ISKSAADELHI TRAVELLING FELLOWSHIP REPORT

I AM VERY MUCH THANKFUL TO DR. PUSHPINDER BAJAJ, DR. LALIT MAINI AND THE SELECTION COMMITTEE OF ISKSAA FOR SELECTING ME FOR THE DELHI TRAVELING FELLOWSHIP.

I WAS VERY MUCH APPREHENSIVE BEFORE JOINING THE FELLOWSHIP AS IN WHAT WAY VISITING TO VARIOUS CENTRES FOR SUCH SHORT DURATION WOULD HELP? BUT AT THE SAME TIME THE EXCITEMENT OF VISITING THE BEST OF CENTRES IN DELHI WAS THERE!

I REACHED MAMC GUEST HOUSE ON 5TH MARCH AND MET MY TWO NEW FRIENDS AND ACCOMPANYING FELLOWS DR. RAJEEV KUMAR FROM PUNJAB AND DR. AMLAN ROY FROM SILIGURI, WEST BENGAL. SO, WE WERE 3 FELLOWS FROM 3 CORNERS OF INDIA!! ON THAT DAY WE WERE WARMLY WELCOMED BY DR. LALIT MAINI SIR. THE GUEST HOUSE IS VERY COMFORTABLE WITH ALL FACILITIES. IN THE EVENING WE WENT TO THEOBERIO, NEW DELHI FOR DINNER ARRANGED BY DR. LALIT MAINI.

DR. MAINI TOOK LOT OF EFFORT TO SCHEDULE OUR VISIT. HE USED TO INFORM US THE PREVIOUS EVENING WHICH HOSPITAL WE ARE VISITING THE NEXT DAY. IT WAS NOT A PRE-PLANED PROGRAMME BECAUSE HE WANTED TO MAKE SURE THAT THERE ARE AMPLE OF CASES THE NEXT DAY SO THAT WE CAN SEE MAXIMUM CASES IN THIS FELLOWSHIP. THIS GAVE THE FLEXIBILITY TO SWITCH HOSPITALS IF THERE ARE FEWER CASES SOMEWHERE ELSE. HE HAD ARRANGED A CAR FORTHE ENTIRE PERIOD.

ON 6^TH MARCH WE WENT TO INDIAN SPINAL INJURY CENTRE, VASANT KUNJ FOR SHOULDER COURSE. DR. TARUN ACCOMPANIED US. WE WERE ALREADY REGISTERED FOR THE COURSE. THE COURSE HAD EMINENT FACULTY. THERE WERE LECTURES FOLLOWED BY WORKSHOP ON BASIC SHOULDER ARTHROSCOPY.

7^TH MARCH WE VISITED SPORTS INJURY CENTRE. THERE WE MET DR DEEPAK CHAUDHARY AND DR DIPAK JOSHI. IT IS A HIGH VOLUME CENTRE WITH STATE OF ART OT COMPLEX. WE SAW ARTHROSCOPIC ACL RECONSTRUCTION, BANKARTS REPAIR AND ROTATOR CUFF TEAR REPAIR. THEY GAVE US SOME VERY IMPORTANT PRACTICAL TIPS FOR ACL RECONSTRUCTION.

8^TH MARCH WE WENT TO AIIMS UNDER PROF C.S.YADAV. IT WAS A BUSY DAY WITH 3 THR, 4 TKR, 1 HIGH TIBIAL OSTEOTOMY AND MANY OTHER CASES. WE ASSISTED FEW OF THEM.

9^TH MARCH WE VISITED ARTEMIS HOSPITAL GURGAON AND MET DR IPS OBERIO. THERE WE SAW ARTHROSCOPIC ACL RECONSRTRUCTION, HIP AND KNEE REPLACEMENT. HE MINUTELY POINTED OUT EVERY STEP WHILE PERFORMING SURGERY AND THE REASONS OF DOING THAT STEP AND WAYS TO PREVENT COMPLICATIONS. IT WAS FOLLOWED BY A TABLE DISCUSSION IN WHICH HE SOLVED OUR QUERIES IN A VERY SIMPLIFIED MANNER. THE SESSION WAS VERY MUCH USEFUL IN CLEARING OUR CONCEPTS.

10^TH MARCH WE VISITEDSIR GANGA RAM HOSPITAL. DR PRATEEK GUPTA RECEIVED US. THERE WE SAW ARTHROSCOPIC SHOULDER SURGERIES. HE GAVE US A VERY DETAILED DESCRIPTION ON VARIOUS ASPECTS OF ARTHROSCOPY IN A TEACHING SESSION AFTER SURGERY.

11^TH MARCH WAS VERY INFORMATIVE DAY ATINDRAPRASTHAPPOLLO HOSPITAL. DR RAJU VAISHYA AND DR KHARBANDA WARMLY WELCOMED US. THERE WERE LOT OF REPLACEMENTS SURGERIES. IT WAS A DIFFERENT EXPERIENCE ASSISTING DR RAJU VAISHYA. HE SHOWED US THE TECHNIQUE OF DOING TKR USING 3D PRINTING AND CUSTOM MADE ZIGS. THIS WAS THE FIRST TIME WE ALL SAW THIS METHOD.DR KHARBANDA DETAILED EVERY STEP OF TOTAL KNEE REPLACEMENT WITH REASONING. THERE WERE A FEW STEPS WHICH WERE UNIQUE AND SIMPLE. IN BETWEEN SURGERIES HE DISCUSSED IN GREAT DETAILS VARIOUS CONCEPTS OF REPLACEMENTS. HE STRESSED A LOT ON PREOPERATIVE PLANNING. IT WAS A VERY EXCITING DAY FOR US AS WE SAW SOME NOVEL THINGS HERE.

