Controversies in orthopaedics, tips, tricks and Solution

Title : Controversies in orthopaedics, tips, tricks and Solution

Abstract:

Controversies persist everywhere and so do in orthopaedics. From the beginning of modern orthopaedics, there are controversies in timing of surgery, method of fixation and rehabilitation in certain types of injuries like in multiple trauma, open fractures and fractures with huge swelling. Basic principles of management remaining the same, treatment protocol or modality of treatment depends on the personality of the patient, injury pattern and resources available. Here we simplify and narrate the treatment protocol that we follow for such injuries with case series and examples. From July 2011 to Dec 2022 we operated 13084 orthopaedic cases, 9508 male and 3576 female. All the cases were operated within six hours of presentation to the hospital. Primary definitive internal fixation was done up to GIIIA. External or internal fixation was done in GIIIB cases depending on the nature of injury, personality of fracture and the patient. All the fractures united. There were less number of surgeries, less morbidity and they were with good results.

Keywords: Controversies, Orthopaedics, Solutions, Tips and Tricks

Biography:

Dr. Pramod Lamichhane is a Senior Orthopaedic Surgeon and head of Department of Orthopaedics and the chairperson of Alive Hospital and Trauma Centre. He earned his MBBS and Masters in Orthopaedics degree at the Kathmandu University from 2000- 2009. Dr Lamichhane worked with Professor Ashok Kumar Banskota at B & B hospital, a busy renowned trauma centre at Kathmandu, Nepal 150 kilometers south west of Kathmandu. His sound knowledge in trauma developed the system of prompt treatment of trauma victims, especially open injuries with excellent results and he was awarded as the best young Orthopaedic Surgeons in 2nd Nepal Japan Annual Orthopaedic Symposium in 2013. He is also sound in Spine surgeries, Paediatric orthopaedics and in rehabilitation of physically disabled persons. He has been organizing national and international CME and workshops regularly. He is also a senior Vice President of Nepal Orthopaedic Association, Chitwan chapter and life member of Asia Pacific Orthopaedic Association.