Trust Hosiptal provides high performance orthopaedic treatment, expert advice and care from a team of vastly experienced surgeons and physicians who can make a real difference to patients" lives.

Foot and Ankle Conditions

Our distinguished foot and ankle team offer experienced advice and comprehensive care for foot and ankle conditions and injuries. Our specialities include complex bunion surgery as well as efficient treatment for plantar fasciitis. Trauma care is also available from these specialists.

Fractures

Trust Hospital has a number of experienced traumatologists which will diagnose and treat a wide variety of fractures of the upper and lower limb(including pelvis, spine and thoracic).

Hand and Wrist

We provide effective diagnosis and treatment for all aspects of hand and wrist injuries or conditions from scaphoid wrist fractures to trigger finger. Our dedicated hand specialist can treat the most complex soft-tissue conditions and our carpal tunnel clinic offers effective and quick treatment.

Hip Services

Trust Hospital" s dedicated Hip Team provides a same day* service for assessment, diagnosis and treatment of hip and groin conditions. Our Consultants are internationally renowned experts and utilise innovative technologies and surgical techniques to evaluate and repair damage to the hip joint.

Knee Services

Trust Hospital" s dedicated Knee Team provides a same day* service for assessment, diagnosis and treatment of knee conditions. Our Consultants are internationally renowned experts and utilise innovative technologies and surgical techniques to evaluate and repair damage to the knee joint.

Limb Reconstruction Surgery and Techniques

The general term for the treatment of complex, non-union fractures is often referred to as limb reconstruction. We can offer expertise, modern and innovative treatment using the llizarov technique to assist patients who have previously suffered complications to repair bones that have not healed in the usual way.

Neurophysiology

Neurophysiology assesses function of the nervous system. The nervous system divides into central (brain and spinal cord) and peripheral nervous system (nerves in arms, trunk and legs, junction between nerves and muscles and muscles). Trust Hospital offers the latter assessment only Nerve Conduction Studies (NCS) and Electomyography (EMG).

Spine Conditions

Our pain unit treats a variety of conditions that may cause back pain including sciatica, disc issues and Complex Regional Pain Syndrome. Treating back pain is not always a simple process and our experts can give you the best possible advice to manage your pain. Treatment includes conservative optimisation of medication, physical therapy as well as ultrasound guided injections.

24hrs hand injury services are available for all types of hand injuries from finger tip injury to replantations.

We are specialised  in the treatment of the whole spectrum of hand (includingupper limb) conditions and injuries, including carpal tunnel syndrome, Dupuytren"s disease (finger contractures), trigger finger, ganglions and arthritis / pain in the small joints of the hand, as well as more complex, less common hand problems.

Arthritis - Hand Conditions

Osteoarthritis is a loss of cartilage between bones, and often occurs in the terminal joint of the finger and/or the base joint of the thumb. The lack of cartilage means the bones can rub together, resulting in some combination of pain, swelling, deformity, stiffness or decreased movement. The condition usually affects people aged 45 and over, but can appear at a younger age.

Soreness and swelling caused by osteoarthritis can arrive in waves, sometimes settling by itself, and avoiding painful movements helps suppress the condition. Injections are sometimes given, and anti-inflammatory medication can be helpful too. In certain cases, surgery can be used to fuse the joint in a permanent position. There are several surgical options, and the surgeon will go through these and advise on the best way forward. After an operation, it may be necessary to wear a splint or support for a few weeks.

Carpal Tunnel Syndrome - Hand Conditions

Carpal Tunnel Syndrome - Hand ConditionsCarpal tunnel syndrome (CTS) is caused by compression of the median nerve, resulting in pain, tingling or numbness in the hand and fingers. CTS is quite common, particularly in pregnant women, and will sometimes heal without treatment. Non-surgical measures such as exercises, splints or injections may be used to treat more serious cases. Severe CTS will require surgery to release the pressure on the nerve.

De Quervain"s Syndrome - Hand Conditions

De Quervain"s - Hand ConditionsDe Quervain"s is a painful hand condition that affects the tendons where they run through a tunnel in the wrist. Symptoms include pain on the thumb side of the wrist, swelling, tenderness when touched and occasional clicking of the tendons.

The condition often subsides by itself in mild cases, and it"s helpful to avoid activities that cause pain to the area. Other treatment options include wearing a splint for a period of time to prevent thumb and wrist movement, having a steroid injection to relieve pain, or having an operation to decompress the tunnel. Surgical treatment can be done under local or general anaesthetic and it"s a relatively straightforward procedure.

