Dr Anurag Awasthi
Dr Anurag Awasthi is among the top Orthopedic specialists in Gurgaon, Delhi NCR region dealing in sports injury of Shoulder, Knee, Ankle, Elbow and Wrist joint.
Consult for- Rotator Cuff tear, ACL Tear, Meniscus or Cartilage Injury, Early Arthritis, Ligament Injury
Image showing cartilage loss from Femoral condyle of Knee Joint
Sports Injury Clinic in Gurgaon
* Shoulder – Rotator Cuff Tear, Frozen Shoulder
* Elbow- Tennis, Golfer’s Tendinitis
* Wrist – Carpal Tunnel Syndrome
* Hip – Flexor- Adductor Syndrome, Hamstring Spasm, AVN
* Knee – Meniscus Tear, ACL / PCL Tear, Cartilage Injuries
* Ankle – Ligament Tear, Osteochondral defect
* Foot- Plantar Fascitis, Achilles Tendinitis, Sever’s Disease
What's the latest development in Sports Injury Treatment ?
Platelet Rich Plasma Therapy ( PRP )
Platelet rich plasma is gaining worldwide usage & acceptance in Orthopedic Injuries & resistant Orthopedic ligament & tissue inflammation.
Principle of PRP Therapy :
During any tissue injury, platelets are usually the first responders that aggregate at the site of injury, to start inflammation & initiate the process of healing. PRP concentrate is prepared by centrifugation of peripheral blood sample to extract a platelet rich concentrate. This sample is usually devoid of Red Blood cells & White Blood Cells.
In a standard prepared sample, the platelet concentration is 4-5 times of peripheral blood. This concentrate is then injected in the tissue under local anesthesia.
We recommend two or three sessions of PRP therapy for large joints like Knee & Shoulder; and at least two sessions for Tennis Elbow, Plantar Fascitis, Achilles Tendinitis, Augmentation of ACL Repair.
Advantages :
1. PRP utilizes patient’s own blood concentrate, so the risk of reaction to blood components is negligible.
2. This procedure can be done on Out-Patient basis in the clinic; typically requiring 30-40 min from sample preparation to injection.
Indications :
Meniscus / Ligament Tears in Gr I/ II ;
Early Knee Arthritis Gr I, II, III;
Shoulder Rotator Cuff tear;
Resistant Tennis Elbow;
Plantar Fascitis ;
Chondromalacia Patellae;
Plantar Fascitis, and a variety of Orthopedic problems have shown good to excellent results in several studies performed across the world.
KNEE MENISCUS TEAR develops due to twisting injury, commonly during sports injury or sometimes even while dancing or sudden jerk while walking. Most Meniscus Tear heal without Surgery. However, in cases of Horizontal tear, Complex or Radial tear or Bucket handle tear, surgery may be warranted. The procedure involves a key-hole surgery performed by arthroscope, and patients are able to resume normal activity within 24-48 hours.
ACL RECONSTRUCTION is advised to patients with persistent knee instability despite physiotherapy trial of at least 6 weeks. In cases of road traffic accident patients with high energy trauma who develop ACL tear along with variable injury to other ligaments and bony contusions, we prefer to wait for approximately 10-12 weeks before offering ACL reconstruction surgery. This allows adequate time for healing of other structures, before ACL reconstruction is undertaken.
ACL reconstruction is commonly performed as Arthroscopy assisted procedure, with minimal scar. We routinely perform ACL reconstruction surgery using Endobutton technique with Double bundle Hamstring grafts harvested from Semitendinosus and Gracilis muscles.
KNEE CARTILAGE DEFECTS or OSTEOCHONDRAL LESIONS may produce pain and stiffness of the joint. If un-treated such lesions may lead to development of full thickness cartilage loss, and eventual arthritis.
Arthroscopic Chondroplasty can be performed in such cases, to allow cartilage regrowth, and delay the development of full blown arthritis.
Arthroscopic Chondroplasty procedure involves Microfracture/ Abrasion chondroplasty/ Laser. This allows the growth of fibrocartilage and help to fill up the void created by cartilage loss.
Knee Collateral ligaments include the Medial Collateral Ligament, and the Lateral Collateral Ligament. Collateral ligaments provide angulatory stability against varus/ valgus (sideways) stress.
Injuries to collateral ligaments of the knee may commonly occur due to fall while running or in cases of road traffic accidents, such as fall from bike. Most collateral ligaments injuries are partial rupture of ligaments.
MRI of the knee joint is the best way to diagnose the extent of injury.
Most cases of Collateral ligament injuries around the knee can be satisfactorily managed with bracing and rest. However, in some cases with complete tear of ligament, surgical intervention may be indicated.
KNEE ARTHROSCOPY is a minimally invasive procedure for correction of internal derangement of the knee. This procedure is performed by making a small ‘5 mm’ size cut on both sides of the knee joint. These portals are used to insert an arthro-scope with camera, and another is used for instruments to perform the required procedure.
It is usually performed under spinal anaesthesia. Common procedures/ indications for knee arthroscopy include,
Meniscal tear
Recurrent synovitis,
Loose body removal,
Osteochondral defects,
Para-meniscal cysts excision,
Synovial Chondromatosis,
Synovial biopsy,
Arthrolysis
Mosaicplasty
Arthroscopic ChondroplastyArthroscopic Laser Chondroplasty
The patient may start walking from the next day of surgery, and over 90 % of them resume office within a week. Active sport activities should be avoided for approximately 3 weeks.
Address
Dr Anurag Awasthi- (Kimaya Healthcare) 305, 3rd Floor, Unitech Arcadia, South City 2, Sec 49, near Sohna Road. OPD Schedule : Monday - Saturday 10 AM - 8 PM (By Appointment)- Sundays (Closed) -- Consultation Fee : 1000 INR -- https://g.co/kgs/SVuE8s
Gurgaon
IN