Orthopaedics

The Department of Orthopaedics at Amrita Hospital, Kochi is committed to delivering comprehensive treatments for muscle, bone, and joint disorders. With a specialized focus on areas such as Joint Replacement, Orthopaedic Trauma,Spine Surgery, Sports Medicine, Shoulder Surgery ,Orthopaedic Oncology, and Paediatric Orthopaedics, we ensure that our patients receive the highest quality care tailored to their needs.

In addition to our specialized services, we take pride in catering to patients from diverse regions, including the entire Indian Subcontinent, the Middle East, North Africa, and West Africa, as well as patients from across India. Our commitment to providing top-notch Orthopedic care extends beyond geographical boundaries, ensuring that individuals from various backgrounds have access to advanced treatments and compassionate care.

Choose Excellence. Choose Us.

When you choose our Orthopedic department, you're not just selecting a healthcare provider—you are partnering with a dedicated team that is committed to achieving the best possible outcomes for you. Contact us today to learn how we can assist you in your journey to better health and mobility.

Complex Orthopedic Trauma

We handle the most challenging cases with precision and innovative surgical approaches, ensuring optimal outcomes for severe injuries.

General Orthopaedics

Our team offers expert diagnosis, treatment, and management of a broad spectrum of musculoskeletal disorders, from acute injuries to chronic musculoskeletal diseases.

Pediatric Orthopaedics

Focused on the unique needs of children, our pediatric orthopedic services offer compassionate and specialized care to our youngest patients, ensuring their healthy growth and mobility.

Arthroscopy and Sports Medicine

Utilizing the latest minimally invasive techniques, we treat and rehabilitate sports and activity-related injuries, helping athletes of all levels return to peak performance.

Shoulder Surgery

From complex shoulder reconstructions and arthroplasties to minimally invasive arthroscopic procedures, our surgeons provide personalised treatments tailored to each patient's specific needs.

Spine Surgery

Our spine surgery division provides comprehensive care for patients with various spinal conditions, offering both surgical and non-surgical solutions. Many spinal diseases can be effectively managed without surgery, and our patient-centric approach ensures that treatment plans are tailored to each individual's needs, with patients actively involved in decision-making.

Our team of experienced spinal surgeons covers the full spectrum of spinal disorders, from the cervical spine to the coccyx (neck to tailbone), ensuring the best possible solutions for our patients.

Musculoskeletal Oncology

Our oncology specialists provide advanced care for patients dealing with musculoskeletal tumors, focusing on both surgical and non-surgical treatments.

Complex Foot Reconstruction

We tackle a wide range of foot deformities and injuries, employing innovative techniques to restore functionality and alleviate pain.

The array of conditions we treat is expansive, encompassing a broad spectrum of diseases that include, but are not limited to, the following:

Mako Robotic-Arm Assisted Arthroplasty

• Hip and knee Osteoarthritis
• Hip and knee Rheumatoid Arthritis
• Post-traumatic arthritis of Hip and Knee
• Avascular necrosis of the Hip and Knee
• Hip dysplasia (requiring Total Hip Replacement)
• Complex primary and revision Joint Replacements
• Dysplastic conditions requiring Joint Replacement
• Post-infectious reconstruction of the Hip and Knee
• Knee ligament reconstructions alongside Arthroplasty
• Bone loss management in Joint Replacement

Complex Orthopedic Trauma

• Crush injuries
• Polytrauma
• Complex fractures (including pelvic and acetabular fractures)
• Limb salvage procedures
• Compartment syndrome
• Open fractures
• Complex soft tissue reconstruction
• Non unions and Malunions
• Post-traumatic reconstructions

General Orthopedics

• Bursitis (e.g., hip, knee, elbow, shoulder)
• Osteoporosis
• Tendonitis and sprains
• Rheumatoid Arthritis
• Deformity correction
• Muscular dystrophy
• Chronic musculoskeletal pain
• Amputations and prosthetic fitting

