All Services

.

Wrist Implant Removal Surgery Implant removal is a surgical procedure performed to remove previously inserted plates, screws, pins or other fixation implants from the wrist after the underlying fracture or injury has healed. In selected patients, removal may be considered when the implant causes irritation, prominence, restricted movement, pain, tendon irritation or other implant-related problems. In some cases, removal may also be advised when the implant is no longer required, depending on the type of fixation and clinical circumstances. At Dr. Harish Madrekar’s Orthopaedic Clinic, the wrist is carefully evaluated before implant removal. Clinical examination and appropriate X-rays are performed to confirm fracture healing, implant position and bone integrity. The timing of removal is individualized based on the original injury, fracture healing, implant type and the patient's symptoms. Implant removal is not routinely necessary for every patient after fracture fixation. The decision is made after considering the benefits, risks and individual clinical requirements. If you have a previously operated wrist with a plate or screws and are experiencing pain, implant prominence, tendon irritation, stiffness or discomfort, an orthopaedic assessment can help determine whether implant removal is appropriate.

Distal Radius Fracture – Wrist Fracture Treatment & Surgery A distal radius fracture, commonly referred to as a wrist fracture, is one of the most common fractures of the upper limb. It occurs near the wrist joint and can result from a fall on an outstretched hand, road traffic accident, sports injury or direct trauma. These fractures may occur in people of all age groups, including younger patients following high-energy trauma and older adults following a simple fall. At Dr. Harish Madrekar’s Orthopaedic Clinic, each wrist fracture is carefully assessed with clinical examination and appropriate X-rays to determine the fracture pattern, displacement, angulation, shortening, comminution and involvement of the wrist joint. CT scans may be recommended for complex intra-articular fractures or when detailed assessment of the fracture pattern is required. Treatment depends on the patient's age, activity level, fracture pattern, stability and degree of displacement. Stable and minimally displaced fractures may be treated with closed reduction, plaster or cast immobilization and regular follow-up X-rays

A clavicle fracture, commonly known as a collarbone fracture, is a frequent injury that can occur following a fall, road traffic accident, sports injury or direct trauma to the shoulder. Most fractures occur in the middle third of the clavicle, although fractures can also involve the lateral or medial third. At Dr. Harish Madrekar’s Orthopaedic Clinic, clavicle fractures are evaluated through a detailed clinical examination and appropriate X-rays to determine the location, displacement, shortening, comminution and alignment of the fracture. Treatment depends on the age of the patient ,fracture pattern, degree of displacement, shortening, skin condition, associated injuries, functional requirements and overall health of the patient. If you have sustained a collarbone injury with pain, swelling, deformity or difficulty moving the shoulder, early orthopaedic assessment is recommended to determine the appropriate treatment and ensure optimal recovery.

Rolando Fracture Surgery A Rolando fracture is a complex, intra-articular fracture at the base of the first metacarpal involving the thumb carpometacarpal (CMC) joint. It is typically a comminuted fracture and can result in joint incongruity, instability, pain and reduced thumb function if not appropriately treated. At Dr. Harish Madrekar’s Orthopaedic Clinic, Rolando fractures are evaluated with detailed clinical examination and appropriate X-ray imaging, with CT scan considered in complex or highly comminuted fractures to assess the fracture pattern and joint involvement. Treatment is planned according to the degree of displacement, comminution, joint incongruity, instability and functional requirements of the patient. The primary goals of surgery are to restore joint congruity, maintain metacarpal alignment, provide stable fixation and facilitate early functional rehabilitation while minimizing the risk of post-traumatic arthritis and loss of thumb function.

