ORTHOPAEDICS

Department of Orthopaedics has an exclusive Outpatient clinic situated in the first floor of the Main block with separate Male and Female OPDs and Male and Female Orthopaedic ward in the 4th floor of the Main block and exclusive Laminar airflow operation theatre complex in the 5th floor and Surgical ICU for Orthopaedics with 6 beds with all life saving necessary equipments.

Round the clock emergency trauma care services are provided by the duty Orthopaedic Surgeon in the Emergency Department whereby most of the fractures are managed surgically either by External fixation or by Internal fixation in the exclusive Orthopaedics operation theatre.

Out patient clinic also offers various sub-speciality services like Arthroscopy for Sports and Trauma injury patients, Arthroplasty for Hip and Knee, Spine clinic for Traumatic and Degenerative conditions, Paediatric clinic for Congenital deformities like Congenital Talipes Equino varus, Paediatric trauma and Paediatric neoplasms. We have exclusive Hand clinic for Hand injuries like Metacarpal and Phalanx fractures . The above Sub-speciality clinics are monitored regularly by Head of the Department and an exclusive Assistant Professor for each clinics.

Department of Orthopaedics has an exclusive Male and Female Orthopaedics ward in the 4th floor of Main block with total bed strength of 80 beds with separate Surgical ICU situated in 6th floor with 6 beds.

Department of Orthopaedics has an exclusive Laminar airflow operation theatre complex with 3 cubicles and 3 operating tables in the 5th floor along with 2 C-arm machines.

We have an exclusive physiotherapy department offering various physiotherapy services in the Outpatient department.

Inauguration of Skills Lab, Research Lab, Departmental Library and Museum , Demonstration Hall.

Inauguration of Department Skills Lab

Inauguration of Department Library

Inauguration of Department Museum

Inauguration of new equipments at Physiotherapy Department

Treadmill

Shortwave Diathermy

Inauguration of Department Demonstration Hall

STATISTICS IN DEPARTMENT OF ORTHOPAEDICS

1.Elective OT Statistics
The elective OT statistics for the year 2024 in the main operation theatre for the 2 units is given below

Month	Major	Minor
January	75	26
February	90	19
March	95	15
April	97	23
May	100	30
June	104	16
July	111	32
August	97	34
September	92	51
October	73	34

EMERGENCY OT STATISTICS

The emergency OT statistics for the year 2024 in the emergency department operation theatre for the 2 units is given below

Month	Major	Minor
January	23	10
February	10	06
March	41	163
April	44	179
May	26	153
June	28	163
July	52	171
August	48	175
September	44	191
October	55	217

Monthly OPD Census

Month	MONTHLY CENSUS		TOTAL
	NEW CASES	OLD CASES
January	3781	2194	5975
February	4176	2289	6465
March	4484	2702	7186
April	4164	2310	6476
May	4362	2265	6627
June	3349	2431	5780
July	3824	2557	6381
August	3728	2641	6369
September	3681	2061	5742
October	3796	2094	5890

Monthly IP Census

Month	Monthly Admission Cases
January	197
February	198
March	232
April	212
May	211
June	182
July	81
August	79
September	96
October	181

CMCHIS Performance

As per the statics of CMCHIS performance from the Tamilnadu Health System Project, DMS Teynampet, Dept of Orthopadeics, Govt. Medical College Hospital Thiruvallur is one of the top most and leading in CMCHIS performance among the Medical College institutions in Tamilnadu. CMCHIS ststistics for the year 2024 is given below

Month	Cases	Amount
January	38	897900
February	35	761000
March	60	1572200
April	30	1028350
May	63	1611200
June	44	1065550
July	49	1130550
August	50	976950
September	62	1542050
October	72	1571200

Sub Specialty Surgeries Statistics

Month	THR and THR	Spine	Pelviacetabular	Arthroscopy	Pediatric
January	4	5	1	10	3
February	7	8	1	3	2
March	7	6	2	10	5
April	6	10		6	2
May	6	3	3	6	4
June	5	5	1	7	2
July	2	4	1	7	2
August	3	7		9	5
September	5	6		7	4
October	4	5		3	4

