Frequently Asked Questions About Orthopaedic Surgery, Answered Here

The human musculoskeletal system tends to grow weak with aging. However, certain injuries or ailments such as arthritis lead to bone damage at an early stage. Often these damages are treated using certain medication and therapies.

But when the pain is chronic and body movement restricted, Orthopaedics prove to be the ideal solution. Orthopaedic has made it easier to deal with the complexities of musculoskeletal disorders. Though orthopedic surgery has become common and popular, people are still apprehensive about the procedure.

To help you understand the process in a better way, we have listed the most commonly asked questions about Orthopaedics. Have a look:

When will I need an Orthopaedic surgery?

Discomfort in bone and joint is a common phenomenon with the process of aging. However, things call for immediate medical attention if the pain restricts your everyday activities as basic as walking, or climbing stairs. You should consult an orthopedic surgeon if the pain is very severe and your quality of life is getting affected. An orthopedic surgery is only advised when other treatment methods such as medicines and therapy fail to alleviate the pain.

What are the most common Orthopaedic surgery types?

There are various types of orthopedic surgery in India and Ahmedabad, but the most common of them happen to be the arthroscopic surgery of the knee, shoulder, elbow, wrist, hip, and ankle. Joint replacement surgery is performed to replace a damaged joint with an artificial one. Repairing soft tissue injuries, such as torn tendons or ligaments is also part of the Orthopaedic surgery.

What is an arthroscopy surgery?

It is a minimally invasive surgical procedure carried out by arthroscopy surgeons in Lucknow and Ahmedabad, wherein the examination and treatment of damage of the interior of a joint are carried out with the help of an arthroscope – which is a type of endoscope inserted into the joint via a small incision. Arthroscopy surgeons in Lucknow and Ahmedabad recommend this procedure to evaluate or to treat an array of orthopedic conditions including torn floating cartilage, torn surface cartilage, ACL reconstruction and trimming a damaged cartilage.

What is a joint replacement surgery?

It’s a surgical procedure that calls for replacing a damaged joint with an artificial joint, known as a prosthesis. Joint replacement surgery becomes inevitable when the pain can no longer be controlled through medication and other lines of treatments. A joint replacement surgery functions by removing the damaged or diseased joint part and replaces the worn out part with an artificial part. Joint replacement not just cuts down the pain, but it even allows movement restoration – which makes you move freely.

What are the different types of joint replacement surgeries?

Joint replacement surgeries can be carried out on every joint in the body. However, the most common joint replacement surgeries happen to be that of shoulder, elbow, knee, and hip.

What are the benefits of joint replacement?

Joint replacement is an ideal solution to deal with damaged or arthritic bones that show no sign of healing through other treatment methods. A joint replacement when carried out by experts in the field, not only helps relieve the pain but also allows you to get the old momentum back. It allows you to carry out your everyday tasks with ease, without being dependent on someone else. It is an effective process of treating joint pain and restoring the quality of life which often gets affected when your joints are damaged or diseased.

What is a revision knee surgery?

Also known as revision total knee arthroplasty, it is a procedure in which the previously implanted artificial knee joint, or prosthesis is removed. A revision knee surgery comes to fore when the previously done knee surgery fails to owe to certain medical conditions. The implanted artificial joint is replaced with a new prosthesis. Knee revision surgery may also involve the use of bone grafts. The bone graft may be an autograft, which means that the bone is taken from another site in the patient’s own body; or an allograft, which means that the bone tissue comes from another donor.

Can a knee replacement surgery fail? What leads to its failure?

Like any other mechanical prosthesis (implant), knee implant also has a failure/malfunction possibility. There are several reasons which lead to the failure of a prosthesis (implant). Some of them are:

  • Infection
  • Aseptic Loosening of the joint
  • Plastic Wear
  • Mal-alignment or Instability of the joint
  • Quality of the Implant

If you still have an unanswered question about Orthopaedic surgery in India and Ahmedabad, get in touch with us at

Dental Implants

Dr. Darshini Shah has Done Wonders to My Teeth!

Mrs. Kamini Kinariwala has been in the grip of tooth pain and oral discomfort for a long time. However, she was reluctant to undergo oral procedures due to fear of pain. Her husband Mr. Pradip Kinariwala who got his “bridges” done 17 years ago at the hands of Dr. Darshini Shah of Shalby Hospitals could convince her, citing his own pleasant experience that the procedure would be painless and smooth. Thus, Mrs. Kamini Kinariwala underwent a total oral rehabilitation procedure at Shalby at the hands of Dr. Darshini Shah, the best dental surgeon in Ahmedabad.

