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Scientific research works :
1. Correction of angular deformities of knee by flexible figure of 8 plate Hemiepiphysiodesis.
2. One stage release of congenital constriction band in lower limb from new born to 3 years.
3. Supracondylar femoral extension osteotomy and patellar tendon advancement in the management of persistent crouch gait in cerebral palsy.
4. Conjoined legs – Sirenomelia or caudal regression syndrome.
5. Metacarpal lengthening by distraction histiogenesis in adults.
6. Lower limb alignment in cerebral palsy.
7. Outcome of 8 plate hemiepiphysiodesis on genu valgum and height correction in B/L fibular hemimelia.
8. Illizarov method in CTEV.
9. Flat feet – clinical presentation.
10. Management of plantar ulcer in leprosy.
11. Primary malignant tumor of foot.
12. Dorsiflexor palsy tendon transfer.
13. Management of severe burn contracture of wrist by illizarov method.
14. Tendon transfers around foot in paralytic deformity.
15. Management of giant cell tumor around knee.
16. Management of congenital absence of radius.
17. Management of congenital absence of tibia.
18. Management of CTEV by UMEX.
19. Illizarov in complex ankle and foot deformities.
20. Calcaneal lengthening in flat foot.
21. Congenital absence of fibula.
22. Congenital vertical talus.
23. Congenital constriction band.
24. Flat feet with special reference to CVT.
25. Growth modulation by 8 plates in congenital absence of fibula.
26. Habitual dislocation of patella in children.
27. Melorrheostosis – case report.
28. Assessment criteria for disability, handicap rehabilitation.
29. Management of congenital pseudarthrosis of tibia by illizarov method.
30. Therapeutic management of pain in orthopedic practice.
31. UMEX for relapsed and neglected CTEV.
32. Hip disarticulation and trans pelvic amputation – medical and surgical aspect.
33. Cleft foot.
34. Locomotor disability and rehabilitation.
35. Post traumatic rehabilitation of extremity.
36. Tibial agenesis.
37. Cafey Silverman disease – case report.
38. Treatment of neglected CTEV with minimum soft tissue release combined with Unconstrained illizarov method.
39. Amputation surgery – prospective study.
40. Medical and surgical rehabilitation of cerebral palsy.
41. Early open reduction of DDH .
42. Prescription of crutches, crutch gait and care.
43. Role of orthosis in ambulation in spastic CP.
44. Surgical management of congenital genu recurvatum.
45. Gene therapy for spinal disorder.
46. Management of VIC – late presentation.
47. Early surgical intervention to facilitate ambulatory potential in rehabilitation of spastic diplegia.
48. Surgical procedure to improve hand function in CP.
49. Exostosis of talus - case report.
50. Evaluation of treatment of Dupuytren contracture by partial fasciectomy.
51. Study of surgical exposure by hemicincinati incision vs Turco incision for PMSTR in club foot.
52. Rigid knee deformity correction in arthritis by illizarov method
Future Research Projects:
A) Management of Cerebral Palsy with Botulinum –A Toxin : Preliminary Investigation
Botulinum A Toxin has been used widely for the treatment of spasticity in children with Cerebral Palsy(CP) since the 1990s. It acts at the neuromuscular junction by inhibiting the release of the neurotransmitter acetylcholine and selectively reduces muscle activity for 12 to 16 weeks. Benefits reported include a reduction in muscle tone, an increased joint range of motion, improvement in gait and an increased muscle length. A number of systematic reviews have demonstrated that injection of Botulinum toxin A are effecting in reducing spasticity in children with CP and they have proposed guideline of using Botulinum toxin A injection. In this preliminary open study, the effectiveness of intramuscularly injected Botox on the muscular imbalances of Cerebral Palsy will be assessed.
B) Long-Term Outcome evaluation in Club foot patients after plaster technique and surgical release and comparison of results.
Congenital Talipes Equinovarus (CTEV ) or Club foot is a deformity affecting approximately 1 in 1000 births. Most infants are initially treated with manipulation and serial casting , the goal of intervention is a pain-free functional foot. The most commonly carried out procedure to treat infants with residual foot deformity after casting was a comprehensive club foot release, a technique described and modified by several investigators. Posteromedial release was used in all releases to obtain a full correction of the foot deformity in three dimensions. The current standard of care utilizes the ponseti casting technique. The purpose of this study is to analyse the long term effects of surgical correction for patients with CTEV. The study is designed to improve our understanding of club foot during adulthood and to provide comparison with normal foot function by quantifying segmental foot motion during gait, lower extremity strength & range of motion(ROM ). We also want to study the outcome variability of club foot pathology using measures of patients satisfaction, self perception and outcome measures.
C) Long Term follow up of a patient with Legg- Calve – Perthes Disease
The objective in treatment in Legg- Calve – Perthes Disease (LCPD) is to create a congruent hip joint with out deformity at the time of skeletal maturity to gain normal function and in the long term , to reduce the risk of secondary osteoarthritis and total hip replacement. This treatment for the patients with LCPD aims to achieve containment of femoral head and include physical therapy, bracing/ casting, adductor tenotomy and femoral and / or pelvic osteotomy. Decision with regard to when and how to treat relies on a classification that is related to an accurate long term prognosis. As most of the literature consists of studies in which inclusion criteria, classification of the disease and treatment of the patients varied considerably, it is difficult to draw firm conclusions with regards to the prognostic factors and the natural course of the disease. The purpose of the study was to evaluate whether severity of the disease, age at onset, sex and presence of head at risk signs were risk factors for poor outcome.
D) Pressure Ulcers : Prevention and Management :
A pressure ulcer is a localized injury to the skin or the underlying tissue, usually over a bony prominence, as result of unrelieved pressure. Predisposing factors are classified as intrinsic ( e.g, limited mobility, poor nutrition, comorbidities, aging skin) or extrinsic (e.g, pressure, friction,shear,moisture). Prevention includes identifying at risk persons and implementing specific prevention measures such as following a patient repositioning schedule, keeping the head of the bed at the lowest safe elevation to prevent shear ; using pressure reducing surfaces and assessing nutrition and providing supplementation if needed. Treatment involves management of local and distance infections, removal of necrotic tissues, maintenance of a most environment for wound healing & surgery. We have got 24 beds for spinal cord injured patients who usually develops pressure sore / get admitted with pressure sore. We want to study the incidence, site of occurrence, various methods of preventions and management of pressure sore in our patients.