Orthopaedic unit of the Hospital has been providing health care under the command of Dr. Ali Imran Orthopaedic Surgeon. It is beds Facility. Trauma and orthopaedics is an area of surgery concerned with injuries and conditions that affect the musculoskeletal system (the bones, joints, ligaments, tendons, muscles and nerves). You may be referred to a trauma and orthopaedic consultant for treatment of an injury such as a bone fracture, a deformity of the spine or limbs, or a long-term condition that's developed over many years, such as osteoarthritis. We deal with all kinds of bone and joints injuries including spinal injuries. We are also providing orthopaedic services like orthro-plasty, Arthroscopy, Ligaments reconstruction, joint construction, paediatric Hip and Feet problems and Orthopaedic oncology. Many developments in orthopaedic surgery have resulted from experiences during wartime. On the battlefields of the Middle Ages the injured were treated with bandages soaked in horses' blood which dried to form a stiff, but unsanitary, splint. Originally, the term orthopaedics meant the correcting of musculature deformities in children. Nicolas Andree, a professor of medicine at the University of Paris coined the term in the first textbook written on the subject in 1741. He advocated the use of exercise, manipulation and splinting to treat deformities in children. His book was directed towards parents, and while some topics would be familiar to orthopaedists today, it also included 'excessive sweating of the palms' and freckles. Advances made in surgical technique during the 18th century, such as John Hunter's research on tendon healing and Percival Pott's work on spinal deformity steadily increased the range of new methods available for effective treatment. Antonius Mathieson, a Dutch military surgeon, invented the plaster of Paris cast in 1851. However, up until the 1890s, orthopaedics was still a study limited to the correction of deformity in children. One of the first surgical procedures developed was percutaneous tenotomise. This involved cutting a tendon, originally the Achilles tendon, to help treat deformities alongside bracing and exercises. In the late 1800s and first decades of the 1900s, there was significant controversy about whether orthopaedics should include surgical procedures at all.
Aims and Objectives
Enlisted below are the prime objectives of the department:
- To provide medical care to patients with bone and joint ailments irrespective of age, gender, color, creed and race
- To train future orthopedic surgeons who can provide best possible health care to the patients with musculoskeletal problems
Standard Operating Procedures (SOPs)
Department have following standard operating procedures (SOPs):
- Outdoor will be conducted on all days of week except operation days and Sunday
- Consultants and medical officers with experience in orthopaedics will deliver outdoor services
- Consultants and medical officers with experience in orthopaedics will be authorized to admit the patient in the ward after discussion with the consultant, clearly charting out the diagnosis and treatment plan on the admission slip
- Elderly patients and patients from emergency department will be entertained on preference
- Names and contact no. of patients in need of elective surgery will be maintained on separate register present in OPD
- Patients in need of elective surgery will undergo serial laboratory investigations to document their fitness before appointment for surgery is issued
- Informed consent will be obtained from the patient and his/her relative which will be duly signed by doctor who did pre-operative assessment. Risks will be discussed with patient/relative and will be documented. Side of surgery will be marked
- Patients on list will be evaluated by anaesthesia department one day before surgery
- Critical patients who need to be shifted to OT will be accompanied by medical officer from the emergency department. No patient with critic to be shifted to OT alone
- Shifting of patient from emergency to OT, ICU and ward should be within timeframe as per defined on triage system
- No patient with orthopedic injury should be shifted toward directly from emergency department without required intervention
- Patients with old injuries will not be entertained in emergency. They will be advised for checkup in outdoor
Future Plans
Department have following future plans:
- To focus on Orthopaedic Service. Demand for concerned Human Resource accordingly
- To segregate disease wise Management OPD rooms and provide detailed Orthopaedic Services to the patients
- To enhance current man power facility to cope with in increasing number of patients
- Currently existing insufficient indoor facilities be enhanced. At least 10 male and 10 female beds be allocated for Orthopaedic indoor patients