Dupuytren"s Contracture - Hand Conditions

Dupuytren"s contracture - Hand ConditionsDupuytren"s contracture is a condition that causes one or more fingers to bend towards the palm. Small, benign nodules grow in the palm"s connective tissue, forcing the fingers to contract. Most cases of Dupuytren"s are painless, but the problem can worsen over time, sometimes resulting in persistent contracture.

Treatment is not always necessary but, if the problem affects the hand"s ability to function properly, it"s possible to surgically release the contracture. The severity of the condition will determine the type of surgery used. Dupuytren"s can return, even after surgery, in which case more extensive treatment is required.

Fractures - Hand Conditions

Fractures, to both hand and wrist, are caused by an impact to the bone that is strong enough to break it. Symptoms include severe pain, loss of movement and swelling. Whatever caused the fracture – whether it was a fall, a fight, a sporting accident or anything else – can influence the treatment, so it"s helpful for the surgeon to know exactly how the break occurred. The problem will most likely be dealt with first by an Accident & Emergency department, before being passed on to a hand surgery team, including the surgeon, nurses and therapists.

A surgeon will take x-rays and physically examine the fracture before deciding on the best course of action. In some cases, the fracture may be treated with a splint, hand exercises and painkillers, but more serious breaks may require an operation. Following surgery, it"s likely the fracture will be placed in a splint or plaster, and rehabilitation will be overseen by therapists, who will advise on exercises to help future movement in the affected area.

Ganglion- Hand Conditions

Ganglion - Hand Conditions A ganglion is a cyst caused by synovial fluid that has leaked from a joint. It"s one of the most common hand conditions, and the swelling may or may not be painful.

Ganglions often disappear without any treatment, but can be drained under local anaesthetic or removed surgically if necessary.

Trigger Finger - Hand Conditions

Trigger finger occurs when a swelling or growth causes the tendon to catch on the sheath, or tunnel, it passes through. It"s unclear exactly what causes the problem, but an injury to the hand can sometimes lead to triggering. Sufferers will feel a painful click when trying to straighten the finger, reminiscent of a trigger being pulled. The condition usually affects a single finger, but in rare cases it can occur in more than one. If trigger finger is left untreated, the affected digit may become permanently bent.

In a small percentage of cases, the condition can get better without treatment, but for others there are several options, including splinting and injections. Surgery is the final option, and the operation is relatively minor, but please be aware that the problem can sometimes recur after successful treatment.

Using state-of-the-art technology — including a fully equiped laboratory and modern operating rooms — our surgeons diagnose and treat a wide range of conditions and have expertise in both minimally invasive endovascular and bypass procedures.

Vascular Disease is the term used to describe the disease of the blood vessels, the series of tubes that are used to pump blood throughout the body. The Centre for Vascular Surgery at Trust Hospitals is committed to providing the highest quality clinical care possible, and understand that attention to the emotional needs of patients and their families is as important as the physical ailment that brings each patient to us.

The Centre for Vascular Surgery works constantly to enhance the quality of life for patients with vascular diseases. The goal is to provide patients with the most advanced and sophisticated means for the diagnosis and treatment of peripheral vascular disease in the safest way possible. We have an outstanding team of specialists who have developed and used enhanced techniques for the diagnosis and treatment of vascular disease.

The Ilizarov technique relates to the use of a circular external fixation frame designed in the 1950s by Gavril Abramovitch Ilizarov in Siberia. The revolutionary principle he discovered was that bone can be cracked and when it starts to heal the crack can be stretched slowly (at about 1 millimetre per day) to lengthen it. This means that missing segments of bone can be re-grown, and leg length restored after injury.The frames themselves rely on either stiff pins running from the frame into the bone, or thin wires that pass through the bone, and are attached at each end to a ring around the leg under high tension, making them very rigid. Unfortunately, although the bone is stretched at 1mm per day, it takes a further 3 or 4 days of consolidation to become solid enough to allow removal of the frame, giving a total of 4 or 5 days in a frame for each millimetre of bone re-grown. The technique has been expanded by the use of more modern external frames such as the Taylor Spatial Frame, which allows correction of multiple deformities simultaneously including angulation, rotation and shortening. The deformity is programmed into a computer, and the software calculates the necessary frame adjustments to allow for millimetre perfect accuracy. It can be further adapted in a few situations to allow lengthening over intramedullary rods within the hollow centre of the bone. This has the advantage of dramatically shortening the time the frame is needed, and is particularly useful in bones such as the femur (thighbone) where an external fixator is bulky and awkward.

