This condition is caused due to an irreversible damage to the brain, which occurs before, during or after birth. This results in tightness of muscles in the limbs and occasionally in the trunk as well. These children are commonly referred to as ‘spastic’ children. The orthopaedic treatment involves physiotherapy, using certain medications like Botox injections to reduce the tightness and surgeries like correction of contractures, tendon transfer to balance muscles and bony surgeries to correct deformities and stabilize joints. These include pelvic osteotomies to stabilize hip and foot stabilization procedures.
Also known as CTEV, this is the commonest congenital deformity requiring treatment. The current method of treatment is known as Ponseti’s technique of serial plastering. Neglected cases are treated with open surgery or correction using external frames.
In clubfoot, the tendons on the inside of the leg are shortened, the bones have an unusual shape, and the Achilles tendon is tightened. If left untreated, the person may appear to walk on their ankles or the sides of their feet. Most children will have only a clubfoot and no other condition, but sometimes clubfoot occurs with other problems, such as spina bifida.
Developmental Dysplasia of Hip
Previously known as congenital dislocation of hip, this condition has to be diagnosed early to be treated with a brace. If diagnosed late, surgery is invariably required. Many of these patients need to undergo complex pelvic osteotomies to reconstruct the socket. I specialize in reconstructive hip surgeries for patients who have had delayed diagnosis or failed surgeries for DDH.
Shortening or deformity of the limb due to congenital conditions, infections, trauma or any other cause can be corrected using special frames known as fixators which are available in a variety of designs.
Muscular dystrophy is a hereditary condition where there will be progressive weakness of upper and lower limbs due to a defect in the muscle. The problem may start at a very young age or during adolescence depending on the type of problem. The common types are Duchenne and Becker muscular dystrophies. These children require surgeries to correct limb or spine deformities or to stabilize the hip joints.
Obstetric Brachial Plexus Palsy
Obstetric Brachial Plexus Palsy is one among the severe types of birth injuries. The Incidence of OBPP in new born babies is 1.5/1000 birth. The child with shoulder dystocia has 100 times greater risk and large babies have 14 times greater risk, whereas twin or multiple pregnancy and caesarian section have protective effect. I have been treating children with this condition and routinely perform reconstructive procedures like contracture release, corrective osteotomies and modified quads procedure.
During the last couple of years the city of Baroda has witnessed variety of educational, social, religious & many other activities from the stage of VAISHVI ORTHOPEDIC HOSPITAL.
G-2|3|4 Status Avenue, 9, Sampatroa Colony, Jetalpur Road, Vadodara, Gujarat
0265-2320938, 84909 78661
- Paediatric Orthopaedics
- Pain Management
- Sports Rehabilitation
- Foot and Ankle