About

The department of orthopedics was established with the starting of the Govt Medical College in Bhavnagar and since than it has gradually developed to one of the teaching institute in gujarat with good record in teaching as well as in clinical orthopaedics in this part of the world.

Achievements

Award

Selected Internaiton scholar for 2009-2010 from India

as presenting India for 4 weeks training at Porto ,Europe under ESSKA ( European Sports Traumatology Surgery and Knee Arthroscopy )

GOLE MEDALIST FOR M.S. ( ortho) from saurashtra univerisity in april 2007.

Medal

Selection of III rd year Risidents of Orthoapedics from Gujarat at National meet

Dr.Kalpesh Mehta and Dr.Vishal Mehta , Final year Residents doctors have been selected from Gujarat by Gujarat Orthopaeic Assoication on 6th September for IOACON , Indian orthopaedics Association - 2009 Conferrence to be held on 24th November,09

Success

Major Joint Replacement Surgeries, arthroscopy Surgeries, Spine surgeries,publications

Orthopaedic departmnet is now successfully performing all types of basic and advanced hip , knee and elbow replacement surgeries. Basic arthroscopy has also gained good momentum. We are also doing spine surgeries on routine basis. Recently one original casae series and one case report from our department has been published in IMAGSB News bulletin Aug 2009 issue.

ARTHROSCOPY & SPORTS MEDICINE CLINIC

Arthroscopy State of the art equipment for arthroscopy of major joints including Knee, Shoulder, Ankle. Advanced arthroscopic procedures including 1. ACL reconstruction 2. Meniscal repair 3.Microfracture for cartilage defects 4. Bankart’s repair for recurent dis location for Shoulder 5. Rotator cuff repair

JOINT REPLACEMENT CLINIC :Hip ,Knee & Elbow

Most Modern Operative Suite equipped with state of the art infrastructure with dedicated Operation Theatres with designed interiors, Centralised environment control, Hepa Filters, Pneumatic Instrumentation and conforming to the best Focus on providing a close to zero infection rate backed up Excellent postoperative pain management programme by efficient Anaesthsia Department staff. Emphasis on early mobility and recovery of patients & reduced hospital stay.

College Achievements

Teaching Staff

Prof. R. N. DAVESHWAR ( Professor & Head Of The Department )	more...
Qualification : MBBS,MS(ORTHO) Experience : 1 Years Date of Joining : 2009-10-12
Dr. DEEPAK S. PARMAR ( Associate Professor )	more...
Qualification : MBB,MS(ORTHO) Experience : 1 Years Date of Joining : 2009-10-12
Dr. C. PATEL YOGESH ( Associate Professor )	more...
Qualification : MBBS,MS(ORTHO) Experience : 1 Years Date of Joining : 2009-10-12
Dr. Chetan laljibhai Rathod ( Assistant Professor )	more...
Qualification : M.B.B.S.,M.S.(ortho),Fellowship in Arthroplasty(pune) Experience : 3 Years Date of Joining : 2007-12-27 Field of Research : RESULT OF CLOSED NAILING OF CLOSED FRACTURE RADIUS ULNA. STUDY OF SIRUS NAILING IN SUBTROCHANTRIC FRACTURE. RESULT OF PRIMARY KNEE REPLACEMENT Awards : GOLD MEDAL FOR M.S. ( ortho) from Saurashtra university, m.p.shah medical college. Fellowship in arthroplasty and arthroscopy at sancheti hospital , pune.
Dr. R. PATEL Lilam ( Assistant Professor )	more...
Qualification : MBBS,MS(ORTHO) Experience : 0 Years Date of Joining : 2010-02-12
Dr. Ujjval Hareshbhai Deliwala ( Assistant Professor )	more...
Qualification : M.B.B.S.,M.S.(ORTHO),FELLOW - Arthroscopy and Sports medicine,2008 : Narvekars Clinics, Mahim,Mumbai,India.,2009 : NYU hospital for joint disease, NY, USA.,Sunnnybrook Health Science ,Toronoto, Canada. Experience : 2 Years Date of Joining : 2008-11-18 Field of Research : Arthroscopy and sports Medicine, CURRENT RESEARCH PROJECTS : 1) Acl Double Bundle Reconstuction on - Prospective Clinical Comparisons of Anatomic Double-Bundle Versus Single-Bundle Anterior Cruciate Ligament Reconstruction Procedures in nearly 30 patients operated in last 1 year. 2) Arthroscopic treatment of soft-tissue impingement under the patella after total knee artrhoplasty (Accepted but not published, Journal of International Orthopedic) - a study report- twenty patients (12 knees) who underwent arthroscopic treatment for the painful patellar crepitus or clunk after total knee arthroplasty had been followed at least for 6 months have been enrolled. Awards : ESSKA(European Society for Sports Trumatoulogy and Knee Surgery and Arthroscopy ) – International Scholar : 2009-2010
Dr. SANJI R. RAVISAHEB ( Senior Resident Doctor )	more...
Qualification : MBBS,MS(ORTHO) Experience : 1 Years Date of Joining : 2009-07-17
Dr. J. PARMAR KIRIT ( Senior Resident Doctor )	more...
Qualification : MBBS,MS(ORTHO) Experience : 2010 Years Date of Joining : 0000-00-00
Dr. MEHTA Father/Husband Name VISHAL ( 3 Year Resident )	more...
Qualification : MBBS Experience : 2010 Years Date of Joining : 0000-00-00
Dr. KALPESH Father/Husband Name MEHTA ( 3 Year Resident )	more...
Qualification : MBBS Experience : 3 Years Date of Joining : 2007-05-30
Dr. NIRANJAN Father/Husband Name TADAVI ( 2 Year Resident )	more...
Qualification : MBBS Experience : 2 Years Date of Joining : 2008-04-20
Dr. RAJANIKANT Father/Husband Name MACHHI ( 2 Year Resident )	more...
Qualification : MBBS Experience : 2 Years Date of Joining : 2008-04-20
Dr. HIREN Father/Husband Name SHAH ( 1 Year Resident Doctor )	more...
Qualification : MBBS Experience : 1 Years Date of Joining : 2009-06-16
Dr. AKASH Father/Husband Name TATIYA ( 1 Year Resident Doctor )	more...
Qualification : MBBS Experience : 1 Years Date of Joining : 2009-05-07

