ORTHOPA

ernment General Hospital

Madras Medical CollegeCHENNAI

ERY

ANNUAL REPORT

2005 - 2006

2005 - 2006

DEPARTMENT OF ORTHOPAEDIC SURGERY

Government General Hospital&

Madras Medical CollegeCHENNAI

ANNUAL REPORT

1st April 2005 to 31st March 2006

DEPARTMENT OF ORTHOPAEDICS

WE CARE

Dear Seniors, Colleagues & Friend's,

This is an occasion to share with you the developmentsand progress made in the year 2005-06.

The inauguration of the twin tower blocks with 1,500 bedsin Hospital was a development in the history of hospital.The number of 154 new beds added in the tower blocks has raisedthe total bed strength of the department to 308. This has created anew record to claim the department as the largest department in aGovernment Medical College in the whole of India. We now haveseparate ortho trauma ward for emergency accident patients, intensive trauma care wardfor poly trauma (multiple injuries) patients and an emergency trauma theatre. The additionof a trauma theatre (with 2 tables) to our orthopaedic theatres (with 4 tables) has madeit possible to provide quicker surgical care for our accident victims.

The bone bank has been allotted space in the new tower block. We are in theprocess of equipping the same. Live donor bone procurement and clinical usage hasalready commenced. Cadaveric donor procurement, processing and storage wil l beshortly started.

I must place a record our thanks to our Dean Dr. Kalavathy Ponniraivan who hasbeen instrumental in raising our department to high standards. She has provided ourdepartment with all that we needed for improvement of patient care. Our special thanksto our Director Medical Education Dr. P. Vijayalakshmi who has given constant supportto our department.

In this Bone and Joint Decade (2000-2010) the Department of OrthopaedicSurgery has taken a great step forward in bringing high quality orthopaedic care withinthe reach of the common man in our society and has set an example that public hospitalscan also be on par with corporate hospitals.

I am indebted to my parents in heaven who have made it possible for me to reachthis position in the world today. I pray to God Almighty, to shower his blessings toone and all.

With regards,

Yours Sincerely,

(Prof. Mayil Vahanan Natarajan)

DEPARTMENT OF ORTHOPAEDIC SURGERY

HEAD & HEART OF THE DEPARTMENT

Prof. Mayil Vahanan NatarajanM.S.Orth. (Ma's) M.Ch.Trauma (L'pool) Ph.D. (Orth.Onco.) D.Sc.

ADDITIONAL PROFESSORSDr. K. Anbazhagan, D.onh. M.s.orth.Dr. R.H. Govardhan, o.orth. M.s.onh.Dr. V. Thulasiraman, D.onh. M s.onh.

ASST. PROFESSORSDr. R. Selvaraj, D.onh. M.s.onh.

Dr. Nalli R. Uvaraj, D.Orth. M.s.Onh. DNB Onh.Dr. R. Subbaiah, D.Orth. M.s.onh

Dr. V. Mazhavan, D.Onh. M.S.Onh.

Dr. T.R. Ramesh Pandian, M.S.Onh.

Dr. B. Pasupathy, D.onh M.s.Oith.

Dr. Antony Vimal Raj, M.S.Orth.

CONTRACT CONSULTANTSDr. S. Karunakaran, M.S.Orth.

Dr. Pal Raj, D.Orth.

POST GRADUATE STUDENTS (M.S.Orth.)

Dr. R. Prabhakar

Dr. K.P. Manimaran

Dr. M. Kannan

Dr. Joney Mandice

Dr. M. Yoganandhan

Dr. K. Karthick

Dr. I.M. Basha

Dr. Vikram

Dr. Senthilraja

Dr. S. Maheswaran

Dr. Chandrasekar

Dr. S ameer

Dr. Balakumar

Dr. Hemandh Kumar

Dr. Fakruddhin

Dr. Sivashanmugam

3

POST GRADUATE STUDENTS (D.Orth.)Dr. Jayakrishnan Dr. ICrishnakumar

Dr. Vinodh Rajkumar Dr- Man°JDr. Selwyn J. Kumar ^ Senthilkumar„. . . Dr. ElamuruganDr. Murugan _ „ . . A°

Dr. Gokul AnandDr. V. Karthi Sundar Dr Sivakumar

Dr. N. Muthalagan Dr. SanjeevDr. M. Praveen Dr. Singaravelu

PHYSIOTHERAPISTS - GRADE 1Mrs. C. Chandra Mr. M.R. AnusuyadeviMrs. N. Vetrimani Mr P KrishnanMrs. Buvaneshwari

PHYSIOTHERAPISTS - GRADE2

Mrs. R. Lakshmi Prabha Mrs. F. Maria RitaMr. S. Krishnaswamy Mrs. JayanthiMr. M. Ganesh Ram Mrs K.Gomathi

Mrs. W. Vasanthi 0 „ . .x, T- „ Mrs. S. RevatniMr. E. KesavanMr. Adam Vinnarasan Mn T RaJan

Mr. R. Neelamegam Mr. John SamuelMrs. S.E. Sujatha Mr. Sathyaraj

SOCIAL WELFARE OFFICERSMr. Narayanan, M.A.Mr. Murugan, M.A.