Pediatric Orthopaedics

• Congenital deformities (e.g., clubfoot, congenital hip dysplasia)
• Juvenile idiopathic arthritis
• Growth plate injuries
• Limb length discrepancies
• Developmental disorders affecting bones, joints, muscles (e.g., cerebral palsy)
• Slipped capital femoral epiphysis
• Perthes disease
• Spondylolysis and spondylolisthesis
• Pediatric fractures
• Pediatric sports injuries

 Arthroscopy and Sports Medicine

• Anterior Cruciate Ligament (ACL) and Posterior cruciate Ligament (PCL)injuries
• Collateral ligament injuries
• Meniscal tears
• Shoulder impingement and rotator cuff tears
• Tennis elbow (lateral epicondylitis)
• Ankle sprains
• Patellar instability and dislocations
• Achilles tendon injuries
• Overuse injuries (e.g., runner's knee, swimmer's shoulder)
• Articular cartilage injuries

 Shoulder Surgery

• Rotator cuff tears
• Adhesive capsulitis (frozen shoulder)
• Shoulder dislocation and instability
• Acromioclavicular joint disorders
• Shoulder arthritis and total shoulder arthroplasty
• Proximal humerus fractures
• Cuff tear arthropathy – Reverse Total Shoulder Arthroplasty
• Clavicle fractures
• Labral tears (SLAP tears)
• Bicep tendon rupture
• Calcific tendinitis

 Spine Surgery

• Herniated discs
• Spinal canal stenosis
• Scoliosis, Kyphosis and other complex spinal deformities
• Spinal fractures
• Chronic low back and neck pain
• Degenerative disc disease
• Spinal tumors and metastases
• Spinal cord injuries
• Cervical radiculopathy and myelopathy
• Spinal infections
• Osteoporotic compression fractures
• Minimally invasive spine surgery
• Navigated spine surgery

 Musculoskeletal Oncology

• Soft tissue sarcomas
• Myeloma bone disease
• Bone cysts and benign tumours like fibroma
• Pathologic fractures due to cancer
• Palliative care for musculoskeletal cancer pain

 Complex Foot Reconstruction

• Bunions (hallux valgus)
• Hammertoes
• Charcot foot deformity
• Tarsal tunnel syndrome
• Severe flatfoot or high-arch deformities
• Severe diabetic foot complications (e.g., ulcers, infections)
• Post-traumatic reconstruction of the foot
• Reconstructive surgery following tumor removal
• Foot drop correction
• Reconstructive surgery for severe infections and gangrene

The orthopedic department can offer a variety of outpatient services that cater to diagnosing, treating, and managing various musculoskeletal disorders without the need for hospital admission. These services are designed to be convenient, efficient, and less intensive than inpatient procedures, allowing patients to return home the same day. Here are some common outpatient services provided by an orthopedic department:

1. Consultations and Evaluations

• Initial assessments to diagnose conditions.
• Follow-up visits for ongoing care management.

2. Diagnostic Imaging

• X-rays to diagnose fractures and dislocations.
• MRI scans for detailed images of bones, joints, and soft tissues.
• CT scans for a detailed view of the bone and spinal structures.
• Ultrasound for tendon, muscle, and soft tissue injuries.

3. Physical Therapy and Rehabilitation

• Customized physical therapy programs to recover from injuries or surgeries.
• Rehabilitation services to enhance mobility and strength.

4. Injection Therapies

• Corticosteroid injections to reduce inflammation and pain in joints.
• Hyaluronic acid injections for osteoarthritis.
• Platelet-rich plasma (PRP) injections to promote healing in injured tissues.
• Nerve root block procedures (Transforaminal epidural steroid injection
• Facet joint injections

5. Minor Surgical Procedures

• Carpal tunnel release.
• Trigger finger release.
• Minor implant removal

6. Pain Management

• Medical management of chronic Musculoskeletal pain.
• Nerve root block procedures (Transforaminal epidural steroid injections)

7. Fracture Care and Cast Clinic

• Treatment for minor fractures and sprains.
• Casting, splinting, and bracing services.

8. Sports Medicine Services

• Injury prevention advice and screenings.
• Treatment and management of sports-related injuries.

9. Orthotic and Prosthetic Services

• Evaluation and fitting for braces and supports.
• Prosthetic care for limb deficiencies.

10. Preventive Care and Education

• Workshops on how to prevent common injuries.
• Education about bone health and osteoporosis prevention.

