Anterior Cruciate Ligament injuries are becoming increasingly common in the young active individual. MRI has also contributed significantly to the early diagnosis of these injuries. Treatment of ACL (Anterior Cruciate Ligament) injuries in the child and young adolescent remains controversial. This is especially so in the case of small children whose skeletons are yet to mature.
Any treatment plan must consider an assessment of the patients’ physical maturity, level of functional instability and identification of associated injuries. While a trial of non operative treatment may still be upheld by some, most reports of non operative treatment have demonstrated poor results. The natural history of the ACL deficient knee is one of recurrent episodes of giving way with resultant multiple meniscal tears and early degenerative arthritis.
Arthroscopic ACL reconstruction is an elegant solution to this problem.Physeal sparing techniques have yielded poor results and therefore transphyseal techniques is one of the best solution to the problem.
The Hamstring tendon graft using semi tendinosus and Gracilis tendons or quadruped semi tendinosis graft provides an exceptionally strong and reliable graft. It has the added benefit of being harvested through a small unobtrusive incision. There is no post operative morbidity (as with B.T.B. graft) and the tendons grow back in time.
A quadrupled hamsting tendon provides 250% strength of the normal A.C.L. The most contemporary concept of double bundle grafting can only be affected with Hamstring tendon grafting.
Graft Fixation
Graft selection is the corner stone upon which optimal intra-articular ACL reconstruction is built; however graft fixation is important to allow early aggressive rehabilitation post operatively. Excellent initial graft fixation strength is essential for good graft tunnel bonding and therefore contributes immensely to the final outcome of this surgery. The first weeks are especially critical.
At the WOCKHARDT KNEE CLINIC we have been using the BIOTRANSFIX system for Femoral tunnel fixation with Bio-interference screw for tibial fixation with excellent results in 77 patients so far. The procedure is especially safe for young children who have significant growth left.
Dr. Gautaum Kodikal, M.S. Consultant Orthopedic Surgeon Department of Bone & Joint Care Wockhardt Hospitals, Bangalore
Dr Subash Chandra MRCP, FRCP Consultant Cardiologist
Dr Chandra has over 27 years of experience in cardiology.He has worked at the The Royal Surrey County Hospital, Guildford, and at The General Infirmary, Leeds. He holds a degree in advanced fellowship in cardiology, he became an instructor in medicine and an attending physician (division of cardiology) at Cornell University Medical College and Hospital Cornell Medical Center, New York.
For scheduling an an consultation with Dr Subash Chandra click here
Dr. P. Ranganath Nayak MD, DM Consultant Cardiologist
Dr Nayak is one of the most experienced cardiologists in this region with over 25 years of experience in the field of cardiology.His special interest areas include complex coronary interventions, like chronic total occlusions and primary angioplasties Dr Nayak is trained in interventional cardiology from Epworth Hospital, Melbourne, Australia and University Hospital, Rouen, France.
Imagine a 3 centimeter incision to treat a case of severe spinal instabilty. !!
Wockhardt Hospitals Mulund, Mumbai, successfully performed the most advanced minimally invasive spine surgery called Transforaminal Lumbar interbody Fusion (TLIF) surgery to treat unstable spine.
Transforaminal Lumbar interbody Fusion (TLIF) is a very recent, most advanced and highly skilled form of spine surgery for fusion of two or more vertebrae of the lumbar (lower back) spine. The minimally invasive technique is best recommended for appropriately screened patients suffering from Degenerative spondylolisthesis, degenerative disc disease, lumbar canal stenosis, black disc, nerve compression with associated low back pain.
Until recently, all patients for fusion surgeries of the lumbar spine have had to undergo a strenuous surgical procedure known as Posterior Lumbar Interbody Fusion (PLIF) involving large midline incisions for cutting of muscles, ligaments and bone in the lower back. While PLIF surgeries are known to offer good results, the surgery involves large incisions that could cause damage to important muscles, intraoperative bleeding followed by prolonged bed rest. Additionally, there is increased chance of nerve injury due to handling of nerve tissues during surgery - all of which could lead to Failed Back Surgery Syndrome.