Arthroscopy is a surgical procedure during which the internal structure of a joint is examined for diagnosis and treatment of problems inside the joint. In arthroscopic examination, a small incision is made in the patients skin through which pencil-sized instruments that have a small lens and lighting system (arthroscope) are passed. Arthroscope magnifies and illuminates the structures of the joint with the light that is transmitted through fibre optics. It is attached to a television camera and the interior of the joint is seen on the television monitor.

Arthroscopic examination of joints is helpful in diagnosis and treatment of the following conditions:

• ACL PCL reconstructions.
• Meniscal tear repairs and Meniscectaomise
• Shoulder bankcart repairs.
• Inflammation: Synovitis, the inflammation of the lining of the knee, shoulder, elbow, wrist, or ankle
• Acute or chronic injury: Injuries to the shoulder, knee and wrist joint such as cartilage tears, tendon tears, carpal tunnel syndrome
• Osteoarthritis: A type of arthritis caused by cartilage loss in a joint
• Removal of loose bodies of bone or cartilage that becomes logged within the joint

During arthroscopic surgery, either a general, spinal or local anaesthesia will be given depending on the condition. A small incision of the size of a buttonhole is made through which the arthroscope is inserted. Other accessory incisions will be made through which specially designed instruments are inserted. After the procedure is completed arthroscope is removed and incisions are closed. You may be instructed about the incision care, activities to be avoided and exercises to be performed for faster recovery.

Some of the possible complications after arthroscopy include infection, phlebitis (clotting of blood in vein), excessive swelling, leeding, blood vessel or nerve damage and instrument breakage. RecoveryIt may take several weeks for the puncture wounds to heal and the joint to recover completely. A rehabilitation program may be advised for a speedy recovery of normal joint function. You can resume normal ctivities within a few days.

The very latest techniques are available at Trust Hospital for Spine Surgery , including endoscopic spinal surgery, microdiscectomy, total disc replacement, minimally invasive fusion surgery and kyphoplasty.

The Spinal Surgery department at The Trust Hospital offers an integrated, multi-disciplinary approach to treating spinal conditions. Our team consists of consultant neurosurgeons and consultant orthopaedic surgeons as well as specialist spinal nurses who provide complete care, from diagnosis to treatment and rehabilitation. State-of-the-art treatments include endoscopic spinal surgery, microdiscectomy, total disc replacement, minimally invasive fusion surgery and kyphoplasty.

The Spine Surgery Centre is based at The Trust Hospital. We were one of the first hospitals in the vijayawada to offer this ground-breaking new treatment, which represents a new and better era for patients requiring lumbar disc surgery for common conditions such as back pain and sciatica. Endoscopic spinal surgery is simply performed under sedation through a cut no bigger than a needle puncture. Patients routinely go home within 24 hours, can return to work in a few days and are able to play sport within weeks. No other technique offers such a speedy recovery.

Surgery is the last line of treatment when all other modalities failed. jointreplacement surgery ensures correcting a deformity and restoring mobility. Joint replacement surgery is performed to treat advanced arthritis.

Candidates for joint replacement surgery often have severe joint pain, stiffness, limping, limitation of mobility and pain interfering with day to day activities like cycling, putting socks., nature calls etc.,

The most common causes of arthritis are Osteo Arthritis and Rheumatoid Arthritis. Some of these factors include
In Joint replacement surgery the damaged cartilage and any associated loss of bone structure is a resurfaced and removing the damaged joint, and preserving the muscles and ligaments for support and function. The replaced joint is made of titanium, cobalt chrome, stainless steel, ceramic material,OXINIUM and polyethylene (plastic). It can be affixed to the bone with bone cement or it can be press-fit, which allows bone to grow into the implant. Once the joint replacement is in place, its motion and function are restored through physical therapy. The most common joint replacement surgeries are hip & knee.

Hip Replacement

Total hip replacement is a surgical procedure for replacing the hip socket (acetabulum) and the "ball" or head of the thigh bone (femur). The surgeon resurfaces the socket and ball where cartilage and bone have been lost. An artificial ball and socket are then implanted into healthy bone.

