Dr Hemendra Shar
About Me
Dr Hemendra Shar
MS
Orthopaedic Surgeons
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
OPEN TIBIAL FRACTURE CARE
An open tibial fracture features a break in the shinbone which communicates through the skin surface leading directly into the wound. These injuries pose high infection risks necessitating comprehensive treatment strategies right from presentation onwards.
- Injury Characteristics: Severe blunt force trauma often leads to visible bone exposure amid bleeding soft tissue disruption producing pronounced pain significant impairment walking ability
- Diagnostic Criteria: Radiographic evaluation clarifies fracture severity alongside clinical wound inspection assessing contamination degree guiding treatment urgency
- Management Approach: Aggressive wound irrigation debridement surgical stabilization typically external fixation followed by antibiotics constitute cornerstones minimizing osteomyelitis likelihood
- Rehabilitation Elements: Extended monitoring supported by physiotherapy post-healing promotes restoration leg strength flexibility securing return daily functions while curbing complication rates
Proactive comprehensive care pivotal regarding these complicated breaks yields enhanced healing results favorable functional recovery ultimately ensuring better patient satisfaction long term prognosis .
COMPARTMENT SYNDROME EMERGENCY SURGERY
This serious condition arises when pressure within muscle compartments increases excessively after trauma, compromising blood flow and tissue viability. Rapid diagnosis is vital because delays can lead to permanent damage or loss of limb function.
- Causative Factors & Signs: Fractures, crush injuries cause painful swelling disproportionate to injury level along with numbness or weakness beyond typical bruising symptoms.
- Differential Diagnosis & Testing: Intracompartmental pressure measurements supplement clinical suspicion during assessment; imaging rules out other causes for symptoms like vascular compromise alone.
- Treatment Protocols: Fasciotomy surgery involves releasing tight fascial layers instantly relieves pressure preventing irreversible ischemia manifesting after few hours post-injury time frame critical for success daily practice emphasizes urgent referrals thereafter emergency surgery within golden period necessary for salvaging limbs
If untreated emergency compartment syndrome results in muscle necrosis requiring amputation; thus early identification combined with expert intervention determines prognosis substantially affecting patient quality of life outcomes positively when managed promptly correctly .
TRAUMATIC SHOULDER DISLOCATION TREATMENT
A traumatic shoulder dislocation occurs when the upper arm bone forcibly exits its socket due to sudden trauma. This emergency condition demands prompt care for pain relief and joint integrity preservation.
- S/S & Cause: Intense shoulder pain following an injury accompanied by visible deformity and restricted motion points toward dislocation commonly caused by falls or collisions.
- Evaluation Methods: Physical exam combined with X-rays confirms dislocation direction (anterior/posterior) and rules out associated fractures.
- Treatment Steps: Closed reduction involves manual realignment under sedation; severe cases might need surgical repair especially if recurrent dislocations occur due to ligament damage.
- Avoiding Complications: Post-reduction immobilization in a sling plus progressive strengthening exercises prevent chronic instability issues long term.
The timely correction enables restoration of function while reducing risks such as nerve injury or cartilage damage following repeated trauma episodes if neglected initially.
OPEN REDUCTION AND INTERNAL FIXATION FOR DISPLACED FRACTURES
This surgical procedure addresses displaced fractures where bone fragments have shifted out of alignment. It aims at realigning bones to encourage optimal healing under stable conditions.
- Causes & Symptoms: Trauma such as falls or sports injuries can cause fractures presenting with deformity, severe pain, inability to move affected limb properly.
- Diagnostic Procedure: Radiographs determine fracture pattern and displacement magnitude crucial for planning surgery.
- Surgical Technique: Bones are repositioned (reduced) surgically then secured using hardware like plates, screws, or rods internally placed under sterile conditions.
- Postoperative Care & Recovery: Immobilization followed by guided physiotherapy ensures bone union while preventing stiffness or atrophy in adjacent muscles.
This intervention facilitates rapid stabilization allowing earlier rehabilitation compared to non-surgical methods in complex fractures requiring precise alignment restoration.
ANTERIOR CRUCIATE LIGAMENT (ACL) INJURY REPAIR
An anterior cruciate ligament injury involves a tear or sprain of one of the key ligaments stabilizing the knee joint. It commonly affects athletes but can happen during everyday activities involving sudden twists or impacts.
- Presentation: Patients may experience a popping sound during injury, intense knee pain, swelling, and difficulty bearing weight or moving the joint normally.
- Diagnostic Approach: Physical tests alongside MRI scans help assess ligament damage accurately.
- Treatment Modalities: Mild injuries may be managed conservatively with rest and physiotherapy; severe tears often require arthroscopic reconstruction surgery.
- Rehabilitation: Gradual strengthening exercises post-surgery are vital to regain stability and prevent repeat injuries.
The goal is to restore full knee functionality while minimizing long-term joint instability that could lead to arthritis if untreated properly.
COMPOUND FRACTURE MANAGEMENT
A compound fracture occurs when a broken bone pierces the skin, creating an open wound that exposes the fracture site to the external environment. This type of injury requires prompt medical attention to prevent infection and ensure proper healing.
- Symptoms and Causes: Severe pain, visible bone protrusion, bleeding, and swelling often result from high-impact trauma such as vehicle accidents or falls.
- Diagnosis: Clinical examination followed by imaging studies like X-rays confirm the extent and location of the break.
- Treatment Options: Immediate wound cleaning, antibiotic administration to reduce infection risk, surgical debridement, stabilization with internal or external fixation devices are standard procedures.
- Management: Close monitoring for infection signs, physical therapy after initial healing phase to restore function.
Effective management of a compound fracture is crucial to prevent complications and promote bone union. Early intervention significantly improves outcomes and mobility restoration.