TLIF Surgeries have been Pioneered at Wockhardt Hospitals,Mulund according to Dr. Vikas Gupte, Consultant Spine Surgeon, Wockhardt Hospitals , “TLIF is far more beneficial than conventional PILF surgeries as it is a minimally invasive surgery done through a 3-cm incision. The surgery has hardly any bleeding and there is no need for blood transfusion. Further advantages include preserving the normal structures of the body. The patient can be mobilized faster and can stand and walk the day after the surgery.”
“Various factors are taken into consideration before recommending a TLIF, including the condition to be treated, age and health of the patient, lifestyle and anticipated level of activity following surgery,” explains Dr. Gupte. As such, patients suffering from Degenerative spondylolisthesis, Degenerated disc disease, Black disc, Foraminal /lateral stenosis, Spondylolysis - Instability, and Nerve compression with associated low back pain may be candidates for TLIF.
The patients was able to walk the very next day following the TLIF which is a three and-half-hour procedure. They were discharged around the fourth day after the surgery. However, physiotherapy and exercise was advised from Day 1. Their recovery was faster within three to four days as compared to two-three months following PILF surgery.
About Wockhardt Hospitals Spine Centre,Mulund,Mumbai
The Wockhardt Hospitals Spine Centre at Mulund provides advanced micro-surgical techniques to treat complex Spine disorders. This super specialty center is amongst the few in Asia equipped with most advanced Neuro-navigation and Endoscopic facilities to perform complex spine neurosurgeries. The centre has a vastly experienced team of Neuro-Spine surgeons and Neurologists, backed by the most comprehensive neuro-diagnostic and imaging facilities, positions the hospital among the best in the region.
For consultations and appointments with Spine Surgeon,Dr Vikas Gupte email us at enquiries@wockhardthospitals.net
Most people having a chest pain tends to believe that they are having an heart attack.However it can also mean that you might me having an Angina. Medically there is a difference between the two.Knowing the difference can help you to find out the problem and seek help from your doctor Here are quick checklist for understanding the difference between the two.
How long the pain lasts Angina: less that 5 minutes Heart Attack:5 minutes and longer
Consistency of Chest Pain Angina: Comes and goes Heart Attack:Constant
How bad the chest pain is Angina:Less intense Heart Attack:More Intense
nausea, sweating, or difficulty breathing Angina:Less Likely Heart Attack: More Likely
Resolves with medication (nitroglycerin) or rest Angina:Yes Heart Attack: No
however,some heart attacks are never recognized (silent infarctions) because the symptoms are mild, not typical, or even absent. This is a major reason why some people don't come to the hospital when they have a heart attack. If you have angina and notice that it is happening more often or lasting longer, you should contact your doctor.
With both a heart attack and angina, part of your heart muscle is not getting enough oxygen because of reduced or blocked blood flow in your coronary arteries. With angina, the lack of oxygen is temporary, and permanent heart damage does not occur. During a heart attack, the lack of oxygen lasts longer and causes permanent heart damage. source:revolutionhealth.com
Dr. Shantesh Kaushik Cardio - Thoracic & Vascular Surgeon Qualification M.S.D.N.B. (Gen Surg.), M. Ch. (Thor. Surg.) D.N.B. (Cardio-thor. Surg.), M.D. (USA) Click here to see his full profile and set up a consultation
We welcome patients,users and caregivers to follow is in various social media websites including facebook/Myspace/Youtube/Ning/Healthchapter and Twitter.
Our blog attempts to provide a platform for our patients,users,caregiversand healthcare community in general and to decimate and provide information about our Hospitals including clinical breakthroughs ,medical information and patient education .
While we welcome our users to comment at our blogs, we would request you to follow the below guidelines while commenting. By following these comment guidelines for our Blog and other social media platforms,you should be able to get your voice heard without any moderation.
1) Please Do no ask questions about individuals or comment about something that have already been addressed and our official position been clearly stated.In case you wish to inquire about something email us at enquiries@wockhardthospitals.net
2)Our Blog's objective is to decimate information regarding our Clinical Specialties,Medical Breakthroughs ,Healthcare Guides ,Patient education series and to provide our healthcare community a platform to share ,create and syndicate information
3)People whose comments have already been posted once and their point of view heard, please remember to give others a chance.
4)Keep your comments brief,see if someone else has already asked the same question. Please desist from commenting something which others have already stated.