Most candidates for total hip replacements have advanced changes in the hip joint caused by arthritis. A hip replacement is recommended if the joint pain has become unbearable and when the loss of function prevents a person from being able to perform activities of daily living. Knee Replacement

Knee replacement surgery is performed to treat end-stage arthritis. When arthritis in the knee joint have progressed to the point where medical management fails and deformity has become severe, knee replacement surgery may be recommended.

Joint surgery in the knee is a result of damage to the coating or gliding surface called the articular cartilage. Depending on the amount of damage, ordinary activities such as walking and climbing stairs may become difficult. Damage to the knee joint cartilage and underlying bone may also result in deformity. Knock-knee or bow-legged deformities and unusual knee sounds (crepitus) may become more obvious as the degeneration worsens. Knee replacement surgery is designed to replace this damaged cartilage or gliding surface as well as any associated loss of bone structure or ligament support.

Shoulder Replacement

Total shoulder joint replacement is usually required for those who have severe forms of osteoarthritis or rheumatoid arthritis and rarely for neglected trauma.

Similar to the hip joint, the shoulder is a large ball-and-socket joint. The primary indication for a total shoulder replacement is pain that is not being relieved through therapy or other treatment methods. Pain may be the result of abnormalities and changes in the joint surfaces as a result of arthritis or fractures. The primary goal of total shoulder replacement surgery is to alleviate pain with secondary goals of improving motion, strength, and function.

Elbow Replacement

Total elbow replacement usually required commonly in Rhuematoidarthritis , post traumatic arthritis of elbow. In this the lower part of arm bone (humerus) is replaced and it is articulated with one of the forearm bones(ulna) forming the elbow joint. goal of the elbow replacement is to restore the mobility mainly.

Neurological surgery treats the areas of the spine and peripheral nerves.
Conditions treated include:

• blood vessel blockage causing a stroke, or in the head producing hydrocephalus
• blood vessel repair such as removing an aneurysm or arteriovenous malformation
• brain function improvement to treat epilepsy or movement disorder
• lump removal for tumours, blood clots, pus or disc prolapse
• pain elimination through cutting a nerve

Neurosurgery is surgery concerned with preventing, diagnosing and treating conditions and disorders that affect the nervous system, brain and spine.

Trust Hospital Outpatients offers neurosurgery as a key speciality. Our world-leading consultants can diagnose and treat patients with nervous system-related conditions in the city, before supporting and providing a recovery plan to help them comfortably and confidently live a happy and healthy life.

Neurosurgery services for the brain and spine

Our team of skilled consultants are able to diagnose conditions and disorders that affect the brain and spine. Trust Hospitals highly experienced neurosurgeons can then provide a neurological assessment to perform a skilled surgery procedure, which aims to yield the best possible results for the patient.

The range of effective surgical services we provide can treat a range of brain conditions, such as tumours and fluid on the brain, or those related to the spine, such as Sciatica and a slipped disc. This includes:

• Brain tumour biopsy – A procedure to remove a small piece of brain tumour, so it can be examined under a microscope
• Brain tumour debulking – An operation to reduce the volume of a brain tumour
• Endoscopic third ventriculostomy for hydrocephalus – Surgery to relieve hydrocephalus, which involves rerouting fluid within the brain, allowing it to escape
• Shunts for hydrocephalus (fluid on the brain) – A procedure to divert fluid from the head into another body cavity, usually the abdomen or chest or within the brain
• Spinal procedures – Operations for degenerative, disc and neoplastic disorders, as well as surgery for sciatica and back pain

maxillofacial surgery is the specialty for the diagnosis and treatment of diseases affecting the mouth, jaws, face and neck. The oral and maxillofacial team at Trust Hospital is staffed by surgeons with both medical and dental expertise, allowing us to offer our patients the highest levels of treatment in oral surgery and maxillofacial surgery as well as the speciality.

maxillofacial surgery services include:

Maxillofacial Fractures:

Mandubular Fracture fixation

Zygomatic fracture fixation

Maxillar fracture fixation

TM Joint

Temporomandibular joint arthrocentesis

Temporomandibular joint surgery for carefully selected cases

An intensive care unit (ICU), also known as critical care or intensive therapy department, is a specialist ward in a hospital. They provide intensive care (treatment and monitoring) for people in a critically ill or unstable condition.

A person in an ICU needs constant medical attention and support to keep their body functioning. They may be unable to breathe on their own and have multiple organ failure. Patients in ICU are usually connected to intensive care equipment by tubes, wires and cables. This can be quite frightening for patients and relatives. Some of the equipment may help the patient breathe and monitor their heart rate and how fast they breathe. Patients are often in a "medically induced coma" to make them sleep while they get better as some of the equipment can be uncomfortable.