On successful completion of the oral rehabilitation process, she opined” All my fears so far have been meaningless. I would have undergone this treatment much earlier. Dr. Darshini and team have done a wonderful work on my teeth and perfected it as original! Now I am empowered with my teeth and can eat and relish all my favorite delicacies. All the words of appreciation will fall short to thank the Shalby Dental Cosmetics & Implantology team for the good work which is at par with the world”

Dr. Darshini Shah

Director, Dental Cosmetics & Implantology
Shalby Hospitals, Ahmedabad
For More Details +91 99240 69400 +91 98244 66884

Limb Salvage Surgery for Osteosarcoma: A Fight Against Bone Cancer

lim salvage bone cancerA 16 year old boy with Osteosarcoma of Tibia Neoadjuvant chemotherapy Surgery: Wide Resection and Megaprosthesis Joint Replacement Surgery Adjuvant chemotherapy


Osteosarcoma is the malignant bone tumor that arises from primitive mesenchymal bone-forming cells, and its histologic hallmark is the production of malignant osteoid. Each year in the United States, about 400 children and teens younger than age 20 are diagnosed with osteosarcoma. Osteosarcoma is the third most common cancer in children, after lymphomas and brain tumors. It often starts in the ends of the bones where new bone tissue forms as a young person grows. Bones in the thigh, upper arm, and leg are the most common sites. The cause of osteosarcoma is unknown and only rarely does osteosarcoma run in families. Children with retinoblastoma have a high risk for osteosarcoma in adolescence.

Xray and MRI

Skin incision and neurovascular bundle





Osteosarcoma Tibia






knee function after megaprosthesis

Clinical Presentation

Pain and swelling in the affected bone is the most common symptom. Pain is severe in nature and associated with limitation of movement of affected joint. Initially there is small swelling and increases rapidly to bigger size. On clinical examination of swelling, local warmth with dilation of veins in the over lying area can be observed. Occasionally patients present with pathological fracture due to trivial trauma.


Plain radiograph of the affected bone with adjacent joint is obtained with chest radiograph. The radiological findings of osteosarcoma shows a lytic/sclerotic /mixed lesion with wide zone of transition, sun ray type of periosteal reaction and soft tissue swelling. Magnetic resonance imaging (M.R.I.) is performed to visualize the extent of tumor and relationship with neurovascular structures, followed by J needle biopsy to obtain histopathological diagnosis. Staging investigations consist of Computed Tomography of chest and Bone scan or PET-CT scan.

knee joint replacement surgery

Recent Advances

Limb salvage surgery for bone tumors in the immature skeleton creates unique problems. When the estimated leg-length discrepancy at skeletal maturity is more than 3 cm or when the arm-length discrepancy is more than 5 cm expandable, Megaprosthesis is performed. The minimally invasive and noninvasive types of expandable prosthesis are used. Every six monthly the limb is expanded as compared with opposite limb until skeletal maturity is achieved.

If you are going for knee replacement surgery, make sure that you only approach a reputed institution like Shalby Hospital, Ahmedabad – one of the best centres for knee replacement surgery in India.


Dr. Abhijeet Ashok Salunke
Consultant – Orthopedic Oncosurgeon
Shalby Hospitals, Ahmedabad
For More Details +91 98240 99953

5 Most Common Knee Injuries

knee injuries
Image: orthoinfo

The knee is the most complex structure and one of the most stressed joints in the body. Knee injuries occur during the sports activities, exercising, or as a result of a fall. The symptoms people may experience are difficulty with weight bearing, pain and swelling and instability are the most common with a knee injury.

1. Fractures

The most common and often caused by high-energy trauma, such as falls from the significant heights, accidents, and during the sports activities. The most common bone broken around the knee is the patella.

2. Dislocation

It happens when the bones of the knee are forced out of normal position, either fully or partially. Dislocations can be caused by an abnormality in the structure of a person’s knee. This usually occurs from a fall, a car accident or participation in sports. sports-related contact. Examples of affected areas include shoulders, elbows, fingers, ankles, knees, hips and jaw.

3. Sprains and Strains

A sprain is a stretching or tearing of ligaments and sprain is a stretching or tearing of muscle or tendon. Sprains and strains are injuries to the ligaments. The ACL and MCL are the ligaments most often injured. These kinds of injuries usually happen during sports such as football, soccer, and the basketball. The symptoms include tenderness along the joint line and pain with walking.

4. Meniscus Tear

A most common injury happens during sports where the forceful twisting causes certain tissue in the knee to tear. The symptoms include a pain, swelling, locking, stiffness, and difficulty extending the knee.

5. Tendon Tears

The quadriceps and patellar tendons can be stretched and torn. The middle-aged people who play running or jumping sports have faced this kind of injury more often, although anyone can injure these tendons. The common causes of knee tendon injuries include a falls, direct force to the front of the knee, and landing awkwardly from a jump.