12^TH MARCH WE WERE GREETED AT FORTIS HOSPITAL VASANT KUNJBY DR GURINDERBEDI. THE DAY STARTED WITH SOME VERY GOOD POWERPOINT CASE DISCUSSION. HE WAS VERY ENTHUSIASTIC AND THREW LIGHT ON RECENT ADVANCES AND CONCEPTS. WE SAW B/L TKR FOLLOWED BY CORACOCLAVICULAR LIGAMENT RECONSTRUCTION USING TIGHT ROPE AND SEMI T. THAT WAS AN INTERESTING SURGERY TO WATCH.

ON 13^TH MARCH WE ATTENDED 12th SPORTS MEDICINE & ARTHROSCOPY WORKSHOP AT SIR GANGA RAM HOSPITAL. OUR REGISTRATION WAS ALREADY DONE. THE THEME WAS REVISION-ACL SURGICAL CHALLENGE &PEDIATRIC-ACL MYTHS AND DILEMMAS. THIS FIELD WAS NEW FOR US. BUT THE EMINENT FACULTY PRESENTED THE CONCEPTS IN AVERY SIMPLIFIED MANNER WITH VIDEOS AND PICTURES. THIS WAS FOLLOWED BY LIVE DEMONSTRATION AND HANDS ON WORKSHOP. THIS WAS A VERY EXHAUSTIVE BUT FRUITFUL DAY.

14^TH MARCH WE AGAIN VISITED FORTIS HOSPITAL VASANT KUNJUNDER DR DHANANJAY GUPTA. WE SAW 2 TKR WHICH WAS FOLLOWED BY DISCUSSION ON LUNCH.

15^TH MARCH WAS SPENT AT SANTPARMANAND HOSPITAL WHERE WE WERE WELCOMED BY DR SHEKHARSRIVASTAV AND DR SHEKHAR AGRAWAL. THERE WE SAW 1 PCL AVULSION FIXATION AND 4 TKR. INSPITE OF THESE MANY CASES THE OT WAS OVER EARLY AND WE GOT A BIT OF TIME TO ROAM AROUND DELHI.

16^TH MARCH WE WENT TO GANGA RAM HOSPITAL. DR SHASHANK MISHRA WELCOMED US. THERE WE MET DR BHASIN. THEY DEMONSTRATED LATARJET PROCEDURE AND EXPLAINED IN DETAILS ABOUT IT. WE CAME ACROSS SOME VERY SIMPLE INSTRUMENTS MADE BY DR BHASIN. THERE WAS ANOTHER CASE OF STIFF KNEE WHICH WAS TREATED ARTHROSCOPICALLY. IT TURNED OUT A LUCKY DAY FOR US.

17^TH MARCH WAS A VERY LONG AND MOST EXHAUSTIVE DAY FOR US. WE MET DR DEEPAK RAINA AT INDIAN SPINAL INJURY CENTRE. THERE WE SAW 3 THR, 2 TKR, 1 PELVIS FRACTURE FIXATION AND 1 HEMIARTHROPLASTY HIP. THERE WAS A VAST DISCUSSION ON VARIETY OF CASES DONE EARLIER.

18^TH MARCH WAS THE LAST DAY OF OUR FELLOWSHIP. IN MORNING WE WENT TO SAFDARJUNG HOSPITAL UNDER DR DEVENDER. THERE WE SAW BANKARTS AND ROTATOR CUFF REPAIR. LATER IN DAY WE MET DR P.S. BAJAJ AT HIS CLINIC. THERE WE HAD A CHANCE TO DO KNEE ARTHROSCOPY ON MODEL OF KNEE JOINT. IT WAS A GREAT EXPERIENCE.

THIS FELLOWSHIP IS UNIQUE IN A WAY THAT IT GIVES THE CHANCE TO OBSERVE AND INTERACT WITH THE BEST FACULTY. THE ONE TO ONE INTERACTION IS POSSIBLE ONLY AT SUCH PLATFORM. AT THE SAME TIME, WE SEE DIFFERENT SURGEONS HAVE SOME TECHNIQUE OR TRICK PECULIAR TO HIM WHICH WE CAN PICK IN THIS SHORT PERIOD. ALSO, AT THIS EARLY STAGE OF LIFE IT HELPS IN BOOSTING THE CONFIDENCE LEVEL AS IT REINFORCES THE BASICS WE WERE TAUGHT,SIMULTANEOUSLY CORRECTING THE WRONG CONCEPTS. FINALLY, I AM VERY MUCH THANKFUL TO DR LALIT MAINI SIR FOR THE IMMENSE EFFORTS HE PUTS IN SO THAT WE ARE BENEFITTED THE MOST MAKING THIS FELLOWSHIP A GRAND SUCCESS.

THANKS,
DR ACHIN MURARKA D.ORTH, DNB ORTH, MNAMS
AKOLA, MAHARSHTRA.

Some pictures taken: