Fellowship in Sports Medicine and Arthroplasty

                   FELLOWSHIP IN ARTHROPLASTY

                 GRANDE INTERNATIONAL HOSPITAL

                 (TRAININGSCHEDULEANDSYLLABUS)

 

Duration of Fellowship     :   1yr

Eligibility                            :   MS (Ortho)

Objectives

  • To develop a systemic approach to the patients’ problem and decision making skills inmanagement.
  • To develop and sharpen skills in examination and assessment of patients with arthritis and related problems requiring joint replacementsurgery.
  • To attain basic surgical skills and techniques inarthroplasty.
  • Toobtainexperienceinscientificdatacollection,analysisinterpretation, publication and surgicalaudit.

Schedule:

  • GeneralOPDpostings.                                                                      – Months.
  • Ward &Theatrepostings.                                                                   – Months ( Days/Week). OPD,Preopplanningandpostopfollowup,assessment&documentation – ( Days/Week).
  • Researchpostings.                                                                            – Months.
  • Peripheralpostings.                                                                           – Months.

             

                         (Adult reconstructive surgery, arthroscopy and sports injuries)

            Monthly ----- duties covering the urgent care, patient calls, and inpatient floor

coverage.

Surgical training:

  • Assisting arthroplasty surgeries:

Hip arthroplasty:

  • Hemiarthroplasty.
  • Total hip arthroplasty – Cemented andUncemented.
  • Resurfacingarthroplasty.
  • Revision hipreplacement.

Knee arthroplasty:

  • Primary total kneearthroplasty.
  • Revision kneearthroplasty.

Shoulder arthroplasty :

  • Hemi shoulderarthroplasty.
  • Total shoulderarthroplasty.
  • Reverse shoulderarthroplasty.
  • Total elbowarthroplasty.
  • Independently will be doing under supervision, hemi arthroplasty of hips, total knee replacement and total hipreplacement.

Academic Requirements

Research work

  • Planning and designing a study, data collection, analysis and defending the project/study publishingit.
  • Desirable to achieve one Indexed publication(International)
  • At least one nationalpublication
  • Oral presentations in national conference. Attending at least two major conferences.
  • Regular presentations in Local body orthopaedic/Arthroplasymeets
  • Maintaining a Log of all Clinical and Surgicalwork

 

Syllabus :Includes relevant chapters covering various topics listed below for various major joints undergoing replacement arthroplasty routinely.

  • Biomechanics.
  • Indications.
  • Pre-operativeplanning.
  • Templating.
  • Surgicaltechniques.
  • Soft tissue handling and theirimportance.
  • Implant Biomechanics andmerits/demerits.
  • Implantchoice.
  • Rehabilitation.
  • Outcomes.
  • Complications – pre, intra and postoperative.
  • DVTprevention.
  • Blood management during arthroplastysurgeries.
  • Infection inArthroplasty.
  • Revisions, Principles andPractice.
  • CurrentConcepts.

Reference books and periodicals :

  • Low friction arthroplasty by JohnCharnly.
  • Surgery of the knee by JohnInsall.
  • Revision total hip arthroplasty by JonesBono.
  • Campbell's text book oforthopaedics.
  • Surgical techniques in total knee arthroplasty by Seuderi and Tria.
  • Joint replacement orthopaedics by BernardMorrey.
  • Shoulder arthroplasty by GaryGratsman
  • Total joint replacement by WilliamBetty
  • Journal ofarthroplasty.
  • Journal of Bone and JointSurgery.
  • Clinical orthopaedics and relatedresearch.

 

FELLOWSHIP IN ARTHROSCOPY AND SPORTS MEDICINE

                  GRANDE INTERNATIONAL HOSPITAL

                (TRAINING SCHEDULE AND SYLLABUS)

 

Duration                :    1 year    
Eligibility               :    MS (Ortho)    
Objectives             :    ‐ To develop a systemic approach to the patients’ problem
                                       and decision making skills in management
                                    ‐ To develop and sharpen skills in interpretation of
                                       musculoskeletal radiological studies
                                    ‐ To attain basic skills in arthroscopy including knowledge of
                                       various specialized instruments and its maintenance.
                                    ‐ To obtain experience in scientific data collection, analysis
                                       interpretation, publication and surgical audit.
Training Schedule   :   ‐ General OPD postings      ‐  months
                                     ‐ Ward & Theater posting    ‐  months (  days/week)
                                     ‐ OPD & Follow up               ‐ months (  days/week)
                                     ‐ Research posting               ‐  months
                                     ‐ Peripheral posting              ‐ months ( Adult reconstructive surgery, sports

                                                                                     rehabilitation, fitness training, on‐field training)

                                      - Monthly                              - duties covering the Urgent Care, Patient Calls 

                                                                                     and Inpatient Floor  coverage

Surgical requirements:

                                    ‐ Performing basic Knee & Shoulder Arthroscopy

                                    ‐ Assisting Advanced Arthroscopic procedures

                                    ‐ ACL reconstruction

                                    ‐ PCL reconstruction

                                    ‐ Multi‐ligament injury reconstruction

                                    ‐ ACL/PCL avulsion fixation

                                    ‐ MPFL reconstruction

                                    ‐ Bankart Repair

                                    ‐ Rotator cuff repair

                                    ‐ SLAP repair

                                   ‐ Subacromial Decompression

                                   ‐ Elbow Arthroscopy

                                   ‐ Ankle Arthroscopy

Academic requirements: ‐Research work ‐data collection, analysis and paper writing

                                           ‐ More than 1  publication in an indexed journal

                                           ‐ One presentation in a national level conference

                                           ‐ Attending 2 sports tournaments as a sports physician ‐Maintenance of 

                                             log book of clinical and surgical work ‐Securing more than 50% in final 

                                             examination.

Syllabus:   Sports Medicine:

  • On field Examination – Sideline Physician
  • Examination of an Athlete
  • Ligament Injuries
  • Stress Fracture, RSI
  • Principles of Sports Rehabilitation
  • Athletic Taping
  • Exercise Prescription
  • Sports Shoes
  • Sports Nutrition

Arthroscopy:

  • Instrumentation
  • Arthroscopic Set up & Portal Placements in Knee, Shoulder, Elbow, Wrist, Hip.
  • Menisci
  • Cartilage
  • Synovium
  • Patellofemoral joint
  • ACL
  • PCL
  • MCL
  • LCL
  • Posterolateral complex
  • Multiligament injury
  • Osteoarthritis
  • Shoulder Periarthritis
  • Shoulder Instability‐anterior, posterior, inferior,multi
  • SLAP & Biceps tendon lesions
  • Rotator cuff and Impingement
  • Scapular dyskinesia
  • Ligaments around ankle
  • Ankle Impingement
  • Osteochondrol lesions
  • Ligaments around wrist, TFCC
  • Ligaments around elbow
  • Lateral Epicondylitis
  • Osteochondritis dessicans
  • Intra‐articular and Peri‐articular Fractures

Referral Books & Journals

  • DeLee and Drez's Orthopaedic Sports Medicine
  • Manual of arthroscopic surgery – Michael
  • Strobel Rockwood: The Shoulder 
  • Gartsman – Shoulder Arthroscopy Insall & Scott Surgery of the knee
  • Noyes' Knee Disorders: Surgery, Rehabilitation, Clinical Outcomes
  • Arthroscopy: The Journal of Arthroscopic and Related Surgery
  • Journal of American Academy of Orthopaedic Surgeons

 

 

Dr. Chakra Raj Pandey                                                                                             

Chairman-Department of orthopaedic surgery                                                     

Director –Arthroscopy,Sports Medicine, Joint                                          

Replacement and Trauma Unit

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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