JUNIOR ASSISTANTMrs. Faiz Jehan Begum

STENOGRAPHERMrs. Geetha

OP NURSESr. Dhamayandhi

OT NURSESMrs. Dhanalakshmi

Mrs. Allis Gandhimathy

RECORD CLERKMr. Alphonse

PLASTER TECHNICIANSMr. Surendra Babu

Mr. Subramani

4

HISTORY OF THE DEPARTMENTOrthopaedics was recognised as one of the specialities of surgery in the first quarter ofthe 20th Century. In India, the pioneers of orthopaedic surgery started their work invarious parts of the country in the late 1920s. The first Orthopaedic Services inTamil Nadu was started in Govt. General Hospital, Madras in the year 1929 as anoutpatient service under the Department of Surgery. It was in 1931, the inpatient facilitieswere started under the Department of Surgery. In Tamil Nadu, Dr. M.G. Kini was thefirst person to qualify in orthopaedics with M.Ch.Orth. (Liverpool), UK, serving in theDepartment from 1929 to 1931. Dr. N.S. Narasimhan served in Govt. General Hospital,Madras, from 1931 to 1948.

In 1949, a separate Department of Orthopaedics was established and the lateLt. Col. V.R. Thayumanaswamy was appointed as the first Professor of OrthopaedicSurgery. He brought his expertise in General Surgery and the experiences in the secondWorld War for the benefit of Orthopaedics.

In 1957, Prof. M. Natara jan took over as Professor of Orthopaedics, Govt. GeneralHospital and continued till 1976. It was during his period that there was expansion of thedepartment with addition of beds, introduction of postgraduate course in Orthopaedics,establishment of specialities allied to Orthopaedic Surgery such as Physical Medicineand Rehabilitation.

Prof. T.K. Shanmugasundaram (1976-1987) pioneered the starting of the PL 480scheme for Traumatic Paraplegics and the MRC trial for TB Spine. It was due to hisefforts that the paraplegia ward was opened and the PL 480 project was absorbed bythe Government. Prof. S. Soundarapandian (1987-1989) was an excellent teacherand surgeon and improved the quality of patient care in the Department.

Prof. S. Rajagopal (1989-1992) was instrumental in bringing up the new paraplegicblock with contributions from the Round table. Prof. T.S. Xavier (1993-1994) was aperson with pleasant manners and worked towards the upliftment of the Department.

Prof. K. Sriram (1994-1997) was a pioneer in spinal surgery and pediatric orthopaedicsand had a special interest in academic programmes. He had conducted around six suchprogrammes out of which 2 were national conferences. Prof. C.T. Alagappan (1997)was a popular teacher among the undergraduates and post graduates and contributed tothe growth of the Department.

Prof. K. Annamalai (1997-2001) with his untiring efforts was able to obtain a specialgrant of 50 lakhs for the purchase of implants which has made our department self sufficienttill date. The air-conditioned, fully furnished lecture hall of the department stands as atestimony to his efforts.

5

Prof. M. Subramanian (2001) introduced the concept of uncemented total hipreplacements. He popularised hip and knee replacement surgery in the Department.

Prof. K. Chandran (2001-2003) upgraded cleanliness in the Orthopaedic wards andthe Department was awarded the Best Zone Award during his tenure.

Prof S.N. M o t i l a l (2003-2004) continued the good work of his predecessors andmaintained the high standards of the Department. Prof. R. Dhanapal (2004-2005) wasa specialist in spine and shoulder surgery and was known for his non controversialapproach towards various issues.

THE DEPARTMENT

Prof. Mayil Vahanan Natarajan took over as the Head of the Department from1st March 2005.

The inaugura t ion of the newTower Blocks on 1st July 2005 bythe Govt. of Tamil Nadu was a shot inthe arm for the sustained growth of theDept. of Orthopaedic Surgery.

Two Male Wards with total capacityof 80 beds housed the patients, whowere suffering in the overburdenedwards. One Female Ward with thecapacity of 40 beds eased thecongestion in the existing female ward.The bed strength of the Department has been increased to 308 beds from 145 from1 st July, 2005. This makes the Department the largest one in Government Hospitals inthe whole of India.

