tour operator from Jacksonhole wyoming state USA. He was suffering from Right hip Osteo Arthritis for the past 4 years. He could not sleep peacefully and had to stop skiing because of Arthritis. He came to Hip Resurfacing center Sri Ramakrishna hospital coimbatore India. His right hip was resurfaced successfully.

THE BIRMINGHAM HIP RESURFACING

THE NEW REVOLUTIONARY TREATMENT FOR ARTHRITIS

Dr. G. Balasubramanian
MS(Orth) DNB(Orth) FRCS(Ed) FRCS(Tr & Orth) UK
Consultant Orthopaedic surgeon
Center for Hip Resurfacing and Joint Replacement
Sri Ramakrishna Hospital
Coimbatore 641 044 India

Management of Advanced Hip arthritis in young patients is a challenging problem. In India, unlike western world hip the problem is more common in young people due to variety of causes. This ofcourse is a crippling condition depriving most productive years of life with the co-attendant grave financial social and psychological implications. Conventional Total Hip Replacement does not give satisfactory results and proved to be a failure in young and active people.

Dr. Dereck McMinn and Dr. Ronan Treacy at Birmingham United kingdom managed to fine an effective and elegant solution to this difficult and disabling problem. The hip resurfacing concept which they have developed has presently transformed the lives of many young arthritics worldwide.

This treatment has reached India now and it is available in Sri Ramakrishna Hospital Coimbatore. The regional hip resurfacing center has been launched at Sri Ramakrishna Hospital Coimbatore.

Birmingham Hip Resurfacing was developed at the Royal Orthopaedic Hospital in Birmingham, U.K. The procedure is being carried our successfully here for past 14 years

 

Avascular Necrosis both Hips	After resurfacing

Salient Features of BHR

1. Excellent restoration of full function
2. Patients can squat and sit on the floor and even use Indian toilets
3. Preservation of bone stock (Bone Conserving surgery)
4. Minimally Invasive Surgery
5. Femoral head viable after BHR surgery
6. Faster rehabilitation and early discharge from hospital
7. Theoretically everlasting hip
8. Fluid film lubrication is demonstrated in this metal on metal articulation
9. Almost no dislocation of hip after surgery
10. Many adolescent patients have undergone this procedure safely
11. BHR allows the patient to do all types of sporting activities

Normal function restroed after hip resurfacing

Squatting	Sitting on the floor

Indications for BIRMINGHAM HIP RESURFACING

1. Avascular Necrosis of femoral head
2. Primary Osteoarthritis
3. Secondary Osteoarthritis
4. Rheumatoid Arthritis
5. Arthritis following Acetabular fracture
6. Ankylosing Spondylitis
7. Old perthes disease
8. Dysplastic hip

Patient water Sking after undergone Hip Resrufacing

Old acetabular fracture	After Hip resurfacing

Documented activities that patients have pursued after having undergone Hip Resurfacing.

 * weight Training . Motorcycling . Rock climbing . Mountain Biking
 * Paragliding . Aerobics . Rugby . Judo . Squash . Motor car racing

The London Marathon
European Masters judo championship
The world Seniors squash championship

I have my life back again Thanks to Birmingham Hip Resurfaacing - Mr.Rautola from Dehradun

EXCELLENT PUBLISHED RESULTS

99.8% Survival rate upto 8 years follow up. Out of 440 BHR only one failure. The extremely low rate of failure inspite of the resumption of high level occupational and leisure activities provides evidence of the suitablility of the Hip Resurfacing for young and active patients.
- Mcminn et al JBJS(B) March 2004

RSA analysis have shown that BHR is a stable device and it is likely to perform well in the long term.
- Giyn Jones et al JBJS(B) March 2004

Osteo Arthritis left hip	After Resurfacing

‘Hip Resurfacing is a separate technology to Total Hip Replacement and needs special training to perform’
- National Institute of Clinical Excellence, UK

‘BHR is a demanding surgery and requires very exacting technique ’
Personal intensive training at Birmingham is essential before a surgeon can attempt the Birmingham Hip Resurfacing Procedure
- Dereck McMinn

Dr.Balasubramanian with Dereck McMinn who invented Birmingham Hip Resurfacing	Dr.Balasubramanian has been personally trained by Dr.Ronan Treacy - Co-inventor of Birmingham Hip Resurfacing at Birmingham

Dr. G. Balasubramanian has worked in United Kingdom for nearly 10 years. He got trained in Internationally renowned centres including The Robert Jones and Agnes Hunt Orthopaedic Hospital at Oswestry, Hartshill orthopaedic and regional Trauma center, Addenbrooks Hospital Cambridge and The Royal orthopaedic Hospital Birmingham where Birmingham Hip Resurfacing developed.

Dr. G. Balasubramanian is one of the teaching faculty involved in training other surgeons this new procedure in India.