Press Release, Pune, India: First case in India of Reverse Shoulder Replacement for failed shoulder fracture fixation, was performed by Dr. Anand Jadhav, Joints Super-specialist, who was once honoured for Excellence in National Health Service’ by British Prime Minister, Mr. Tony Blair

 

A Revision Surgery in the form of Reverse Shoulder Replacement on a case of failed shoulder fixation was performed for the first time in India by Joints Superspecialist, Dr Anand Jadhav during the end of the third week of February 2011, in Pune.

 

Male patient in late 50s, had undergone internal fixation of the fracture of upper end of humerus ( arm bone), more than a year ago. He had sustained this injury after a fall. Fixation surgery was performed using imported locking plate and screws. Patient was undergoing rehabilitation as planned, but due to osteoporosis, the fixation failed.  Following this, the patient started getting pain with severe limitation of movements.  This caused great difficulties with his activities of daily living and work.

 

Clinical examination and x-ray findings suggested that the fracture fixation had failed with the screws cutting out of the soft (osteoporortic) bones. There were features of secondary damage to the rotator cuff tendon as well.

 

A Revision Surgery in the form of Reverse Shoulder Replacement was considered the most suitable option for this patient, as this would allow the patient to become pain-free and have good functional movements inspite of damage to the rotator cuff tendons.

 

Dr Anand Jadhav has acquired the training and skills of Reverse Shoulder Replacement from leading Shoulder Surgeons in France and USA 5 years before this technology was approved in India and is one of the very few surgeons who has acquired this skill by working hands on with leading foreign surgeons. His skills have enabled him to perform this complex and challenging revision surgery for the first time in India. This surgery was performed in a good private hospital of Pune, Maharashtra. Specialised instruments and implants from a French company were used in this surgery. This is a milestone achieved in the history of Joint Replacement, in India.

 

Reverse Shoulder Replacement is relatively easy to do in a primary setting ( shoulder replacement surgery for the first time)  in a patient with arthritis due to torn rotator cuff tendons as compared to a Revision Surgery case of Reverse Shoulder Replacement for failed fracture fixation or failed standard shoulder replacement. Such cases are always a challenge for revision due to extensive soft tissue scarring and lack of normal anatomy of bones & surrounding soft tissues.

 

Reverse Shoulder Replacement Surgery is a technically demanding surgery. It is normally indicated in patients who have arthritis due to torn rotator cuff tendons (Cuff  Tear Arthropathy). However, it needs a normal deltoid muscle for functioning of the new joint.

                                                                                           

During Reverse Shoulder Replacement Surgery, the position of the ball and socket are reversed as compared to a normal joint. A new ball, called glenosphere is fixed to the shoulder socket (glenoid), while the humeral head (end of the arm bone) is replaced with a mobile shoulder socket. This socket sits on top of a metallic stem implant inserted into the humerus. This joint is primarily moved with the help of deltoid muscle.

 

A Reverse Shoulder Replacement can be performed for revision of cases with failed standard shoulder replacements or for severe fractures of the upper humerus where damage to the rotator cuff is also present.

 

Patient is now pain-free and undergoing structured physiotherapy.

 

Dr. Jadhav feels that Reverse Shoulder Replacement is a blessing for patients with cuff tear arthropathy as well as failed previous surgery and rotator cuff damage.

 

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Profile  of Dr. Anand Jadhav

 

Dr. Anand Jadhav is a ‘Consultant Joints Surgeon” specialising in Joint Replacements and Arthroscopic Surgeries.   Dr. Jadhav has a dedicated practice in ‘Joints related disorders’. He has treated patients from various countries across the world. He is more specific in providing the solutions that suit the needs of an individual patient.

 

 

 

 

 

 

 

 

 

 

 

Services provided by Dr Anand Jadhav

 

Joint Replacements

Primary:

·         Total Knee Replacement

·         Total Hip Replacement

·         Total Shoulder Replacement

·         Reverse Shoulder Replacement

·         Total Elbow Replacement

·         Hip Resurfacing

·         Shoulder Resurfacing

Revision:

·         Revision Total Hip Replacement

·         Revision Total Knee Replacement                                               

 

Arthroscopic Surgeries

Knee :

·         Anterior Cruciate Ligament (ACL) Reconstruction

·         Posterior Cruciate Ligament (PCL) Reconstruction

·         Cartilage Repair

·         Meniscal Surgery

 

Shoulder :                                                                

·         Instability Repair

·         Rotator Cuff Repair

·         Sub-Acromial Decompression

·         Capsular Release of Frozen Shoulder

·         SLAP Repair

 

Hip :

·         Diagnostic Hip Arthroscopy

·         Hip Impingement Surgery

·         Hip Labrum Repair

·         Loose Body Removal

·         Arthroscopy Assisted Femoral Head Bone Grafting for AVN

 

Elbow, Wrist and Ankle :

·         Radial Head Excision

·         Tennis Elbow Release

·         TFCC Repair

·         Ankle Debridement   

                                                                                                                                        

 

 

Brief Biography Dr. Anand Jadhav

 

- Dr. Anand Jadhav is a MBBS from the prestigious B. J. Medical College, Pune. He completed his Orthopaedic training at the renowned Wanless Hospital in Miraj which was affiliated to the Government Medical College in Miraj.

 

- Was selected by the Royal College of Surgeons of Edinburgh in 1995 to work in the National Health Service (NHS) of the UK government under the Overseas Doctors Training Scheme (ODTS).

 

- Learnt the finest skills in Joint Replacements and Arthroscopic Surgeries from highly experienced and well-known Orthopaedic Surgeons in England and Scotland.

 

- Obtained the degrees of FRCS and M Ch Orthopaedics in the United Kingdom.

 

- Was honoured for ‘Excellence in National Health Service’ by the ex-British Prime Minister, Mr. Tony Blair, at his official residence at No.10, Downing Street, London in Feb 2001. Needless to say, a very few world-class doctors are hand-picked to receive an honour of this high regard.

 

- Got trained in Joint Replacement and Arthroscopy by the leading surgeons in USA, France, Germany, Netherlands, Switzerland and Sweden at the most advanced and prestigious centres in the above countries. He acquired super-specialised skills in Joint Replacement & Arthroscopic Surgery.

 

- Dr. Anand Jadhav has rich and vast experience in Orthopaedics. His training from surgeons across the globe enables him to offer advanced and cost-effective treatment to patients in India. His training and experience has already helped thousands to bounce back to normal or nearly normal life.

 

Hospitals Attachments:

1. Ruby Hall Clinic, Pune                                       
2. Aditya Birla Hospital, Chinchwad, Pune
3. Jehangir Hospital, Pune
4. Inlaks and Budhrani Hospital, Pune
5. Sahyadri Speciality Hospital, Pune