The Ortho Trauma Ward was separated from the surgical trauma ward and taken over bythe Dept. of Orthopedic Surgery in the new tower block.This is the landmark event becauseone qualified orthopaedic surgeon, one M.S.Orth. post graduate and two D.Orth.post graduates are present 24 hours a day, 365 days a year to serve the trauma patients.

Emergency Trauma Theatre with state of art facilities has been commissioned whichhas helped the team to treat the compound fractures within 3 hrs of admission.

12 bedded Intensive Trauma Care Unit was started to offer round the clockIntensive Care to the multiply injured patients.

The Dept. of Orthopaedic Surgery has been allotted 3 Operation Theatres with two tableseach. This has increased the number of surgeries performed by the dept. thereby greatlyreducing the waiting time of the patients for surgery. These operation theatres with laminar airflow facilities are suitable for doing modern surgeries like arthroplasty and arthroscopy.

The concept of Bone Bank has been accepted by the Government of Tamilnadu and aG.O.Ms.No. 65 for installing the Bone Bank was passed on 8-3-2005. The Bone Bankhas been inaugurated in Tower block 1 along with the inauguration of the Tower Blocks.Prof. V. Thulasiraman took over as 4th unit chief in December 2005 thereby addingimmense strength to the academic side of the department.

DETAILS OF BED STRENGTHNEW BLOCKS OLD BLOCKS

Drift/Ward

RrtWN

RrfKA

FW.RHG

FW.VTR

Total

168

22

-

•

18

40

244

-

20

20

•

40

234

12

10

10

10

42

253

3

2

2

2

9

214

(TTCU)

3

3

3

3

12

233

2

-

-

-

2

205

(Tr)

7

5

5

5

22

Total

42

35

35

33

167

3V

15

15

15

15

60

26

12

11

11

11

45

26A

10

10

8

8

36

Toti

37

36

34

34

141

Grand

Total

79

71

67

308

SPECIALISED SERVICES

24 hrs Fracture Services (Unique)• With M.S qualified surgeon available on the site (not on Call), with one Masters

PG, and one Diploma PG, all 24 hours a day, 365 days a year.

Orthopaedic Oncology

• Limb Salvage for bone tumour by Custom Mega Prosthesis• Limb Salvage for bone tumour by Allograft• Major Amputations

Ilizarov Methodology• Limb Reconstruction / Stabilization after Bone loss• Deformity Correction• Infected Non-Union.

Spinal Surgery• For Cervical, Dorsal and Lumbar Spinal Injury patients• Intervertebral Disc Surgery• Scoliosis

Total Joint Replacement• Uncemented / Cemented Total Hip Replacement• Uncemented / Cemented Total Knee Replacement• Surface Replacement of Hip

MWIUMDONATE HURT

"""TFKIOIK/KflUBONU

The Bone Bank in Madras Medical College and Govt. General Hospital wasinaugurated by the Hon. Chief Minister of Tamil Nadu, on 1st July 2005 in thesixth floor oj Tower Block 1.

The structural modification of the bone bank has been completed two deep freezersneeded to store the allografts have already been procured and are being used to preservethe bone. The various other equipments such as i. Ultrasonic Bath ii. Bone CuttingMachine iii. Freeze Drier iv. Laminar Air Flow and v. Ethylene Oxide Sterilizer, whichare required for the functioning of the bone bank need to be procured. The requirementhas been sent to the Director of Medical Education and the same has been approved.

The allografts are used in various orthopaedic surgeries likei) Tumour resection and allograft reconstructionii) Curettage of benign tumours and bone grafting

iii) Bone defects in non unions

The allografts which are preserved on the bone bank are the femoral headsfrom the live donors undergoing hemiarthoplasty for fracture neck of femur. We havedone 38 surgeries by using this type of allograft. At present the whole tibia, femurand pelvic allograft is procured from the srilankan bone bank with which we havedone 20 surgeries. All the allografts are preserved and stored at - 80°C afterappropriate screening.

In future we are planning to procure the whole bone allograft in our bone bankonce we get all the equipments.

Public awareness programmes are conducted and will ing donors are beingregistered in the bone bank.

