The Orthopaedic Department at POF Hospital was raised in January 2007 in accordance with the PMDC requirements for the purpose of accreditation of Wah Medical College, which is fully recognized by the PMDC and the World Health Organization. The department is also recognized by the College of Physicians and Surgeons of Pakistan for FCPS Part II training in Orthopaedics. The work of Orthopaedic Department involves undergraduate teaching and training for fellowship programe. The clinical work is highlighted below:
MINIMALLY INVASIVE ORTHOPAEDIC SURGERY
A great deal of our work in this department comprises minimally invasive orthopaedic surgery, including closed interlocked nailing of long bone (Femur, Tibia and Humerus) fractures, closed titanium elastic nailing of paediatric long bone fractures, percutaneous fixation of fracture neck of femur (cannulated screws and DHS) and supracondylar femoral fractures. We are routinely carrying out minimally invasive pelvic and acetabular fracture fixations and employing Ilizarov method for it’s various indications including bone transport.
Our paediatric orthopaedic work includes DDH, CTEV and minimally invasive approach to children’s fractures
Spinal surgery work done in the department includes, Lumbar Epidural and Facet joint Nerve Blocks, Vertebroplasties, ALIF, PLIF (pedicle screws) and cage insertions. Currently we are looking forward to minimally invasive pedicle screw fixations for spinal problems as soon as we procure the necessary instrumentation for the procedure.
We are currently able to perform diagnostic arthroscopies for knee problems and looking forward to start therapeutic arthroscopic procedures as soon as we acquire the required instrumentation set.
Various plastic surgical procedures including muscle and myocutaneous flaps (Gastrocnemius, Soleus, Flexor Digitorum Longus, Sural and Anterolateral Thigh flaps) wherever indicated for bone coverage are being done in our department routinely. In addition we are also performing nerve explorations and tendon repairs. Negative pressure wound therapy (Vacuum assisted closure of the wound) after adequate debrime¢ is one of our standard protocols for dirty and contaminated wounds. Recently we have started free fibular transfers in our department. Currently we are doing hemi as well as total arthroplasties of the hip and are looking forward to start total knee replacements in near future.
Since the inception of the department the orthopaedic care of patients has improved tremendously, the fact recognized by its ultimate beneficiaries (i.e. patients), its sister departments and the institution’s administration alike. Our future vision is to provide a platform par excellence for those aspiring to become orthopaedic surgeons of tomorrow