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Departments » Orthopaedics » Shoulder and Upper Limb (Elbow and Wrist)

 

 

 


Dr. Ram Chidambaram
MBBS, D.Orth, M.S.Orth, Dip.N.B.Orth, FRCS Gen Surg ( Glasgow), FRCS Trauma & Orth
Head of Department - Shoulder and Upper Limb Unit

 

At MIOT’s Shoulder and Upper Limb Unit, we offer wide range of procedures including Arthroscopy (Key hole surgery), Joint Replacement and Trauma reconstruction of Shoulder, Elbow, Wrist and Hand.

Dr. Ram Chidambaram is the head of department of Shoulder and Upper Limb Unit. He had over 12 years of extensive training and consultant experience in UK. He specializes in disorders affecting shoulder, elbow, wrist and hand. Prior to joining MIOT hospitals, he was working as Consultant Shoulder and Upper Limb surgeon at Epsom St Helier University Hospitals NHS Trust, UK. He has a great interest in teaching and has organized live surgery courses and workshops on advanced shoulder arthroscopy, reverse shoulder arthroplasty, wrist arthroscopy and wrist replacement.

 

Procedures performed

I. Arthroscopy (Key Hole Surgery)

We offer the state of the art Arthroscopic facilities and perform the following:

 

A. Shoulder Arthroscopy

Arthroscopic Rotator Cuff Repair

Arthroscopic Stabilisation (Bankart repair) and Capsular Remplissage for recurrent dislocation of shoulder

Arthroscopic Capsular Plication for Multidirectional instability

Arthroscopic SLAP repair

Arthroscopic Biceps tenotomy and Biceps tenodesis

Arthroscopic Sub-acromial decompression

Arthroscopic Acromio-clavicular joint excision

Arthroscopic calcium excision for calcific tendonitis

Arthroscopic capsular release for Diabetic Frozen Shoulder

Arthroscopic fixation of greater tuberosity fracture


B. Elbow Arthroscopy

Arthroscopic removal of loose bodies

Arthroscopic Release for Post traumatic stiff elbow

Arthroscopic Osteocapsular Arthroplasty for Osteoarthritis elbow

Arthroscopic Radial head excision

Arthroscopic treatment of Osteochondritis Dessicans

 

C. Wrist Arthroscopy

Diagnostic arthroscopy

Arthroscopic TFCC debridement

Arthroscopic assisted TFCC repair/reconstruction

Arthroscopic assisted Scapho-Lunate repair

Arthroscopic excision of ganglion

Arthroscopic Trapeziectomy

 

II. Upper Limb Joint Arthroplasty


A. Shoulder Arthroscopy

Anatomical Shoulder Arthroplasty
The Department offers Total Shoulder Replacement, shoulder resurfacing and the latest ‘Stemless’ shoulder replacement. The early results of ‘stemless’ shoulders are very promising and patients recover movement fully and much earlier compared to the traditional stemmed implant surgery.

Reverse Shoulder Arthroplasty (RSA)
Reverse Shoulder Arthroplasty is a major complex surgery and has to be performed carefully to get the best outcome. The patients recover full range of painless movements with very short recovery time. Originally developed for cuff tear arthritis, this procedure is now also performed in clinically challenging conditions like previous unsuccessful shoulder replacements, failed or neglected fracture management, very bad fractures, dislocations and bone tumors.

 

B. Elbow Arthroplasty

Elbow is a complex hinge joint with well matched surfaces and strong ligaments. Arthritis occurs when the cartilage is damaged or worn. This often follows a previous injury such as elbow dislocation or fracture. Patients report with pain, grating sensation, locking and stiffness.

Arthroscopic surgery is useful in early stages, when stiffness or locking is a predominant issue. At arthroscopy, we remove any loose bodies, debride the joint of any inflammatory or dead tissues, smooth out irregular surfaces and release the tight capsule. If the joint is severely worn away or badly fractured, Total Elbow Arthroplasty is indicated. With newer implants and appropriate patient selection, the improvement in pain and function can be dramatic.

 

C. Wrist Arthroplasty and DRUJ replacement

Wrist and Distal Radio Ulnar Joint (DRUJ) arthritis can occur as a result of wear and tear, injury or Rheumatoid disease. When this is causing severe pain and dysfunction, it warrants surgical treatment. In the past, this was only treated by fusing the wrist. But, in the recent years, wrist replacement surgery is getting popular as a successful option.


D.
Hand and Finger joint replacement

Finger arthritis is common in Rheumatoid arthritis. When the knuckle joints are affected, this will cause severe pain and limitation of hand function. This can be helped by MCP joint replacement, which will restore mobility with good pain relief. Thumb base arthritis and scaphoid related arthritis can be helped by interposition arthroplasty.

 

III. Upper Limb Trauma

We specialize in Shoulder, Elbow and Hand Trauma and utilize the latest implants and technology to achieve excellent outcome. This facilities very rapid return of function to the injured shoulder or hand.

 

A. Shoulder & Elbow Trauma

Acromioclacvicular Joint stabilization using tightrope anchor system

Fixation of proximal humeral fracture with locking plate system

Hemiarthroplasty and Reverse Shoulder Arthroplasty for comminuted fracture of shoulder

Fixation of elbow fracture with locking plate system

Total Elbow Replacement for comminuted fracture of elbow


B. Wrist and Hand Trauma

Fixation of distal radius and ulna fracture

Percutaneous scaphoid fixation and Non union surgery

Scapholunate and perilunate ligament repair

Distal Radio-ulnar joint stabilization

Fixation of complex metacarpal and phalangeal fractures using compact Hand system

Repair of Volar plate injury and fracture dislocation of finger joints with mini anchors

Repair of Ulnar collateral ligament injury (Game Keeper’s thumb)

Repair of Mallet finger