Non Teaching Staff

Facility

• Adequate teaching facilites with modern audio-visual aids in OPD ward and OT.
• Variety of clinical material for experience.
• Operative facilities for routine trauma, spine,orthroplasty,arthroscopes and adult/peadiatric reconstruction.

Subject curriculum

Goals

Patient care ability

A candidate in orthopaedics surgery at the end of its 3 year course should develop proper clinical acumen to interpret diagnostic results and correlate them with symptoms. He should become capable to diagnose common clinical conditions/diseases in the speciality and to manage them effectively with success. He should be able to decide for making a referral to consultation with a more experienced colleague/professional friend while dealing with any patient with a difficult problem.

Patient care ability

He/she should be able to teach MBBS students about the commonly encountered conditions in orthopaedics, pertaining to their diagnostic features, basic pathophysiological aspects and the general and basic management strategies.

Research Ability

He/she should also acquire elementary knowledge about research methodology, including record-keeping methods, and be able to conduct a research inquiry including making a proper analysis and writing a report on its findings.

Team work

He/she should be capable to work as a team member. He/she should develop general humane approach to patient care with communicating ability with the patients' relatives, especially in emergency situations such as in casualty department, while dealing with cancer patients and victims of accidents. He/she should also maintain human values with ethical considerations.

Basic Sciences

Development of skeleton, histology of cartilage histology & histopathology of bone, physiology of fracture healing, delayed and non-union of bones, histology of skeletal muscle, collagen, physiology and mineralization of bone, physiology of cartilage, biophysical properties of bony and bone disease and related dysfunction of parathyroid glands (metabolic bone diseases).

Principles & Practice of Orthopaedics

Bone infections (Pyogenic, tuberculosis, syphilis, mycotic infections, salmonella & brucella osteomyelitis), congenital deformities (upper & lower extremities, spine and general defects), developmental conditions (osteogenesis imperfecta, dysplasias, hereditary multiple exostosis etc.) diseases of the joints (osteoarthritis, rheumatoid arthritis, neuropathic joints, ankylosing spondylitis, sero-negative spondyloarthropathy, traumatic arthritis etc.) orthopaedic neurology, tumors of bony. Disorders of hand & their management.