Knee deformities in children and adolescents can affect the alignment, growth, walking pattern and long-term function of the lower limbs. Early evaluation is important to determine whether the deformity is part of normal growth or requires treatment. At Dr. Harish Madrekar’s Orthopaedic Clinic, we provide comprehensive evaluation and treatment of paediatric knee deformities, including genu varum (bow legs), genu valgum (knock knees), genu recurvatum (hyperextension), flexion deformities and rotational deformities. Each child is assessed individually based on age, growth potential, severity and cause of the deformity. Evaluation may include clinical examination, measurement of limb alignment, assessment of limb length and rotational profile, gait assessment and appropriate standing long-leg X-rays to understand the mechanical axis and identify whether the deformity originates from the femur, tibia or both. Treatment depends on the child's age, underlying cause and severity. Mild or physiological deformities may only require observation and periodic follow-up. When intervention is indicated, treatment options may include guided growth procedures (hemiepiphysiodesis), corrective osteotomy and other growth-preserving or deformity-correction procedures, depending on the individual case. We also evaluate deformities associated with conditions such as Blount disease, rickets and other metabolic or skeletal disorders, previous fractures or growth plate injuries, congenital conditions and developmental abnormalities. Our aim is to achieve appropriate lower-limb alignment while considering the child's remaining growth and preventing progression of the deformity. Early assessment can help identify progressive deformities and allow treatment to be planned at the appropriate stage of growth. If your child has bow legs, knock knees, abnormal walking, unequal leg alignment or persistent knee deformity, a paediatric orthopaedic evaluation can help determine whether treatment is required.

Growth Factor Concentrate (GFC) injection is an advanced regenerative treatment used for early to moderate knee osteoarthritis. It is prepared from the patient’s own blood and contains concentrated growth factors that help reduce inflammation, relieve pain, and support cartilage healing. Unlike conventional PRP, GFC is an acellular preparation rich in purified growth factors with minimal cellular components The procedure involves drawing blood, processing it to isolate growth factors, and injecting the concentrate into the knee joint under sterile conditions. GFC therapy is minimally invasive and usually performed as an outpatient procedure. Clinical studies have shown that serial intra-articular GFC injections can improve pain, stiffness, and functional outcomes in patients with early knee osteoarthritis

ACL Injury The Anterior Cruciate Ligament (ACL) is one of the major ligaments in the knee that helps maintain stability during walking, running, turning, and sports activities. An ACL injury usually occurs due to a sudden twist, awkward landing, or direct impact to the knee. Patients may feel a “pop” at the time of injury followed by pain, swelling, and a feeling that the knee is unstable or giving way. Common symptoms include: • Knee pain and swelling • Instability while walking • Difficulty turning or pivoting • Reduced range of motion • Inability to return to sports activities If left untreated, an ACL tear can lead to repeated knee instability and damage to the cartilage or meniscus over time. ACL Reconstruction ACL reconstruction is a surgical procedure performed to restore stability to the knee by replacing the torn ligament with a graft. The graft may be taken from the patient’s own tissue (hamstring tendon or patellar tendon) or from donor tissue. The procedure is usually done through minimally invasive arthroscopic surgery, using small incisions and a camera for precision. The new ligament is positioned in the same place as the original ACL and fixed securely inside the knee. Benefits of ACL Reconstruction • Restores knee stability • Reduces episodes of giving way • Helps return to sports and active lifestyle • Prevents further damage to the knee • Improves long-term knee function Recovery Recovery involves: • Early pain control • Physiotherapy rehabilitation • Strengthening exercises • Gradual return to daily activities Early diagnosis and proper treatment can help patients regain confidence and return to an active, pain-free life.

Total Knee Replacement (TKR), also known as Total Knee Arthroplasty (TKA), is one of the most successful and commonly performed orthopedic surgeries worldwide. It is a surgical procedure in which the damaged or worn-out surfaces of the knee joint are replaced with artificial components (prosthesis) to relieve pain, restore function, and improve quality of life. This surgery is most commonly performed in patients suffering from severe arthritis, deformity, or irreversible knee joint damage where conservative treatments have failed.

PLATE RICH PLASMA IS INJECTED INTO YOUR KNEES FOR CARTILAGE REMODELLING