Diet Plan You Should Follow After a Spine Surgery

diet plan after spine surgery

Let us look at the diet plan you should expect to follow after a spine surgery.


With the need to heal, your metabolism will also increase, requiring you to take almost double the amount of calories that your body usually needs. That does not mean that you start consuming junk food – the extra calories should be consumed through healthy foods like fresh fruits and vegetables, wholegrain etc. Such foods will provide you with the nutrients necessary for fast and proper healing.


One of the most important nutrients required for post-surgery healing is protein. Therefore, a good chunk of what you eat must
comprise of eggs, fish, lean meat and poultry, tofu etc. Low-fat dairy products like skim milk will provide your body with not only protein, but also Calcium and Vitamin D required for bone restoration. Zinc, which is found in high-protein foods, is important for fighting infection.


Another healthy but yummy way to get your required calories and nutrients is supplemental shakes. This will let your body get the protein and other nutrients it requires, and it’s quite easy to make! You can make shakes/”smoothies” using milk, yoghurt, soymilk or any other high-protein beverage. You may also be advised to take certain vitamin and mineral supplements – however, do not take any vitamin or mineral supplement without your doctor’s approval. Constipation may result from the intake of pain medication – this can be avoided by staying hydrated throughout the day with good water intake. This will also be very beneficial for the healing process. Fibre intake can also prevent constipation – so have high-fibre foods like fruits, wholegrain etc.

A good spine clinic will ensure that you are provided with the correct diet plan for quick and complete healing. For example, reputed spine clinics like Shalby Hospitals – one of the best spine hospitals in Ahmedabad with a team comprising of the best spine surgeons in Ahmedabad – see to it that all measures are taken for quick and complete post-operation healing. You should only trust hospitals with a highly experienced and skilled team so as to get the best results.

For inquiries on Spine, Please contact: +91 9824099953


Importance of Balanced Diet for Sportsperson


For going an extra-mile, sportsperson needs extra performance, which comes from well balanced diet and exercise. You are what you eat. The food provides all the essential vitamins, minerals, proteins and other nutrients. Good nutrition enhances a sporting performance. Hence, a careful consideration is must when selecting what to eat.

A combination of different food items gives a balanced diet. This would include:

1. Protein rich foods – A protein rich diet helps you in many ways such as, increases your metabolism, stabilises your blood sugar levels, aids in healing of bones and slow ageing. Eggs are considered as the healthiest and great source of protein.

2. Carbohydrates – Carbohydrates break down into sugar (glucose), body’s primary energy source. This happens during digestion and later this glucose is converted into glycogen which can later be used as an energy source.

3. Vegetables and Fruits – Consuming the right balance of food and drink is important for everyone, be it a common man with sedentary lifestyle or anyone involved in sports and works strenuously. Eating a wide variety of fruits and vegetables helps maintain health and improves performance. Dark green vegetables should be eaten regularly.

Thus, a well-planned wholesome diet would meet a sportsperson’s daily requirements and provide sufficient protein and nutrients to promote and repair physical fitness. They also need to stay hydrated throughout and consume the necessary amount of water.


Things You Need to Know Before & After Undergoing a Kidney Transplant

kidney transplantation
Image: persianhealthint


A kidney transplant is a surgical procedure that puts a healthy kidney within the body of a patient. The kidney can come from both living and expired donors.  While a new kidney will usually begin functioning immediately after the transplant, it is important to remember that it is a” foreign body” till it finds total acceptance by your immune system and therefore, will have to be careful about  its health.

Soon after the transplant, one will need to take certain medicines to prevent the rejection of the new kidney by the body. If rejection does happen you will have to undergo anti rejection therapy.. To prevent rejection, you will need to take immunosuppressant medication. Your doctor will prescribe you regarding what and how much to take so as to prevent rejection while keeping side effects at a minimum level.

As a transplant recipient you will be more susceptible to infections due to the intake of immunosuppressant medication, so you will need to see to it that your body is minimally exposed to germs. You don’t need to go overboard and subject yourself to solitary confinement – simple hygiene practices like hand washing with antibacterial soap or hand sanitizer should suffice. By this way most of the infections can be prevented and patient can live a  healthy life.

After transplantation,  as the patient is free from dialysis , he or she is going to have improved appetite that can lead to obesity, if not taken care well in form of exercise and diet planning.

The most important thing that you need to know if you are thinking of undergoing kidney transplantation is that you should only approach a reputed kidney transplant hospital. As kidney transplant is a serious procedure, you should only get it done at leading kidney transplant hospitals like Shalby Hospital in India.

For More information, please contact:  +91 98240 99953