Asian Joint Reconstruction Institute

Asian Joint Reconstruction Institute

The Institute of Orthopaedics at SIMS Hospital is also known as AJRI (Asian Joint Reconstruction Institute). It is a centre of international repute for complex Bone and Joint related conditions. Apart from the patients from various corners of the country, the institute receives hundreds of patients from the Western part of the world, like USA and Canada, looking for a wide range of high-end Orthopaedic procedures.

The institute is operated by a team of outstanding Orthopaedic surgery in chennai, who have dedicated their interest to the science of joint replacement, reconstruction and preservation with the use of current techniques and technologies. The combined experience of the senior consultants in the institute, who have refined their clinical skills over decades of practice, is unmatched in this part of the world. Our doctors hold patents for technology in Joint procedures, contributors to world research and members of knowledge consortium. All the consultants in the team are very patient-centric and highly motivated to constantly improve the standards of Bone and Joint Care.

Group consultations have been the core philosophy at the Institute of Orthopaedics. This allows the doctors to device the best plan of treatment using their collective experience. Moreover, being a part of a multi-speciality healthcare ecosystem, the patients also get the benefit of receiving support or intervention from other medical disciplines like imaging services, intensive care, renal care, rehabilitation programs, if required.

GREEN LINE CONCEPT

we categorize every patient walking into the hospital as web appointments, new patients, follow-up patients, awaiting admissions, emergencies and casual visitors. a patient-centric approach is followed at ajri where each patient is given a detailed counselling before and after the procedure. called the green line concept, our doctors strive to provide all the care and attention to all the patients, alleviating the feeling of being neglected. we’ve already put into a practice an ecosystem where a group of counsellors, doctors and other support teamwork in harmony to make this happen. also, we’ve made it a point to do post-surgical care online where doctors can perform examinations through the web. we expect this practice would cut down the inconvenience and pain of patients by a considerable amount.

OUR SUPER SPECIALITY SERVICES

At SIMS, we always look-out for non-surgical management/alternative options, even for advanced joint conditions. Hence, surgery / joint replacement may not become an immediate recommendation. Being a team of specialists and sub-specialists, each case is carefully evaluated before recommending the best course of treatment. The team of doctors provide the solution for a wide range of Bone and Joint conditions including joint preserving options like focal cartilage transplants to arthroscopic procedures, and from corrective Osteotomy to revision surgeries. Our customized programs offer pain-relief solutions for arthritis or impaired joint function. Our services comprise of the following:

Robotic Knee Replacement Surgery

For the first time in Tamil Nadu, SIMS Hospital launched Robotic knee replacement in chennai. It is the only centre in the state to have this technology and relevant clinical expertise. Robotic Knee replacement surgery has many definitive benefits over traditional joint replacement surgery: one being, a bone-conserving technology as it helps in preserving natural anatomy. It enables the surgeon to operate with enhanced precision even during the most complex procedures and difficult cases. Enhanced precision and lesser bone removal leads to less blood loss, reduced pain, faster and better post-operative outcomes for the patient. Robotic-assisted joint replacement is at a much higher level with regards to Patient satisfaction parameters than traditional joint replacement surgery.

Computer Aided Hip & Knee Navigation Surgery And Custom Instrumentation For Total Knee Replacement

Accuracy of component placement is the most important variable that influences the outcome of joint replacement surgery especially the function and the longevity of the prosthesis. Orthopaedic Surgeons has been the key designer for computer navigation systems to fine tune the accuracy of component placement to optimize outcomes for both hip and knee replacement surgeries.

Institute of Orthopaedic is the best ortho surgeon in chennai and also involved in the development of “PrePlan* – 2 pin Concept”, a patient-specific custom instrumentation based on CT scan that enables precision in key surgical steps.

Revision Joint Replacement Surgery

Revision or redo hip and knee reconstruction is becoming common in India. Revision is required for patients whose primary replacement implants have failed due to varied reasons (wear and tear, infection and primary failure). Surgical experience is a critical ingredient while addressing a variety of issues encountered during revision surgeries.

Complex revision joint replacement surgery is one of the most technically challenging interventions in orthopaedics. The team at Institute of Orthopaedics has best ortho doctors in chennai, also vast experience in complex revisions, and reconstructions of the hip and knee involving the use of allografts, porous tantalum material, non cemented metaphyseal sleeves, and custom revision components.

Partial / Unicondylar Knee Replacement

Total Knee Replacement is not the only solution for all types and stages of painful arthritis. In some patients, only one compartment is predominantly affected. These situations are best suited for joint conserving procedures like corrective Osteotomies / Unicondylar replacement. Since all the ligaments are preserved and as the procedure is minimally invasive, the recovery is rapid and functions near normal.

Bone Conservative Surgery (Birmingham Hip Resurfacing) :

Unlike the western population, hip arthritis occurs in the young patient in India/Asia. Hence conserving bone becomes crucial. The BHR (Birmingham Hip Resurfacing) and BMHR (Birmingham Mid Head Resection) prosthesis are specifically developed for younger and more active patients. Institute of Orthopaedics has experience of over 2000 BHR/BMHR procedures which makes it the largest volume centre in Asia. In addition, the centre has the largest experience of this procedure for avascular necrosis of the hip in the world.

Oxinium (Ceramic) Knees :

Conventional knee replacement is not suitable for a relatively younger and active patient due to the potential of rapid wear and early failure. Oxinium knee reduces the wear by 50%. It is popularly known as the “30-year knee” in North America. This innovation was brought to this region by our surgeons in early 2010, enabling the deployment of the knee replacement procedure for relatively younger patients.

Some other Orthopaedic services include :
  • Non-operative management
  • Rheumatology service
  • High performance primary joint replacement surgery
  • Osteotomy (Realignment of bone)
  • Arthroscopy (Key Hole Surgery)
  • Complex revision joint replacement surgery
TECHNOLOGY & INFRASTRUCTURE

State-of-the-art technology is deployed at the Institute of Orthopaedics for precise identification of bone & joint conditions, deciding on the best treatment approach and execute the procedure with high-degree of perfection. These include technology for investigation & diagnosis, pre-surgical planning, actual surgical procedure, post-operative care, Ultrasonicator for microbiology apart from digital archiving of patient records and many more. Few of the technologies that we use at SIMS are :

  • A high-tech operating room with modern equipment
  • Innovations like finite 3D modeling with a 3D printer
  • Robotic surgeries and Intra operative computer aided surgeries
  • Advanced bracing & taping techniques
  • Well-equipped rehab labs and GAIT labs

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