Speciality
Knee
Dr. Shetty and his department stand as a unique entity in Mumbai and across India, specializing in knee preservation surgeries. Unlike many orthopaedic practitioners, Dr. Shetty and his team expressly do not offer knee and hip replacement surgeries. Instead, their expertise lies in the realm of knee preservation, a field in which they have amassed two decades of practical experience. Their adeptness in this domain significantly extends the need for replacement surgeries, offering a boon to patients seeking alternative solutions.
In an epoch where maintaining an active lifestyle is quintessential, especially for the younger generation, Dr. Shetty and his team come equipped with the requisite knowledge and experience to treat a vast array of knee injuries. Their proficiency ensures that individuals can continue indulging in an active lifestyle encompassing sports, gymming, dancing, trekking, and much more.
Ligament Reconstruction
Ligament reconstruction is a surgical procedure aimed at repairing or replacing damaged ligaments in the knee joint. Ligaments are tough bands of connective tissue that provide stability and support to the knee. When ligaments are torn or injured due to trauma or sports-related activities, it can result in instability and compromised function of the knee. During ligament reconstruction, the damaged ligament is either repaired using sutures or replaced with a graft, typically sourced from the patient’s own tissue or a donor.
ACL Reconstruction
ACL (Anterior Cruciate Ligament) Reconstruction is a surgical procedure aimed at restoring the stability and function of the knee after an ACL injury. The procedure involves replacing the torn ligament with a graft. Dr. Nagraj Shetty takes a personalized approach to ACL reconstruction, offering Anatomic ACL reconstruction, Graftlink with internal brace, BTB (Bone-Patellar Tendon-Bone) graft, and Central Quadriceps graft procedures. Each method has its own set of advantages, and the choice of procedure is tailored to the individual patient’s anatomy, lifestyle, and recovery goals.
ACL Revision Surgery
ACL Revision Surgery is considered when a previous ACL reconstruction has failed. This could be due to various reasons like improper graft placement, graft failure, or new injuries. Dr. Shetty’s extensive experience and meticulous approach ensure a thorough evaluation of the previous surgery and a tailored plan for revision surgery to achieve optimal knee function and stability.
MCL Reconstruction
MCL (Medial Collateral Ligament) Reconstruction is a surgical intervention to treat severe MCL injuries. The procedure involves replacing the damaged ligament with a graft to restore knee stability. Dr. Shetty employs modern surgical techniques to ensure precise graft placement and optimal recovery.
PCL Reconstruction
PCL (Posterior Cruciate Ligament) Reconstruction aims to repair a torn PCL and restore knee stability and function. Like ACL reconstruction, this procedure involves replacing the torn ligament with a graft. Dr. Shetty’s expertise ensures that the graft is securely anchored and knee function is maximized.
Complex Primary and Revision Multiligament Knee Reconstruction
Complex primary and revision multiligament knee reconstruction is a sophisticated surgical intervention aimed at addressing multiple ligament injuries in the knee. Dr. Shetty’s profound understanding of knee anatomy and biomechanics, coupled with advanced surgical techniques, provides a comprehensive solution to complex knee ligament issues.
Posterolateral Knee Reconstruction
Posterolateral Knee Reconstruction is aimed at correcting instability on the outer aspect of the knee. The procedure involves repairing or reconstructing the ligaments and structures of the posterolateral corner of the knee to restore stability and function. Dr. Shetty’s meticulous surgical approach ensures precise reconstruction and an optimal recovery pathway.
Cartilage Treatment
OATS (Osteochondral Autograft Transfer System)
OATS is a surgical procedure used to treat small areas of cartilage damage in the knee. It involves the transplantation of healthy cartilage from a non-weight bearing area of the knee to a damaged area in a weight-bearing region. The procedure aims to restore the surface of the joint to relieve pain and improve function. This treatment is suitable for patients with localized cartilage damage and can be a viable option for those seeking to maintain an active lifestyle post-surgery.
ACI (Autologous Chondrocyte Implantation)
ACI is a two-step procedure aimed at repairing larger areas of cartilage damage. Initially, a small sample of cartilage cells (chondrocytes) is harvested from the patient’s knee. These cells are then cultured in a lab to increase their number before being re-implanted into the damaged area of the knee. ACI can be a beneficial option for younger patients with larger or multiple areas of cartilage damage, who are seeking to delay or avoid joint replacement.
Autocart (Minced Cartilage)
The Autocart procedure utilizes minced cartilage tissue, which is harvested from either the patient or a donor, to repair cartilage defects. The minced cartilage, which retains its live cells, is implanted into the damaged area to promote the growth of new cartilage. This procedure can be a less invasive alternative to other forms of cartilage repair or replacement.