8

STATISTICS

OPD Statistics (April '05 - March '06)

MONTH

April 2005

May

June

July

August

September

October

November

December

January 2006

February

March

TOTAL CASES

2671

2905

1988

1911

1623

1794

1623

2889

3029

7646

8358

9882

TOTAL CASES

Month

April 2005

May

June

July

August

September

October

November

December

January 2006

February

March

INPATIENTS

Admission

184

114

527

163

153

155

156

160

262

195

165

192

Discharges

309

303

288

375

389

201

231

240

286

269

210

305

Death

15

7

3

6

3

-

2

4

1

3

4

4

April August December

Admission • Discharges • Death

10

24 Mrs FRACTURE STATISTICS

MONTH

April 2005

May

June

July

August

September

October

November

December

January 2006

February

March

CASES

366

450

441

753

740

569

442

529

486

293

317

339

753740

529 486

339

CASES

I April BMay DJune DJuly

(August • September • October DNovember

iDecember • January DFebruary DMarch

11

SURGERIES

Elective (OT)

Month

April 2005

May

June

July

August

September

October

November

December

January2006February

March

Major

131

159

166

165

161

139

151

163

140

195

217

205

Minor

3

8

10

4

14

16

10

9

12

30

24

39

Emergency (OT)

Major

90

96

70

148

60

155

79

76

68

68

75

90

Minor

327

372

350

162

16

382

299

286

302

-

1

05

Total

551

635

596

419

251

692

378

362

370

293

317

339

ELECTIVE THEATRE STATISTICS

2005 - 2006

Major • Minor

12

ELECTIVE THEATRE STATISTICS 2005

Caries spine anterior decompression

Disc prolapse laminectomy & discectomy

Spondylolysthesis steffe plating

# Dislocation Spine

• Hartshell rectangle

• Steffe plating

• Anterior stabilization

• Lateral mass fixation

Humerus shaft plating

BB forearm ADCP

Olecranon Tension band wiring

Galeazzi # ORIF with ADCP

Monteggia # ADCP with radial head fixation

Radial head excision

Eri chain procedure for recurrent disloction shoulder

Closed reduction

# Clavicle fixation

# NOF bipolar hemiarthroplasty

AM pinning #NOF

Hemi arthroplasty

DHS fixation for # trochanter

Cancellous screw fixation for # NOF

Excision arthroplasty

DCS fixation

Condylar # cancellous screw fixation

SC nail

21

21

10

19

26

13

20

45

50

12

10

9

27

9

1

4

120

10

60

46

35

43

60

33

26

13

Tibial plateau # Buttress plate

# Shaft of tibia plating

# Tibial shaft nailing

Malleolar screw fixation

Plating for lateral malleolus

TBW patella

Patellectomy

Total Hip Replacement

Total Knee Replacement

ACL reconstruction - Knee

Diagnostic arthroscopy - Knee

GCT curettage and grafting

Resection and arthrodesis for GCT

Osteosarcoma Resection and arthrodesis

# Acteabulum ORIF

Forequarter Amputation

Epidural steroid

# Calcaneum fixation

Triple arthrodesis

CMP proximal humerus - Custom Mega Prosthesis

CMP femur and tibia - Custom Mega Prosthesis

Ilizarov femur

Ilizarov tibia

Ilizarov realignment

Ext. fix. Realignment

Transpedicular biopsy - Spine

TA lengthing

Flap cover

15

49

84

21

24

11

4

13

7

4

7

14

12

4

38

3

80

21

27

4

14

16

45

24

20

14

24

59

14

SSG

Sequestrectomy

Ext. fix. Humerus

Ext. fix. Forearm

Ext. fix. Femur

Ext. fix. Tibia

Bone grafting for non-union

Amputation U/ L

Amputation L/L

158

37

12

7

48

77

34

29

43

AVERAGE ADMISSION AND SURGERIESIN

DEPARTMENT OF ORTHOPAEDICS

Average Per Day

TRAUMA WARD ADMISSIONS

ELECTIVE ADMISSIONS

ELECTIVE SURGERIES

EMERGENCY SURGERIES

15

10

10

•

15

AWARDS & ACHIEVEMENTS

Prof. MAYIL VAHANAN NATARAJANNational Award for the Welfare of Disabled by the Government of India inrecognition of cost effective technological innovation of Custom Mega Prosthesis (2005).

Lemelson Recognition and Mentoring Programme (L-Ramp) Innovation Award by theThe Lemelson Foundation, USA & Indian Institute of Technology, Chennai inrecognition of his effort in innovating the Custom Mega Prosthesis (2005).He was elected as President of Indian Orthopaedic Association in Dec. 2005.The IOA is an academic body of 6,000 Orthopaedic Surgeons from all over India.He is the fourth person from Tamil Nadu to be elected for this highest post.The earlier Presidents are Prof. M. Natarajan, Prof. T.K. Shanmugasundaramand Prof. A. Devadoss.

Prof. K. ANBAZHAGANFirst book in Tamil in Orthopaedics namely 'Elumbu Moottu NalanV was writtenand published by Prof. K. Anbazhagan was released by the past Hon'ble HealthMinister, Tamil Nadu, Thiru. Thalavai Sundaram, in the presence of the thenSpeaker of the Tamil Nadu Assembly, Hon'ble Thiru. Dr. K. Kalimuthu.The Director of Medical Education Dr. Vijayalakshmi presided. The Dean of theMadras Medical College and Govt. General Hospital Dr. Kalavathy Ponniraivan,the former Vice Chancellor, Dr. MGR Medical University Dr. Major Raja felicitatedProf. Anbazhagan.