These outpatient services enable the Orthopedic department to provide comprehensive care covering all aspects of musculoskeletal health, ensuring that patients receive the most effective treatments quickly and efficiently. This approach also aids in reducing healthcare costs and improving patient convenience and satisfaction

Patient-Centered Approach

• Individualized Care: We believe each patient deserves a unique treatment plan. Our dedicated team takes the time to listen to your concerns, explain your options, and support you throughout your treatment and recovery process, ensuring your experience is as comfortable and effective as possible.

Research and Innovation

• Commitment to Advancement: As a leader in orthopedic research, we continuously participate in clinical trials and studies to refine existing procedures and develop new techniques. This commitment to innovation means our patients benefit from the most current and effective treatments available.

Successful Outcomes

• Proven Track Record: Our department is recognized for its high success rates in surgical and non-surgical treatments for a wide range of orthopedic conditions. Our focus on quality and continuous improvement ensures superior results for our patients.

Accessibility and Convenience

• Easy Access to Services: With flexible scheduling, multiple locations, and a range of outpatient services, we make it easy for you to access the care you need without significant disruption to your daily life.

Educational Support

• Empowering Patients: We are committed to educating our patients about their conditions and treatment options. We offer workshops, detailed resources, and patient education materials to empower you to make informed decisions about your health care.

Community Involvement

• Dedicated to the Community: Our department is actively involved in community outreach and education programs, aiming to promote healthy lifestyles and prevent injuries within the community we serve.

1. Expertise and Specialization

• Highly Qualified Team: Our department boasts a team of orthopedic surgeons who has sub-specialty training in areas such as sports medicine, spine surgery, pediatric orthopedics, and joint replacement. This specialized expertise ensures that you receive the most sophisticated and appropriate care for your specific condition.

2. Cutting-Edge Technology

• Advanced Treatment Options: We utilize the latest advancements in medical technology, including robotic-assisted surgery, minimally invasive techniques, and state-of-the-art imaging services, to enhance accuracy in diagnosis and treatment, leading to better outcomes and faster recovery.

3. Comprehensive Care

• Integrated Services: From initial consultation and diagnostic testing to treatment and rehabilitation, our center provides a full spectrum of orthopedic care. We coordinate closely across different specialties to ensure that your care plan is seamless and tailored to your individual needs.

Advanced Joint Replacement Services for Shoulder, Hip, Elbow, Knee, and Ankle Arthroplasties

We specialize in comprehensive Joint Replacement services, offering advanced treatments for Shoulder, Hip, Elbow, Knee, and Ankle Arthroplasties. Our team of expert Orthopedic Surgeons utilizes state-of-the-art techniques and technology to provide personalized care for each patient.

From diagnosing joint conditions to post-surgical rehabilitation, we are dedicated to restoring mobility and improving quality of life. Our services encompass a range of joint replacement procedures, including

1. Shoulder Arthroplasty: We offer total and partial and reverse shoulder replacements to address conditions such as osteoarthritis, rotator cuff tears, and shoulder fractures, restoring function and relieving pain.
2. Hip Arthroplasty: Our hip replacement surgeries are tailored to each patient's needs, whether it's a total hip replacement for severe arthritis or hip resurfacing for younger, active individuals.
3. Elbow Arthroplasty: For conditions like rheumatoid arthritis or severe elbow fractures, our elbow replacement procedures aim to alleviate pain and restore joint function, enabling a return to daily activities.
4. Knee Arthroplasty: We specialize in total knee replacements, partial knee replacements, and knee revisions to address conditions like osteoarthritis and ligament injuries, promoting improved mobility and stability.
5. Ankle Arthroplasty: Our ankle replacement surgeries provide relief for patients with end-stage ankle arthritis or chronic ankle instability, restoring movement and reducing discomfort.

With a focus on patient safety and comfort, we provide comprehensive pre-operative evaluations and utilize advanced surgical techniques for optimal outcomes. Our team works closely with patients throughout the rehabilitation process, offering tailored physical therapy and support to facilitate a smooth recovery.

