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Department of Orthopaedics

This Department is run by a team of experienced orthopaedicians, physiotherapists, nurses, and occupational therapists.
For Trauma and Emergency cases, the emergency department is fully equipped to handle any type of emergency and resuscitation round-the-clock.
Perfecting the art of operation.
Joint Replacements
Joint replacement surgeries are surgeries where a damaged or arthritic joint is replaced with a prosthesis (artificial implants made of metal, plastic, or ceramic materials). At Billroth, these are commonly performed for hips and knees. These surgeries aim to relieve pain, improve function, and enhance the overall quality of life for individuals with severe joint issues.
Joint replacement surgeries have a high success rate in offering hope for enhanced mobility and pain relief for those with compromised joints. However, some cases may require revision surgery. Revision joint replacement is performed when the original implant wears out, becomes loose, or encounters complications over time. This may be due to factors such as infection, implant failure, or changes in the surrounding bone.
Total Hip Replacements
Total hip replacement, or hip arthroplasty, is a surgery where a damaged hip joint is replaced with a prosthesis and is commonly performed to address conditions like osteoarthritis or hip fractures. The prosthetic implant could be made of metal, ceramic, or plastic to recreate the hip joint. These components may include a metal stem inserted into the femur, a metal or ceramic ball that replaces the damaged femoral head, and a socket component placed in the pelvic bone, often lined with a durable plastic liner.
Billroth’s Total Hip Replacement aims to restore range of motion, reduce pain, and enhance the patient’s overall quality of life.
Total knee replacement
Total knee replacement (TKR), also known as total knee arthroplasty, is a surgery where a damaged knee joint is replaced with a prosthetic implant so as to relieve pain and restore function in patients with severe knee joint damage. Commonly performed to treat conditions like osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis.
The surgery begins with the orthopaedic surgeon making an incision to access the knee joint. The damaged cartilage and bone are then removed from the joint surfaces. The femur (thigh bone) and tibia (shin bone) are reshaped to accommodate the prosthetic components. A metal implant is secured to the femur, and a plastic or metal implant is attached to the tibia. Additionally, a plastic button may be placed on the undersurface of the kneecap (patella) to enhance joint stability and movement.
Upper Limb Orthosurgeries
Upper-limb orthopaedic surgeries encompass a range of procedures aimed at addressing conditions and injuries affecting the arm, shoulder, elbow, and hand. Common surgeries include:
Rotator Cuff Repair:
Shoulder Arthroscopy:
Total Shoulder Replacement:
Elbow Arthroscopy:
Elbow Ligament Reconstruction (Tommy John Surgery):
Carpal Tunnel Release:
Trigger Finger Release:
Dupuytren’s Contracture Surgery:
Hand Fracture Repair:
Tendon Repair:
Nerve Decompression Surgery:
Sports medicine and orthopaedic surgeries
Billroth’s Sports Medicine orthopaedic surgeries help athletes and individuals with musculoskeletal injuries in their treatment and rehabilitation. These procedures aim to restore function, alleviate pain, and enhance performance.
Common surgeries in sports medicine and orthopaedics are:
ACL Reconstruction:
Why this surgery? To repair a torn anterior cruciate ligament (ACL) in the knee, often resulting from sports-related injuries.
How it is done: It involves replacing the damaged ligament with a graft, typically sourced from the patient’s own hamstring or patellar tendon.
Meniscus Repair:
Why this surgery? Addresses tears or damage to the meniscus, the cartilage in the knee that acts as a shock absorber.
How it is done: Surgeons may either repair the torn meniscus or, in severe cases, remove the damaged portion.
Rotator Cuff Repair:
Why this surgery? Addresses tears in the rotator cuff, common in athletes involved in overhead motions like throwing.
How it is done: It involves stitching or reattaching the torn tendons of the rotator cuff to restore stability and function.
Labral Repair:
Why this surgery? Addresses tears or damage to the labrum, a ring of cartilage around the shoulder socket.
How it is done: Surgeons repair the torn labrum, often using arthroscopic techniques for minimal invasiveness.
Tommy John Surgery (UCL Reconstruction):
Why this surgery? This surgery repairs a torn ulnar collateral ligament (UCL) in the elbow.
How it is done: It involves replacing the damaged UCL with a graft, often from the patient’s forearm or hamstring.
Cartilage Restoration Procedures:
Why this surgery? Addresses cartilage defects and injuries in joints like the knee.
How it is done: Techniques include microfracture, autologous chondrocyte implantation (ACI), and osteochondral autograft transfer (OAT), aiming to stimulate new cartilage growth.
Ankle Ligament Reconstruction:
Why this surgery? It treats chronic ankle instability due to ligament damage.
How it is done: It involves repairing or reconstructing the damaged ligaments to restore stability and prevent recurrent sprains.
Tendon Repair:
Why this surgery? Repairs damaged tendons, often in areas prone to overuse injuries.
How it is done: Surgeons reattach or reinforce the torn tendon, promoting healing and restoring normal function.

Orthopaedics Doctors

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