The same book was awarded first prize as the 'Best Book in Medicine' - 2005 by theTamil Nadu Government and Coimbatore Bharathiar University.

Prof. R.H. GOVARDHANElected as Secretary of Indian Orthopaedic Association for 3 years for 2006-2008.He is the first person from Tamilnadu to be elected for this post.

Prof. V. THULASIRAMANJoined the Department in December 2005.

Dr. R. SELVARAJElected as Secretary - Tamilnadu Orthopaedic Association in February 2006.This is an academic body of 1000 Orthopaedic Surgeons from all over Tamilnadu.

Dr. NALLI R. UVARAJIndian Orthopaedic Association Johnson & Johnson Foreign Fellowship to Paris forundergoing training in Joint. Replacement Surgery under Dr. Jean Louis Briard.Asia Pacific Orthopaedic Association - Japan Visiting Fellowship to Keio UniversityTokyo for training in Spine Surgery (May 2005).Elected as Joint Secretary of Tamilnadu Orthopaedic Association.Elected as Secretary of Madras Orthopaedic Society.

Dr. PASUPATHYBecame Executive Committee Member in Tamilnadu Orthopaedic Association for Chennai.

16

EVENTS ORGANISED IN DEPARTMENT

J & J / R. ROAF Fellows visited the department on 6th January 2006, they observedcustom mega prosthetic replacement, revision total hip arthroplasty being performed

and took part in the scientific session.

Dr. Ilango and Dr. Balakrishnan, Consultant Orthopaedic Surgeons from UKvisited the Department and delivered lectures on revison hip arthroplasty onJuly 2005.

Interactive programme was organized with Mr. Ian Ritchie, Director,Surgical Training (FRCS, Edinburgh) & Consultant Orthopaedic Surgeon on8th August 2005 at 10 am in our Seminar Hal l , which was very helpful for post

graduates who were planning their future studies and work in UK.

The eighth Dr. V.R. Thayumanaswamy Memorial Oration 2005 was organized

on 17th September 2005. Prof. (Major) D. Raja, Former Vice Chancellor ofTamil Nadu Dr. MGR Medical University, presided over the oration. The oration on

"The Evolut ion and Progress of Medical Science" was delivered byProf. T. Dorairajan, Director of Medical Services (Retd.) and Paediatric Surgeon.

We conducted the Nat ional Board of examinat ion D.N.B. Orth.Clinical Examination between 24th and 27th October 2005.

Holistic approach to patient care was emphasized by Dr. Ashok Kumar, YogaTherapist. Different asanas its therapeutic application was emphasized. He also

emphasized the important of relaxation techniques for doctors.

Special programmme on body building by state champions led by was organizedto emphasize to the PG student the importance of maintaining good health.

Prof. K. Sriram was kind enough to donate some of the Journal collections andCDs for the department. He also donated some of his spine implant to the department

as an additional to our armamentarium on 31 st October 2005.

Dr. Patrick Kluger and Dr. Joseph Erli, Aachen University, Germanyintroduced the K-Fixator for reduction and fixation of Sondylolisthesis onl l th March 2006.

PARAPLEGIA UNIT - Monthly Conference for planning and review of the treatmentand Rehabilitation procedures was rescheduled to the second Friday of every month

and the 300th paraplegia wards conference was held on I Oth march 2006 between

10 am and 12 noon.

17

SCIENTIFIC PRESENTATION

Prof. MAYIL VAHANAN NATARAJAN

Oration Delivered1. Dr. K.P. Srivastava Orations on "Osteosarcoma - Current Concept" at the

30th Annual Conference of UP Chapter of Indian Orthopaedic Association, Varanasi,28th January 2006.

2. Prof. B. Mukhopadhya Oration on "Custom Mega Prosthesis in Bone Tumours "at the 32nd Annual Conference of the Bihar Orthopaedic Association, Gopalganj,l l th February 2006. »

Papers in International Conference1. Custom Mega Prosthetic Replacement for proximal femoral tumours.

- 13th International Symposium on Limb Salvage (ISOLS)Seoul - Korea (7th to 9th September 2005)

2. Treatment of tumours of distal radius by resection and custom megaprosthetic replacement.

- 13th International Symposium on Limb Salvage (ISOLS)Seoul - Korea (7th to 9th September 2005)

Publications

1 . Text Book of Orthopaedics and Traumatology with MCQ's - Revised SixthEdition, - with Prof. M. Natarajan Emeritus Professor of Orthopaedic Surgery,Madras Medical College - Section I : Orthopaedics - Section I I : Traumatology -Pages 415. Published by All India Publishers & Distributors (January 2005).