Once a person is able to breathe unaided, they may no longer need to be in intensive care and canbe transferred to a different ward to continue their recovery. Depending on their condition, they will either be transferred to a high dependency unit (HDU), which is one level down from intensive care, or to a general ward. The time it takes to recover varies greatly from person to person. It also depends on things such as age, level of health and fitness, as well as how severe the condition is.

What is Laparoscopy?

Laparoscopy is commonly known as "key hole surgery". It has been used in human surgery for years and now has been developed for use in veterinary surgery. Instead of a large incision into the abdomen to perform surgeries, we are able to use very small incisions and using a camera along with small instruments to perform surgeries.

When do we use Laparoscopy?

We are using it for abdominal surgeries such as ovariectomies (spay), cryptorchid surgery (undescended testicles) and organ biopsies.

What are the benefits?

• incisions are significantly smaller, so there is less trauma to the muscles and other tissues
• recovery time is much reduced
• there is less pain associated with the surgeries
• a lower risk of infections
• reduced surgery time and therefore time spent under anaesthesia and a happier pet!

General surgery is the surgical specialty covering some of the most common and generic health conditions which may affect us. We offer daily outpatient clinics with Consultant General Surgeons. Our surgeons are some of the most experienced local consultants, many of whom also have substantive posts within the NHS.

Our surgeons are also supported by our onsite Diagnostic Centre for any other scans or further investigations and have access to other specialists within the hospital to work with and refer to as appropriate. Should further treatment be required, the hospital has five fully-equipped theatres where surgery can be carried out. There is little or no waiting time for surgery, your treatment can start as soon as you are ready.

The plastic surgery facility at Trust Hospital caters for all your reconstructive surgery requirements. Our team of specialist plastic surgeons are fully qualified and experienced in all aspects of plastic surgery (with particular expertise in common procedures such as facial surgery and breast surgery).

Services include:

Facial Surgery

A full range of facial surgery is offered, including Blepharoplasty (Eyebag Removal)

Breast Surgery

Breast re-shaping surgery available includes Breast Augmentation, Breast Reduction and Mastopexy (Uplift), Breast Reconstruction, Latissimus Dorsi flaps, TRAM/DIEP flaps (using the patient"s own tissue to provide optimum results.Our comprehensive range of body sculpting treatments and procedures include Abdominoplasty, , Mini-Abdominoplasty, Gynaecomastia, Liposuction.

Outpatient Minor Surgical Treatments

Scar revision, mole/lesion/cyst removal and wound care are some of the minor operations that are treated at the clinic.

Hand & Wrist Surgery

Hand surgery is often required after an injury or if you suffer with arthritis, a tumour, a nerve problem or have a birth defect. Hand surgery requires a combination of tissue handling techniques including, microsurgery, tendon, nerve, and ligament and bone reconstruction. The hand is particularly unforgiving following injury or surgery, a team approach involving patient, hand therapist and properly trained surgeon is essential for the optimal outcome. Reconstructive wrist surgery helps to repair damaged tissues and reduce pain and weakness. If arthritis has developed, surgery will, in many cases, improve the pain.

Injuries that immediately compromise ventilation and oxygenation should be identified during the initial assessment of the trauma patient and treated appropriately. Examples include pneumothorax and haemothorax. These patients are always admitted.

Some injuries result in severe respiratory compromise hours or even days after injury. Minor injuries can be a marker for more severe injuries. The Trauma Service has a liberal admission policy for patients with seemingly minimal chest trauma.

Patients with the following conditions will be admitted:
1. Sternal fractures
2. Any 1st, 2nd or 3rd rib fractures
3. More than 1 rib fracture in any region
4. Pulmonary contusion
5. Subcutaneous emphysema
6. Traumatic asphyxia
7. Flail segment
8. Chest trauma associated with an arrhythmia or other evidence of myocardial injury.
Co-morbid (e.g. CORD, warfarin etc.) and elderly patients may be admitted following any chest trauma.

Patients with chest injuries are admitted under general surgery unless they require admission for another injury. They can be referred to the Trauma Service for continuing care as a ward referral. All should receive supplemental oxygen, chest physiotherapy, and adequate analgesia. Consultation with the Pain Service on the day following injury should be considered.