BMAC (Bone Marrow Aspirate Concentrate)
BMAC involves the use of bone marrow stem cells to promote the healing of cartilage and other tissues in the knee. Bone marrow, rich in regenerative cells, is harvested from the patient, concentrated, and then injected into the knee to promote natural healing. BMAC can be a good option for patients with early-stage arthritis or other degenerative conditions, seeking to alleviate symptoms and delay the progression of the disease.
Early Osteoarthritis Treatment
High Tibial Osteotomy (HTO)
High tibial osteotomy is a surgical procedure aimed at relieving the pressure on the damaged side of the knee by realigning the knee joint. By shifting the weight-bearing axis towards the healthier side of the knee, HTO can significantly alleviate pain and improve function in patients with osteoarthritis.
HTO with Root Repair
This procedure combines high tibial osteotomy with repair of the meniscal root, aiming to restore the normal anatomy and function of the knee. The combination of realignment and root repair can provide significant relief from pain and improve the longevity of the knee joint.
Double Level Osteotomy
A double level osteotomy is a more complex realignment procedure that addresses deformities in both the femur and tibia. By correcting alignment at two levels, this procedure aims to provide a more balanced and natural knee alignment, which can be particularly beneficial in more severe or complex cases.
Slope Correction Osteotomy for Failed ACL and PCL Reconstructions
Slope correction osteotomy is employed to address issues with the posterior slope of the tibia, which can contribute to failures of previous ACL (Anterior Cruciate Ligament) and PCL (Posterior Cruciate Ligament) reconstructions. By adjusting the slope of the tibia, this procedure aims to create a more stable environment for the knee ligaments and improve the chances of success in any subsequent ligament reconstructions.
Tibial Tubercle Osteotomy for Patellofemoral Disorders
Tibial tubercle osteotomy is a procedure aimed at treating patellofemoral disorders by realigning the patellar tendon. By repositioning the tibial tubercle, the procedure can significantly alleviate anterior knee pain and improve patellar tracking.
Meniscus Treatment
Discoid Meniscus Treatment
A discoid meniscus is a congenital anomaly where the meniscus is disc-shaped instead of the usual C-shape. Treatment aims to correct the shape of the meniscus and address any associated symptoms or problems. Surgical reshaping and repair can be performed to provide a more normal meniscal shape and function, thus alleviating symptoms and preventing further complications.
Complex Meniscus with PRP + Fibrin Clot Augmentation
For complex meniscal tears, a combination of Platelet-Rich Plasma (PRP) and Fibrin clot augmentation can be employed to promote healing. PRP, rich in growth factors, and Fibrin clots can provide a conducive environment for tissue repair and regeneration. This treatment modality aims to preserve as much of the native meniscus as possible and promote natural healing.
Meniscal Root Repair with Centralization
Meniscal root tears are a type of injury where the meniscus is torn from its anchoring point in the bone. Repairing the root and centralizing the meniscus can restore its normal anatomy and function, preventing further degenerative changes within the knee joint and preserving joint stability.
Partial Meniscectomy
Partial meniscectomy is a surgical procedure where a portion of a damaged meniscus is removed to alleviate symptoms such as pain and swelling. The goal is to preserve as much of the healthy meniscus as possible while removing the damaged tissue to restore knee function and alleviate discomfort.
Patellofemoral Joint Treatments
Distal Femoral Osteotomy
This procedure is typically aimed at correcting misalignment within the knee joint, particularly in patients with knee osteoarthritis. By realigning the femur, the distribution of forces across the knee joint is improved, potentially alleviating pain and slowing the progression of arthritis.
Lateral Patellotibial Ligament Reconstruction
This surgical procedure is designed to address lateral patellar instability. By reconstructing the lateral patellotibial ligament, the patella’s movement is better controlled, reducing the likelihood of dislocation and improving knee function.
Patellar Dislocation
Patellar dislocation occurs when the kneecap (patella) moves out of its normal position. Treatment can range from conservative management, such as bracing and physical therapy, to surgical interventions aimed at correcting underlying structural abnormalities and restoring the patella to its correct alignment.
Proximal Tibial Osteotomy
Similar to distal femoral osteotomy, this procedure is aimed at correcting knee alignment, but focuses on the tibia. By altering the alignment of the tibia, it can redistribute forces across the knee joint, potentially alleviating pain and slowing arthritis progression.
Tibial Tubercle Osteotomy
This surgical intervention is often utilized to address patellar tracking issues. By repositioning the tibial tubercle, the alignment and tracking of the patella are improved, which can alleviate symptoms such as pain and instability.
Trochleoplasty
Trochleoplasty is a surgical procedure designed to address trochlear dysplasia, a condition where the groove in the femur bone, in which the patella moves, is shallow or misshaped. By reshaping the trochlear groove, patellar stability is improved, reducing the risk of dislocation and other patellar tracking issues.