2. Text Book of Orthopaedics - First Edition - With Prof. Prakash, P. Kotwal,Professor of Orthopaedic Surgery, All India Institute of Medical Sciences -Pages 384. Published by Elsevier (September 2005).

3. An introduction to Bone Banking and Allografts - Page 83 - Published byM.N. Orthopaedic Hospital (January 2005).

•

18

Chapters in International Books1. Chapter on Custom Mega Prosthesis for Bone Reconstruction in Orthopaedic

Surgery in the book Bone Grafts and Bone Substitutes edited by Dr. Aziz Natherpublished by World Scientific Publishing Co, Singapore - Pages 563-589 (2005).

Article Published in International Journals1. Mayil Vahanan Natarajan, S. Natarajan, R. Selvaraj, B. Pasupathy: Proximal Humeral

Tumour - Limb Salvage by Resection and Endoprosthetic ReplacementInternational Orthopaedics (accepted).

2. Mayil Vahanan Natarajan, Sivaseelam A, Ayappan S, Bose JC, Sampath Kumar MDistal Femoral Tumours treated by Resection and Custom Mega ProstheticReplacement, International Orthopaedics (SICOT) 29 (5): 309-313, (2005).

National Journals

1. Mayil Vahanan Natarajan, S. Natarajan, R. Selvaraj, B. Pasupathy - ProximalHumeral Tumour- Limb Salvage by Resection and Endoprosthetic Replacement- with Orthopaedics Today Vol. VI, No.3 Page 171 -177 (July - September 2005).

2. Mayil Vahanan Natarajan, J.C. Bose - Reconstructive Options in Pelvic Tumours -Indian Journal of Orthopaedics - Vol. 39, No.3, Page 151-157 (July 2005).

Guest Lectures Delivered1. Osteosarcoma - Overview - 4th Annual Conference, Karnataka Orthopaedic

Association, Bangalore - 26-28 May 2005.

2. Custom Mega Prosthesis - The Answer for the Management of Bone Tumours- 4th Annual Conference, Karnataka Orthopaedic Association, Bangalore -26-28 May 2005.

3. Custom Mega Prosthesis - The Answer to the Management of Bone Tumours -25th June 2005, Banaras Hindu University, Varanasi.

4. Limb Conservation in Bone Tumours - International College of Surgeons, IndianSection, I.C.S.Update- 15- 16 July 2005,Chennai.

5. Live Demonstration of Total Hip Replacement at Live Arthroscopy and JointReplacement Workshop conducted by The Department of Orthopaedic Surgery,Kanyakumari Government Medical College, Asaripallam -17th July 2005.

6. Custom Mega Prosthesis - The Answer to the Management of Bone Tumoursat Live Arthroscopy and Joint Replacement Workshop conducted by The Departmentof Orthopaedic Surgery, Kanyakumari Government Medical College, Asaripallam,Kanyakumari -17th July 2005.

7. Limb Salvage Surgery in Bone Tumours - CME Programme conducted by theIndian Medical Association - Chennai North and North Chennai Doctors Association,Chennai- 24th July 2005.

19

8. Ewings Sarcoma - Fourth BOS PG Instructional Course, St. Johns Medical College,Bangalore - 29th-31st July 2005.

9. The Treatment of Skeletal Metastasis - Annual Conference of the OrthopaedicAssociation of South Indian States (OASIS), Sri Ramachandra Medical Collegeand Research Institute, Chennai - 5th-7th August 2005.

10. Clinical Approach to Bone Lesions - Current Perspectives on Tumour and Tumourlike lesions of Bone, 8th Annual CME Programme of International Academy ofPathology, Indian Division (IAP-ID), Department of Pathology, St. Johns MedicalCollege, Bangalore - 12th-13th August 2005.

11. Limb Salvage Surgery using Mega Prosthesis and Cadaveric Allografts -Current Perspectives on Tumour and Tumour like lesions of Bone, 8th AnnualCME Programme of International Academy of Pathology, Indian Division,(IAP-ID), Department of Pathology, St.Johns Medical College, Bangalore -12th-13th August 2005.

12. Don't take your organs to heaven - Heaven knows we need them here -9th National Conference of International Trauma Anaesthesia & Critical Care Society- (ITACCS - 2005), Chennai - 21st-23rd October 2005.

13. Custom Mega Prosthesis - The ultimate option in the Management ofHOIK- Tumours - Delhi Orthopaedic Association Conference 2005 - Lady HardingeMedical College, New Delhi - 16th-20th November 2005.

14. Rational Limb Salvage in Malignant Bone Tumours - 50th Annual Conferenceof Indian Orthopaedic Association, Mumbai - 25th-30th December 2005.