Hand and Microvascular Surgery

• Expertise in microvascular procedures for hand injuries, congenital deformities, arthritis, degenerative disorders, infectious diseases, and reimplantation.
• Joint replacement of the wrist.

Spine Surgery

• Tailored Care: Our spine surgery division offers tailored care for spinal conditions, providing both surgical and non-surgical solutions.
• State-of-the-Art Technology: Equipped with cutting-edge technology like CT Navigation, Intra-operative Neuromonitoring, Ultrasonic Bone Scalpel, Bone Burr, and Advanced Operating Microscope, we ensure precise and safe surgeries.
• Minimally Invasive Techniques: We specialize in minimally invasive techniques, such as Keyhole surgeries, promoting quicker recovery and reduced risks for patients.

Musculoskeletal Tumours

• Surgical treatment of muscle and bone tumours in close collaboration with Cancer Centre.
• Limb salvage surgery as treatment of choice for malignant lesions of long bones, spine, and pelvis. This includes total excision, bone grafting, and limb reconstruction.

Physical Medicine and Rehabilitation

• Physician-supervised rehabilitation for conditions such as stroke, spinal cord injuries, joint replacement and amputation.
• Outpatient and inpatient care for acute mobility problems.

Orthopaedic Trauma

• Orthopaedic surgeons specializing in minimally invasive surgery and advanced reconstructive procedures.

Arthroscopic (Key-hole) Surgery & Sports Medicine

• Keyhole surgery of the knee joint for meniscal repairs, anterior and posterior cruciate ligament reconstruction,, biopsies, knee cap dislocations, MPFL reconstruction, popliteal cyst management, etc
• Excellent care in sports related injuries of the joints and ligaments.
• Comprehensive Diagnosis: Our shoulder surgery services begin with a thorough evaluation and diagnosis of various shoulder conditions, such as rotator cuff tears, shoulder dislocations, and shoulder arthritis.
• Advanced Technology: Equipped with state-of-the-art equipment like arthroscopic cameras and advanced MRI imaging, we ensure precise and effective shoulder surgeries tailored to each patient's specific diagnosis.
• Enhanced Recovery: Through minimally invasive techniques and personalized rehabilitation plans, we promote faster recovery and improved functional outcomes, allowing patients to regain mobility and return to their daily activities with confidence.

Division of Ilizarov and Limb Reconstruction and Deformity Correction

• Correction of congenital deformities like club foot, congenital rocker bottom foot and club hand on a routine basis.
• Expertise in management of deformities, limb length inequality, as well as sequele of fractures and infections by Ilizarov technique is available.

Division of Paediatric Orthopaedics

• Dedicated unit for treating all musculoskeletal problems in children including paediatric trauma, congenital malformations, metabolic diseases and genetic abnormalities
• Treats conditions such as club foot, congenital dislocations, pseudarthrosis, birth injuries, and other congenital deformities

Paediatric Neuromuscular Division

• Caters to the orthopaedic correction of deformities in children who are differently abled due to neuromuscular disorders like cerebral palsy, myopathies, muscular dystrophies, spina bifida, arthrogryposis, peripheral neuropathy, traumatic brain injury etc.
• The neuromuscular management clinic includes the Neurologist, Physiatrist and the Orthopaedic Surgeon.

Daycare Surgery

• Facilities available for daycare surgery for various conditions in spinal disorders, joint problems, and fractures.
• The system is designed to take into consideration patient comfort and convenience.

Our philosophy drives us to be leaders in orthopedic care, continuously advancing the field and setting benchmarks for excellence. We are committed to the health and satisfaction of our patients and to maintaining their trust as we guide them through their journey to recovery and beyond.

Orthopedic Residency Program: For over two decades, our orthopedic department has been offering a renowned residency program, shaping skilled orthopedic surgeons who are making significant contributions worldwide.

Alumni Success: Our alumni from the residency program have excelled globally, demonstrating excellence in orthopedic practice and research across diverse healthcare settings.

Continuing Education: The department organizes annual academic events like the Amrita Fracture Course and Amrita Bone Tumor Courses, providing cutting-edge knowledge and skills to orthopedic professionals.

