Major trauma can lead to serious head, chest, abdominal and skeletal injuries. More than half of major trauma is caused by road traffic accidents which can result in serious disabilities and even death. Being situated on the National Highway, Prakriya Hospital is geared up to handle these kind of injuries 24/7 with a team approach. Our multidisciplinary Trauma team includes Emergency physicians, General surgeons, Orthopaedic surgeons, Neurosurgeons, Plastic surgeons, Head and Neck team, ICU doctors and highly trained paramedical staff.

In the recent times, we have seen an increase in the numbers of high velocity injuries. These patients need a team of well-trained doctors. Our trauma team consists of Orthopaedic Surgeons, Neuro surgeons, Plastic & Microvascular Surgeons, Maxillo facial Surgeons, General Surgeons & Anaesthesiologist to manage polytrauma patients.

• Pelvi-acetabular fractures
• Complex hip and shoulder fractures
• All long bone fractures
• Hand and wrist fractures
• Pediatric fractures
• Neglected trauma
• Osteomyelitis
• Infected non unions

Total joint replacement is a surgical procedure in which parts of an arthritic or damaged joint is removed and replaced with a metal, plastic or ceramic device called Prosthesis. The prosthesis is designed to replicate the movement of a pain free and healthy joint.

Hip and knee replacements are the most commonly performed joint replacements. Replacement surgery can be performed on other joints as well, including the ankle, wrist, shoulder and elbow.

We at Prakriya hospitals have highly trained professionals, who thrive to achieve excellent results of international standards with regard to Joint replacement surgeries.

Total knee replacement:
Patients with severely damaged Knee joints, suffering from severe pain, deformities or having difficulty in moving around are candidates for Total Knee replacement surgery.
We perform:

1. Unicondylar Knee replacement: The partial knee replacement assures rapid recovery and only a small incision
2. Primary Total Knee replacement
3. Revision Knee replacement

We have Ultra clean operating rooms with laminar flow which are coupled with strict aseptic techniques. Our highly trained professionals achieve excellent results of International standards.

Total hip replacement:

Total Hip replacement is surgically replacing the damaged or deceased bone and cartilage with an artificial components in the Hip.

• Cemented Hip replacement
• Cementless Total Hip replacement
• Cemented/ Cementless Bipolar/partial Hip replacement in elderly with a fractured neck of Femur

Other joint replacements like

• Shoulder replacement ( Partial, Total & Reverse Shoulder replacement)
• Elbow replacement
• Ankle replacement

Joints connect bones to each other and provide the body with agility and stability. Obesity, misalignment, physical inactivity as well as sports injuries can lead to joint problems and restricted movement. To address these problems, key hole procedures can be performed on joints thanks to modern Arthroscopy techniques. Arthroscopy is a minimally invasive procedure that allows surgeons to diagnose and treat joint injuries and disease through small incisions in the skin.

Because it is minimally invasive, arthroscopy offers many benefits to the patient over traditional surgery:

• No cutting of muscles or tendons
• Less bleeding during surgery
• Less scarring
• Smaller incisions
• Faster recovery and return to regular activities

At Prakriya Hospitals, Arthroscopic surgery is usually performed as a day care surgical procedure and the patient is back home within a few hours after the surgery.

This is a minimally invasive surgical procedure for Knee and Shoulder problems. The advantages of this surgical procedure are rapid recovery, minimal pain and less scarring. Arthroscopic surgery is usually performed as a day care surgical procedure and the patient is back home within a few hours after the surgery.

1. Arthroscopic Knee procedures - ACL and PCL reconstructions, Meniscal repair/excision, synovial biopsy, loose body removal, chondroplasty, Autologous Chondrocyte implantation (ACI) & Matrix associated autologous Chondrocyte implantation (MACI -it is the only FDA approved cell therapy for cartilage repair in the USA)
2. Arthroscopic Shoulder procedures- Rotator cuff repair, Bankarts repair, SLAP repair, Biceps tenotomy/tenodesis, subacromial decompression & AC joint surgery
3. Ankle arthroscopy procedures- microfracture of OCD, removal of loose bodies, ankle fusions
4. Wrist arthroscopy procedures- TFCC injury, chondroplasty, removal of loose bodies and diagnosis of unexplained mechanical wrist pain

Prakriya Hospitals provide comprehensive Spine care services with a dedicated team of providers.
Our team includes :

• Specialist Orthopaedic Spine Surgeon
• Specialised Spinal Physiotherapy service
• Pain management specialists
• Specialised exercise therapists
• Specialist exercise therapy
• Yoga therapists
• Nutrition and dietetic service
• Psychology services for pain coping techniques
• Cognitive Behavioural Therapy

This dedicated team will provide you with solutions for all your Spine related problems.
Conditions managed by us are :

• Spinal Trauma
• Spine tumours
• Spinal infection
• Disc prolapses
• Spinal canal narrowing
• Age related Spine conditions
• Correction of Spinal deformity – adult and Paediatric scoliosis
• Pain management

The patient is at the centre of all our discussions. The treatment is a partnership between you and us. You are encouraged to discuss your diagnosis and all your treatment options with your Surgeon. This will ensure a satisfactory recovery for you and a satisfied patient for the treating clinician. Providing you with a world class facility in an emerging world class city like Bengaluru, is our aim.