5)Anyone wishing to clarify anything about a specific patient or discuss any specific medical cases are welcome to meet us in person and follow our standard protocol for redressal.
6)There is ONLY ONE OFFICIAL spokesman for the Hospital. No other blogger represent Wockhardt Hospitals official view apart from our official Blog.
7)Finally while we will certainly agree to disagree,we expect a certain level of civility when two individuals talk.Please keep this in mind while commenting at our blog.We review comments before they’re posted, and those that are off-topic or personal allegation against an individual without checking facts generally won’t make the cut. We also expect a basic level of civility; disagreements are fine, but mutual respect is a must, and profanity or abusive language are out-of-bounds.
8) While we cannot answer to each and every post due to obvious limitations,You are welcome to send us your point of view or anything you would want us to know to enquiries@wockhardthospitals.net
Some of the ways to prevent Breast Cancer includes regular checkups, breast self-exams and mammograms . Doing these on time can help you detect breast cancer early on, when it is most treatable. But what about prevention? Short of radical surgery, are there steps you can take to reduce the risk?
Certain immutable factors like genetics, a family’s medical baggage and just being born female determine much of the risk of breast cancer. And, as with all cancers, that risk increases with age: a 30-year-old woman’s chances of developing breast cancer over a 10-year period are less than half of 1 percent, or 1 in 234, while a 60-year-old has a 3.5 percent risk, or 1 in 28.
However ,there are a few things you can do to prevent Breast Cancer . Choices that have an effect include how much alcohol a woman drinks , the amount of physical activity she gets (the more the better) and whether she takes hormones (the less the better). Doctors also urge women to keep their weight down, as obesity increases the risk of developing breast cancer during the postmenopausal years.
Know your family’s medical history.Keep in mind that breast cancer genes come from both sides of the family, not just your mother’s.Among relatives, “the special red flags” are premenopausal breast cancer, bilateral breast cancer (cancer that appears in both breasts) and ovarian cancer, said Dr. Larry Norton, deputy physician in chief of breast cancer programs at Memorial Sloan-Kettering Cancer Center. But even if no one in the family had breast cancer, that is no guarantee that you are safe, said Dr. Runowicz; in fact, only 10 percent of breast cancer patients have a family history.
Some of the ways to Reduce Your Breast Cancer Risk Includes
Cut down on alcohol, or avoid it altogether. When it comes to breast cancer, studies have been pretty consistent: there is no safe amount of alcohol
Obesity after menopause increases the risk of breast cancer, so try to keep your weight down. But exercise is beneficial regardless of weight, and even a small amount of physical activity may be helpful.
Avoid combined hormone therapy. The recommendation for all hormone therapy is to take the lowest dose for the shortest period necessary. A Women’s Health Initiative study found a slightly higher risk for breast cancer among women who took estrogen with progestin after menopause, and a drop in breast cancer diagnoses since then has been attributed to the fact that many women quit using hormones.
Read the full Article on how to Reduce "Breast Cancer Risk" here
According to a research conducted by Deloitte India ranks second in Medical Tourism throughout the world. Ironically, India spends only 1.2 per cent of its Gross Domestic Product (GDP) on health issues, but the country prides itself in treating Americans and Europeans . The study says that Indian hospitals treated 4.5 lakh foreign patients in 2007.
Thailand tops the list with a record number of 12 lakh. The study says that Indian hospitals treat patients not only from its neighboring states and the countries of West Asia, but also treat a large number of patients from the United States and other European countries. The inflow of patients to India from the European countries has been gradually rising.
The Delloite study forecasts that the number of people turning to "medical tourism" -- will increase from 750,000 to 6 million by 2010, an eightfold increase from the present numbers.
If the actual increase is even half that, the fact is that it will be insurers and employers driving this change, not individuals
Blue Cross and Blue Shield of South Carolina has already started down the medical tourism road, and employers in other parts of the country are showing growing curiosity, if not interest.
Last year,South Carolina based Companion Global Healthcare Inc had recognized and added Wockhardt Hospitals in Bangalore and Mumbai to its overseas hospital network.All Bluecross Blueshield of South Carolina and Bluechoice Healthplan of South Carolina members will have access to Wockhardt Hospitals through this association with Companion Global Healthcare.
For partnership Inquiries with Wockhardt Hospitals please email us at enquiries@wockhardthospitals.net