General surgical principles & allied specialities

General surgery, oncology, and medicine as applicable to the musculo-skeletal disorders/disease. Radiology, Imaging - computed tomography and magnetic resonance imaging and interventional radiology and angiography as related to orthopaedics. General pathologic aspects such as wound healing and also pathology and pathogenesis of orthopaedic diseases, pharmacology, molecular biology, genetics, cytology, haematology, and immunology as applicable to orthopaedics. General principles of traumatology.

Plastic surgery as applicable to orthopaedics

Pediatric orthopaedics-The student should be exposed to all aspects of congenital and developmental disorders such as CTEV (club-Foot), development dysplasia of hip, congenital deficiency of limbs. Perthe's disease and infections, and also to acquire adequate knowledge about the principles of management of these disorders. Orthopaedic oncology-The resident is expected to be familiar with the tumours encountered in orthopaedic practice. The recent trends towards limb salvage procedures and the advances in chemotherapy need to be familiar to him. Management of Trauma-Trauma in this country is one of the main causes of morbidity and mortality in our demographic statistics. The student is expected to be duly conversant with trauma in its entirety. In any type of posting after qualification the orthopaedic surgeon would be exposed to all varieties of acute trauma. Hence, it is his responsibility to be able to recognize, assess and manage it including the medico legal aspects.

Orthopaedic oncology

The resident is expected to be familiar with the tumours encountered in orthopaedic practice. The recent trends towards limb salvage procedures and the advances in chemotherapy need to be familiar to him.

Management of Trauma

Trauma in this country is one of the main causes of morbidity and mortality in our demographic statistics. The student is expected to be duly conversant with trauma in its entirety. In any type of posting after qualification the orthopaedic surgeon would be exposed to all varieties of acute trauma. Hence, it is his responsibility to be able to recognize, assess and manage it including the medico legal aspects.

Sports Medicine

A lot of importance is being given to sports medicine especially in view of the susceptibility of the athlete to injury and his failure to tide over them. Sport medicine not only encompasses diagnostic and therapeutic aspects athletic injuries but also their prevention, training schedules of personnel and their selection.

Physical Medicine and Rehabilitation

The student is expected to be familiar with this in all its aspects. Adequate exposure in the workshop manufacturing orthotics and prosthetics is mandatory, as is the assessment of the orthopedically handicapped.

Orthopedic Neurology

The student should be exposed to all kinds of nerve injuries as regards their recognition & management cerebral palsy and acquired neurological conditions such as post polio residual paralysis also need to be emphasized in their entirety.

Spine Surgery

The student is expected to be familiar with various kinds of spinal disorders such as scoliosis, kypho-scoliosis, spinal trauma, PIVD, infections (tuberculosis and pyogenic), & tumours as regards their clinical presentations and management.

Radiology

Acquire knowledge about radiology/imaging and to interpret different radiological procedures and imaging in musculo-skeletal disorders. There should be collaboration with Radiology department for such activities. Psychological and social aspect - Some elementary knowledge in clinical Psychology and social, work management is to be acquired for management of patients, especially those terminally ill and disabled-persons and interacting with their relatives.

Semester-wise Break up of Syllabus

First Semester (6 months)

• Humanity/Ethics -Lectures on humanity, personality development, team spirit, Ethical issues in patients, Doctor- patient relationship and interpersonal relationship- 3 lectures
• Basic Sciences-Development of skeleton, Histology & Histopathology of cartilage & bone, Histology of skeletal muscle, collagen, Physiology of cartilage, Biophysical properties of bone and bone diseases and related dysfunction of parathyroid glands, Physiology of fracture healing, Delayed union & non-union of bones
• Emergency management of the Injured patient including critical care-lectures by Anesthetist for airway maintenance & shock management , Basic splintage and transportation techniques, ATLS
• Medical record keeping and bio-statistics
• Preparation for thesis/ protocol
• History taking and clinical examination of the patient

Second Semester

• Common fractures/dislocations diagnosis and management including traction techniques
• Interpretation of plain x-rays and clinico-radiological co-relation
• Diagnosis and management of acute and chronic orthopaedic infections

Third Semester

• Pediatric Orthopedics with emphasis on CTEV, CDH, Perthes disease, S.C.F.E., club hand
• Physical Medicine & Rehabilitation: with emphasis on electro diagnosis and various physiotherapy and occupational therapy techniques
• Orthopedic neurology including Polio, Cerebral palsy and spina-bifida
• Interpretation of C.T., MRI, Bone Scanning- Techniques and clinico-radiological co-relation.

