Treatment Provided

Specialized Services :

Dr.D.Shrinivas has diverse expertise and is committed to provide effective solutions to Orthopaedic problems. His specialized services include :

  • Knee Joint replacement
  • Knee arthroscopy and Meniscectomy
  • Knee arthroscopy and Chondroplasty
  • Knee arthroscopy and repair of both menisci
  • Knee arthroscopy and Anterior cruciate ligament reconstruction
  • Hip joint replacement
  • Shoulder arthroscopy and decompression
  • Shoulder arthroscopy and debridement
  • Shoulder arthroscopy/distal clavicle excision
  • Repair of rotator cuff tendon
  • Minimally Invasive Spine Surgery
  • Low back Intervertebral disc surgery
  • Lumbar spinal fusion
  • Carpal tunnel release
  • Debridement of skin / muscle / bone / fracture
  • Repair of Femoral neck fracture
  • Repair of Trochanteric fracture
  • Repair of Femoral shaft fracture
  • Repair of Tibia fracture
  • Repair fracture of the distal part of radius
  • Repair fracture of radius (bone)/ulna
  • Repair of ankle fracture (bimalleolar type)
  • Repair of Foot fractures
  • Removal of support implant
  • Finger tendon sheath surgery

Daycare Surgery :

All facilities are available to promote daycare surgery for a variety of conditions in spinal disorders, joint problems and fractures. The system is designed taking into consideration patient comfort and convenience.

Sports Medicine :

We offer excellent care in sports related injuries of the joints and ligaments. Arthroscopic techniques are used in cruciate ligament repair, meniscal repair, cartilage transfer, MPFL reconstruction, and multiple ligament injured knee.

Treatment of slip disc (Intervertebral disc prolapse) WITHOUT OPERATION :

Back pain is usually due to sprains. While performing an awkward movement or because of being in a poor posture for a long time, undue strain is exerted on a muscle or ligament in the back, causing it to overstretch and tear. We are specialists in treating all back and neck problems occurring in your day to day life.
Over 90% of the cases are treated without operation by our team at the BACK AND NECK CLINIC.

Arthroscopic (Keyhole) Surgery :

Keyhole surgeries of the joints are done with state-of-the-art instruments. Recovery from the surgery is much faster compared to traditional open surgery. The facili¬ties in arthroscopy include the video Arthroscope for the knee, shoulder and hip, a smaller scope for wrist elbow and ankle joints, complete power shaver system, pres¬sure sensitive pump for joint distension, arthroscopic electronic power system, VAPR (radiofrequency energy delivery system.
Keyhole surgery of the knee joint is routinely done mainly for meniscal repairs, anterior and posterior cruciate ligament reconstruction, double bundle reconstructions, biopsies, knee cap dislocations for MPFL reconstruction, popliteal cyst management etc. Bio-absorbable screws/implants are routinely used for ligament reconstruction.
For routine arthroscopic surgeries the patient has to stay in the hospital for only 1 or 2 days and has to continue the exercises at home.

Joint Replacement Services :

We offer all types of joint replacement to restore freedom of movement and relieve the pain of degenerated and diseased joints. Some of the latest techniques offered are cementless implants for a customized fit thus prolonging the life of the replacement. However, joint replacements do not last forever. Many people require a second replacement surgery, especially for hip joints. This replacement, or revision, can be more difficult than the initial surgery due to the difficulty in removing the adhesive material used to hold the artificial joint in place.
We perform joint replacement surgery for other major joints including the elbow, ankle, shoulder, and wrist joints. In addition, Dr. D. Shrinivas has extensive experience in using the newest clinically proven techniques to revise joint replacements that have failed.
Rehabilitation following joint replacement is coordinated with our arthritis centre team.
Our facilities to perform joint replacements are outstanding both in theatre environment and instrumentation. For all joint replacement cases we have Laminar Air Flow operation theatres, cement gun for pressurizing during cementing, vacuum mixing of the cement, pulsatile lavage system, pneumatic and cordless power saw/reamer system and complete systems for primary and revision arthroplasty. A computer navigation system is also part of the joint replacement armamentarium.

Total Hip Replacement :

This is usually undertaken in patients who have had their hip joints destroyed due to injury or diseases like osteoarthritis, rheumatoid arthritis, etc. Hip resurfacing and replacements using ceramic liners are done for relatively young active patients.

Total Knee Replacement :

For knees that are severely damaged due to disease or injury, total knee replacement is the best option. The end of the thigh bone is normally replaced with a metallic component and the upper end of the leg bone with a polyethylene component with metal base plate. Most patients are ambulant from the day after surgery and are discharged the fifth day. The latest Hi-flexion fixed bearing and mobile bearing designed knee components and those specifically designed for women (Gender solution knees) are routinely used.
Computer-assisted Total Knee Replacement (TKR) : improves the component positioning and is routinely done by us. It is predicted that the computer accuracy and the surgeon's experience together will improve the planning for implementation.

Total Shoulder / Elbow Replacement :

Joints like the elbow and shoulder, which are damaged due to diseases like rheumatoid arthritis or due to traumatic injury are treated with total joint replacement.

Revision Joint Replacement :

Revision joint replacement is a frequent procedure and we have the entire revision instrumentation along with high speed burrs for difficult surgeries, both for the hip and knee joint.

Hand and Microvascular Surgery :

This service is offered as an interdisciplinary program involving orthopaedic hand surgeons and plastic surgeons. We offer expertise in microvascular procedures to treat hand injuries, congenital deformities, arthritis and degenerative disorders, infectious diseases, and reimplantation. Joint replacement of the wrist and endoscopic hand surgery are special features of this division.