15 . Custom Mega Prosthesis - The Answer to the Management of Bone Tumours- 30th Annual Conference of Karnataka Orthopaedic Association, Dharwad,Bangalore - 3rd to 5th February 2006.

20

Prof. K. ANBALAGANPresented a paper on his special work being done in Govt. General Hospital, the"Minimum Invasive Surgery (MIS)' in the 'Tamil Nadu Orthopaedic SurgeonsAssociation State Conference (TNOACON)' held in Madras in March, 2005.The same was broadcasted in an interview in popular TV Channels and Tamil Magazines.

Prof. R.H. GOVARDHANGuest Lectures at International Meet1 . Total Hip Arthroplasty in Trochanteric Fractures - 7th Annual Conference of

Asia Pacific Arthroplasty Society Meet at Goa on 26th-28th August 2005.Orations Delivered1 . Principles of Deformity Correction - Conference Oration 2nd Annual Conference of

Indian Railways Orthopaedic Association, Chennai - 10th-llth February 2006.2. Prof. M.N. Oration on "Ring Fixators in Orthopaedics" - Oration by Past President

of Tamilnadu Orthopaedic Association at 39th Annual Conference at Chennai4th-5th March 2006.

Lectures Delivered1. Revision Hip Arthroplasty - Annual North Zone Conference Meet at Chandigarh

on 2nd-3rd April 2005.2. "Surgical Technique of Uncemented Total Hip Arthroplasy" - Advances in

Arthroplasty CME and Hands on Workshop in Total Hip Arthroplasty held at Calicut7th-8th April 2005.

3. "Ceramic on Ceramic Articulation in Total Hip Arthroplasty" - Advances inArthroplasty CME and Hands on Workshop in Total Hip Arthroplasty held at Calicut7th-8th April 2005.

4. "Infection in Total Hip Arthroplasty" - Advances in Arthroplasty CME and Handson Workshop in Total Hip Arthroplasty held at Calicut 7th-8th April 2005.

5. Live Demonstration of Total Knee Replacement - Arthroscopy and JointReplacement Workshop conducted by the Department of Orthopaedic Surgery,Kanyakumari Govt. Medical College, Assari Pallam on 17th July 2005.

6. "Ring Fixators in Deformity Correction" - 4th Annual Conference of OASIS,Sri Ramachandra Medical College & Research Institute, Chennai -5th-7th August 2005.

7. "Management of Neglected DDH" - 4th Annual Conference of OASIS,Sri Ramachandra Medical College & Research Institute, Chennai -5th-7th August 2005.

8. "Extension Contractures of Knee - 4th Annual Conference of OASIS,Sri Ramachandra Medical College & Research Insti tute, Chennai -5th-7th August 2005.

9. "Preoperative Planning of Total Knee Replacement" - TNOA Arthroplasty Courseat Chennai - 30th August to 3rd September 2005.

21

10. "Osteoporosis and its Management" - City Meet of Gynaecological Society atChennai in September 2005.

11 . "Current Concept of Acetabular Fracture - Delhi Orthopaedic Assn. Conference2005, Lady Hardinge Medical College, New Delhi -16th-20th November 2005.

12. "Foot Deformity Correction by Ilizarov Method" - 50th Annual Conference ofIndian Orthopaedic Association - Mumbai - 25th-30th December 2005.

13. "Juxta Articular Deformity Correction by Ilizarov Method" - 30th AnnualConference of Indian Orthopaedic Association, Mumbai - 25th-30th December 2005.

14. "Management of DDH in Children more than 3 years" - 32nd Annual Conferenceof Bihar Orthopaedic Association - Gopal Ganj -11 th February 2006.

15. "Ring Fixators in Deformity Correction" - 32nd Annual Conference ofBihar Orthopaedic Association - Gopal Ganj -11th February 2006.

16. "My Worst Complications and How I Managed It" - 39th Annual Conference ofTamilnadu Orthopaedic Association - 4th-5th March 2006.

17. "Revision Hip Replacement" - 39th Annual Conference of Tamilnadu OrthopaedicAssociation - 4th-5th March 2006.

Prof. V. THULASIRAMAN

1. Presented the lecture on TORTICOLLIS at SRMC, SCORE - 2005.

2. Presented a Guest Lecture to M.S.Orth, D.Orth. post graduate at SRMC,Chennai, Topic on "Cervical Spine Injuries" - Management.

3. Co-Author for an article published in TNOA Journal - 2005 on "CTEVtreated by PONSETI method".

4. Presented a paper from Prof. VTR Unit in TNOA Conference - 2006 at Chennaion "Correction of Limb (Long Bone) Deformities using Locking I ntra medullaryNailing in 5 long bones".