Fourth Semester

• Orthopaedic Oncology
• Surgical stabilizations of orthopaedic trauma
• Peripheral nerve injuries
• Clinical orthopaedics
• Peripheral nerve injuries
• Biomaterials in orthopaedics

Fifth Semester

• Sports medicine and arthroscopy
• Arthroplasty
• Spinal disorders including scoliosis, trauma, infections, degeneration and tumours
• Clinical orthopaedics
• Recent advances in orthopaedics

Sample Cases For Presentation And Discussion

Long cases

• Neglected fracture Neck of femur
• Tubercular Hip
• Neglected traumatic dislocation hip
• Potts paraplegia
• Extra dural cord compression
• Prolapsed intervertebral disc
• Spinal Canal stenosis
• Cauda equina syndrome
• Avascular Necrosis of Hip
• Traumatic paraplegia

Short cases

• Cubitus varus/ Valgus
• Non union Humerus with or without radial nerve palsy
• Non union lateral condyle of Humerus
• Infected non union
• Chronic osteomyelitis
• Post polio flail shoulder/ paralysed elbow
• Neglected unreduced Dislocation Elbow, Shoulder
• Malunited Colles Fracture
• Carpal tunnel Syndrome
• Bone tumors like Ostesarcoma, Ewing’s Sarcoma, Giant cell tumor, Osteochondroma, Osteiod osteoma etc
• Genu varum/ Genu Valgum
• Ruptured Tendo Achillis
• Erb’s palsy/ Brachial plexus injury
• Nerve injuries-Median Nerve, Radial Nerve, Ulnar Nerve, Sciatic Nerve, Common Peroneal Nerve
• TEV,CDH,Ganglion, Compund palmer Ganglion,CPT.

Spots / Table

• Pathological Specimens-Giant cell Tumor, Osteosarcoma, Ewings Sarcoma, Sequestrum, Madura foot etc.
• Bones
• Instruments
• X-Rays
• Orthotics/ Prosthetics-Patellar tendon bearing prosthesis, Cock up Splint, Denis brown splint, Ischial weight relieving caliper, Jaipur foot etc.
• Surgical procedures.

Extra Activity

Examination Pattern

Master of Surgery Examination

1. There shall be four examiners including two external and two internal. One of the internal examiners will be the Head of Department and he she shall be chairman/Convener. The second internal examiner shall be next senior most member of faculty of the department provided he/she is eligible for such duty. The necessity of an external examiner is to maintain the standard of the examination at the National level. All examiners must be a full time teacher with requisite experience as per MCI guidelines. Hony teacher with previous full time experience (of 10 years standing) may only be made examiners if there does not exist nay a full time qualified faculty under the same university/college. No Hony. Faculty shall be made a chairman/convener of the examination.


2. The external examiners will be asked to send two sets of question papers for the theory examination. There will be 2 external examiners from a different university so that the number of questions available, will be double the which will be given to the student in the moderate papers. The Chief internal examiner or Chairman/Convener will moderate it and finally make two sets of question paper, containing 8-10 shorts questions. He/she shall send both sets of such papers to the university and university will decide to give one of the sets to the students.


3. All examiners shall be jointly responsible for the examination. In presence of the external examiners, the Chairman and the internal examiner shall make the necessary arrangements for conducting the final examination. Not more than 4 students will be evaluated/examined per day in any Center. For different College/Institution, separate examination center/examiners may be arranged/appointed for convenience and proper administration of the final examination. While preparing the final results, formative assessment of the students shall be taken into consideration and the results will be sent to the university under seal cover.



Final Examination

the Final Examination shall consist of

Theory exams four papers

Practical Exams : One long case, Two short cases, Two table.

The Theory Examination

Paper No	Section	Syllabus	Total Marks (400)
Paper - I	Sec I Sec II	Basic Science General Surgical Principles and Orthopaedic surgeries	50 50
Paper - II	MCQ's	MCQ's pertaining to orthopedics	100
Paper - III	Sec I Sec II	Princiles and practice of Orthopaedics Traumatology	50 50
Paper - IV	Essay	Recent Advances / Current Orthopaedics	100

Event

Department of Orthopaedics

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