Diagnosis and treatment

The common conditions which we treat are lumbar disc prolapses, Lumbar Spinal stenosis, Spinal cord compression, spine infection, Spine tumours, Cervical disc prolapses, cervical nerve root compression, cervical spinal cord compression, spine fractures, spine fracture-dislocations. Spinal conditions are quite to complex due to the involvement of various different structures

We have a comprehensive diagnostic service to help diagnose your Spinal problems. The services available are x-rays, CT scan, MRI (planned), well equipped laboratory, Microbiology services and PET-CT.

Acute spine injury care is provided for all acute spinal problems including spinal trauma, infection, disc prolapses, spinal cord compression, cauda equina syndrome.

Chronic back pain care is provided by a group of specialists which includes Spinal Surgeon, Pain specialist, Exercise therapist, Physiotherapists, Yoga therapists, Dietician, Psychology services for pain coping strategies.

Spinal decompression and stabilisation are provided by our Spine surgeon, who is Fellowship trained in Spine Surgery. We use advanced microscopic techniques and advanced world class Spinal implants, to achieve global standards, for all of our patients.

Spine rehabilitation program is provided by a team of professionals like Spinal Physiotherapists, Yoga therapists, exercise specialists. We have a complete functional recovery program for back pain, to help you recover from your pain and help to get you on track to recovery.

Minimally invasive spine surgeries are beneficial for avoiding excessive muscle damage and in helping quicker recovery. These surgeries are done for those conditions in cervical, thoracic and lumbar spine, when they are beneficial. An operating microscopic is used for obtaining global standards of results.

Symptoms & causes

Backpain
Backpain can be due to a variety of reasons like spinal arthritis, muscle injury, wear-and-tear of spine, trauma, infection. A proper history of the problem and clinical examination is necessary to make the correct diagnosis. Specialised investigations like CT scan or MRI scan is sometimes necessary to make a definite diagnosis and plan a treatment. Assessment by a well-trained Clinician is important in making the right treatment plan.

Leg pain (Sciatica)
Sciatica usually develops from the compression or the irritation of a nerve in the spinal canal from a prolapsed disc. A clinical examination and MRI scan is usually needed to make the diagnosis. Once a diagnosis is made, a proper treatment plan can be made, which may sometimes involve surgery.

Spinal fractures
Spinal fractures can happen either due to high energy injury or in elderly patients due to weak bones. Many of the fractures will need to be stabilised with surgical implants and some can be treated with braces. The decision is based on specialised investigations like CT and MRI scan. A close follow up and Physiotherapy is usually needed to ensure a full and satisfactory recovery.

Spinal infections
Spinal infections can develop due to infection spreading from bacteria in blood or due to lowering of immunity. A correct and timely diagnosis will ensure proper treatment, avoiding and long-term problems. The treatment sometimes needs antibiotics for many weeks to control severe infections.

Neck pain
This can develop due to incorrect posture, long hours of usage of smartphone/tablet, arthritis of neck vertebrae. Sometimes shoulder problems can also lead to neck pain, thereby making the right diagnosis becomes very important to get good relief. Sometimes treatment may involve making lifestyle changes, improving posture, strengthening neck muscles, specialist exercises or directed injections. In some situations, surgery either from the front or the back of the neck may be needed.

Arm pain/ Weakness
A prolapsed disc in the neck vertebrae can irritate the nerves coming out of the neck, causing arm pain or arm weakness or numbness in the arm. Due to the complex nature of the problem, intervention by a Specialist is important. A variety of options are available for treatment depending on the severity of the issue or the problems it is causing.

Leg weakness
At times, a compression of the spinal cord in the neck or in the lower back can cause leg weakness. An MRI scan is the investigation of choice to make a correct diagnosis. Treatment options are tailored to the actual condition causing the issue.

In all Spinal conditions, the patient is at the centre of our decision making. The correct assessment, proper investigations and discussion of all treatment options is important. All the options of treatment, their risks and benefits and the long-term benefits will be discussed with you. This will enable you and your family to make an informed decision without being under any pressure, which is at the centre of all of our treatment.

We at Prakriya hospitals have a comprehensive Bone and Soft tissue Cancer care unit. The team includes dedicated Orthopaedic Oncosurgeon, Medical and Radiation Oncologist supported by Radiolodist, Pathologist and Rehabilitation team. We manage all types of benign and malignant Musculoskeletal tumors in both children and adults.

We have the most comprehensive bone and soft tissue cancer care unit.
This includes management of:

• All types of sarcomas
• Biopsy
• Pediatric and adult tumours
• Limb salvage surgeries
• Radiofrequency ablation for bone tumours
• Pelvic and spinal tumours
• Radiofrequency ablation

The service is led by a specialist team of well trained doctors and nurses and incorporates a designated children’s ward, outpatient clinics, therapists and children’s community nursing team.

Specialist areas of treatment include:

• Children's hip problems including DDH (Hip dislocation) and Perthe's disease
• Foot and ankle problems including club foot, flat foot and intoeing. A Ponseti service is available at Prakriya Hospital
• Limb lengthening and deformity correction ( Deformity due to congenital problems, growth plate injuries and trauma)
• Bone and joint infection and disorders
• Children’s fractures and joint dislocations
• Scoliosis and back abnormalities
• Cerebral palsy and neuromuscular disorders
• Juvenile Rheumatoid arthritis​

The hand and wrist are very complex parts of the body and as a result a wide variety of problems may occur. We at Prakriya have dedicated and trained doctors and therapists who provide medical and surgical care together with rehabilitation services

• Wrist and Hand fractures
• Sports injuries of the hand and wrist
• Wrist Arthroscopy
• Wrist and Hand arthritis
• Carpal tunnel syndrome
• Dequervain's tenosynovitis
• Wrist instability
• Management of the Rheumatoid hand