5. Presented a series of 77 cases of PONSETI method for foot in CTEV inTNOA-2006, Chennai.

6. Presented for Johnson & Johnson fellows from Indian Orthopaedic AssociationDecember at Madras Medical College on PONSETI method of closedmanipulative reduction and its followup in 107 feet.

7. Presented in Madras Orthopaedic Society in March 2006 Paper on"Chondrosarcoma of Left Scapula" - Management.

8. Chaired a session in "Paediatric Limb Trauma", at OASISCON 2005 at SRMC.

•22

Dr. SELVARAJ1. Neuropathic Joints - Score 20052. Basic Components of Ilizarov Fixator - OASISCON 20053. Bridge Plating in Communited Femoral Fractures - TNOA 2006

Dr. NALLI R. UVARAJ - August 2005TNOA 2005 Knee Arthroplasty Course, Chennai.

1. Post operative protocol in Total Knee Arthroplasty October 2005.International Trauma Anaesthesia and Intensive Care Society (Indian Chapter)conference, Chennai.

2. Management of Pelvic Injuries. November 2005 - SCORE (SRMC).3. Flat Feet - current concepts.

IOACON 2005Dr. Pasupathy - IOA Journal - Management of proximal femoral epiphyseolysis-case report.Dr. R. Prabhakar - anterior decompression and stabilization in the management of caries spine.Dr. K. Karthik - foot deformity correction by ilizarov method.Dr. V. Karthi Sundar - limb salvage in malignant and aggressive fibular tumours.

OASIS 2005Dr. B. Pasupathy - corrective osteotomy forosteiod osteoma tibia- case report.Dr. Selvaraj - basic components of Ilizarov fixator.Dr. R. Prabhakar - anterior decompression and stabilization in the management of caries spine.Dr. K. Karthik - management of gap non union by ilizarov methodology.Dr. V. Karthi Sundar - custom mega prosthesis in proximal fibular tumours.

TNOA 2006Dr. R. Prabhakar - Comparative analysis of determination of kyphotic angle by manual methodand Autocad programme.Dr. Yoganandan - Trochanteric fractures management by prosthetic replacement -A new surgical approach.Dr. F. Fakhrudin - Our experience in cervical spine management.Dr. I. Mubharak Basha - the principles of deformity correction in long bones - A preliminary reportDr. K. Karthik - Management of idiopathic clubfoot by Ponseti method.Dr. M. Mohammed Sameer - Biological internal fixation of communited femoral fractures.Dr. C. Joney Mandice - Study on surgical fixation of acetabular fractures -A short term follow up.Dr. Vinodh Rajkumar- An unusual presentation of patellar dislocation- a case report.Dr. V. Karthi Sundar- Osteochondroma of patella - A rare case report.Dr. K. Karthik- Enchondroma of tibia and its management - A case report.Dr. Balakumar-Management of longstanding infected, neglected nonunion byIlizarov methodology.Dr. Vikram - Role of anterior stabilization in spine tumours - A case report.Dr. Krishnakumar - Osteoclastoma upper end of humerus - management.

23

MADRAS

Dr. K.S. Mageshwaran

Dr. P. Senthil Raja

Dr. M. Praveen

Dr. Gokul Anand

Dr. Joney Mandice

Dr. B.Bala Kumar

Dr. M. Kannan

Dr. M. Vikram

Dr. N. Muthalagan

Dr. V. Karthi Sundar

ORTHOPAEDIC SOCIETY MEETINGS

Renal osteodystrophy - case report.

1. Minimally Invasive Surgeries.2. Unusual presentation of common tumours.

Pathological fracture femur IL nailing.

Unusual presentation of caries spine 2 cases.

Multiple Myeloma.

Osteochondroma of patella.

1. Acetablar fracture managed by external fixator2. THR for TB arthritis hip3. Two level spondylolisthesis managed by

steffe plating.

GCT distal radius.

Non union supracondylar fracture humerus.

Tensionband wiring.

Grey Zones in the management of upper cervicalspine injuries.

STAFF CHANGES

Dr. Karunakaran, MS.Orth. joined as Contract Consultant in the Department on 1.4.2005.

Dr. Pal Raj, D.Orth. joined as Contract Consultant in the Department on 21.5.2005.

Dr. Sumathy, M.S. (Gen.Surgery) joined as Contract Consultant in the Department on 30.3.2005.

Dr. B.Chockalingam, took voluntary retirement on 9.7.2005 and started his own career.

Dr. Sankaralingam, M.S.Orth. posted as Senior Civil Surgeon on 30.4.2005.

Dr. Pandia Selvan, D.Orth. M.S.Orth. posted as Senior Civil Surgeon on 30.4.2005.

24