 Specialized Workshops: We conduct periodic workshops such as live robotic arthroplasty surgery workshops and cadaveric workshops in arthroscopy and pelvi-acetabular trauma, empowering surgeons with advanced techniques and hands-on experience.

Our facility is proud to be recognized as an ISAKOS-approved training center, specializing in arthroplasty and sports medicine. Each year, we select two fellows for an intensive training program, where they have the opportunity to work alongside leading specialists and gain hands-on experience in cutting-edge techniques. This prestigious program aims to cultivate expert surgeons equipped to advance the field of orthopedics both locally and globally.

The Orthopedic Department focuses on issues related to the musculoskeletal system, including bones, joints, muscles, ligaments, tendons, and nerves. Patients and their families often have numerous questions when they visit an orthopedic department. Here are some of the most frequently asked questions:

The Department of Orthopedics is affiliated with prestigious international organizations, such as the International Society of Arthroscopy, Knee Surgery, and Orthopedic Sports Medicine (ISAKOS), and is recognized as an AO Spine Centre.

The department actively participates in international research collaborations, such as the Indo-Korea joint project on "Injectable Immunomodulatory Cryogels for the Treatment of Avascular Bone Necrosis," supported by the Department of Science and Technology (DST) of India and the National Research Foundation of Korea (NRF).

• Amrita became the first institution in India to introduce MAKO Robotic-Arm Assisted Knee and Hip Replacement Surgery in 2017.
• India’s first Robotic-assisted Joint replacement centre
• Only centre with advanced MAKO Robot for Arthroplasty in Kerala (2024) And to successfully complete 1000 Robotic joint replacements
• Pioneers in India for Intraoperative CT-Based Spine Navigation.

The Centre runs the following specialty clinics from Monday to Saturday:

• Joint Replacement & Revisions Clinic
• Arthroscopy and Sports Injury Clinic
• Spine Surgery Clinic
• Shoulder surgery Clinic
• Musculosketal Tumour Clinic
• Orthopaedic Trauma Services Clinic
• Limb preservation and Ilizarov surgery Clinic
• Paediatric Orthopaedic Clinics

Accurate assessment and diagnosis of Orthopaedic conditions necessitates specialized medical expertise. At Amrita Hospital, Kochi, our orthopedists possess exceptional proficiency in employing the latest techniques to ensure precise diagnoses.

Upon conducting a comprehensive physical examination, evaluating the patient's medical history profile, and thoroughly discussing their symptoms, appropriate diagnostic tests are recommended based on their specific condition. The Amrita Hospital, Kochi Radiology Department offers a range of diagnostic imaging tests, which include:

• X-ray: This diagnostic test employs invisible electromagnetic energy beams to capture images of internal tissues, bones, and organs onto film.
• Arthrogram: An x-ray procedure that allows visualization of bone structures after injecting a contrast fluid into a joint area. Fluid leaks may indicate tears, openings, or blockages.
• Magnetic Resonance Imaging (MRI): Utilizing a magnetic field and radio wave energy pulses, this procedure generates detailed pictures of organs and structures inside the body.
• Computed Tomography Scan (CT or CAT Scan): Combining x-rays with computer technology, this imaging technique produces highly detailed images of various body parts, including bones, muscles, fat, and organs.
• Electromyography (EMG): Involving the placement of a needle in the muscle, EMG records and analyzes the electrical activity within the muscle.
• Ultrasound: This non-invasive diagnostic technique uses high-frequency sound waves to create images of the internal organs.
• Arthroscopy: A minimally invasive procedure wherein a tiny tube fitted with a miniature camera (arthroscope) is inserted into the joint, allowing the surgeon to examine joint damage or disease. If required, reconstructive procedures on the joint can also be performed using the arthroscope.
• Myelogram: This test involves injecting dye into the spinal canal to enhance the visibility of its structure on x-rays.
• Bone Density Test: This x-ray-based test measures the quantity of calcium and other bone minerals in a segment of bone.

At Amrita Hospital, Kochi, we prioritize the use of these advanced diagnostic methods to ensure an accurate and comprehensive evaluation of each patient's orthopedic concerns.

Phone: 0484 - 2851228, 0484 - 6681228

Email: ortho@aims.amrita.edu