Physiotherapy Statistics

Month	Male	Female	Male Child	Female Child	Total
January	1804	1863	2		3669
February	2105	2261	8	4	4378
March	2128	2378	7	2	4515
April	1744	2047	2		3793
May	1589	2049			3845
June	1500	2049	2	5	3338
July	1731	1884	10	3	3628
August	1546	1967			3513
September	1305	1716			3021
October	1365	1633	3	1	3002

IKT Statistics

Most of the Road Traffic Accident cases with bony injuries and fractures were managed in the emergency department within 48hours by emergency surgery. The IKT statistics for the year 2024 is given below

Month	No of Cases	Pre auth	Claim Child
January	21	131500	125400
February	26	181500	169850
March	22	150000	139200
April	24	134500	134500
May	9	58000	58000
June	18	170000	166500
July	68	626050	598500
August	72	756000	744000
September	50	422000	418000
October	50	411200	364200
TOTAL	360	30,40,750	29,18,150

Our Department of Orthopaedics facilitates teaching of

• Undergraduate MBBS students
• C.R.M.I from Foreign Medical graduates
• District Residency Program Post graduates from various Government and Private medical colleges and Institutions
• Nursing students and Paramedicals.

Undergraduate MBBS teaching programs

Our Department of Orthopaedics conducts theory and practical demonstration classes for Second year and Pre final year MBBS Students as per NMC Medical education unit guidelines.

Our Government Thiruvallur Medical College, Thiruvallur has 100 Undergraduate seats each academic year starting from 2022. At present we are having First year, Second year and pre final year students in our college.

In the morning, In OPD, Wards and Operation theatre we are facilitating Early Clinical exposure as per NMC guidelines for Second year and prefinal year students

As per COMPETENCY BASED UNDERGRADUATE CURRICULUM we provide education and clinical skill knowledge through various means from first year to final year

Early Clinical Exposure (ECE) is a learning tool that provides medical students with practical experience in a healthcare setting early in their studies

Competency-based curriculum: The curriculum is designed to help students develop competencies in working in a healthcare team, practicing medicine, and more

2 weeks Clinical classes are held in second and prefinal year where proper schedule is based on Curriculum including case discussion, self-directed learning and small group teaching. A summative assessment is made at the end of session testing their competency skills which helps in strengthening their weak areas

Theory classes were held regularly every month for prefinal years based on Cbme curriculum that includes orthopaedics & procedural skills, AETCOM modules, Integration topics.

C.R.M.I. from Foreign Medical Graduates

In our Government Medical College and Hospital, CRMI from Foreign Medical Graduates are posted after completing their Foreign Medical Graduate Examination for past 2 years with each academic year approximately 100 CRMI graduates.

We are teaching basic clinical exposure and hands on training to all the posted CRMIs to enable them to diagnose and treat common orthopaedic ailments. Each CRMIs are trained to have ability to diagnose and suspect fractures, Dislocation, acute osteomyelitis and common congenital deformities such as congenital talipes equinus varus and congenital dislocation of hip.

All the posted CRMIs are allowed to assist in

• Splinting for the purpose of emergency splinting, definitive splinting and post operative splinting and application of Thomas splint
• Manual reduction of common dislocations
• Manual reduction of common fractures
• Emergency care of multiple injury patients
• Transport and bed care of spinal cord injury patients
• Drainage of acute osteomyelitis
• Sequestrectomy in chronic osteomyelitis
• Application of external fixation
• Internal fixation of fractures of long bones

District Residency Program Post graduates

As per Post Graduate Medical Education Regulations 2000 (PGMER-2000) vide notification dated 16.09.2020, Post graduate students in various Government and Private Medical Colleges in their second year are posted in New Medical colleges, District Headquarters Government Hospitals and Taluk Hospitals.

In our Government Medical College and Hospital, Thiruvallur, District Residency Program Post Graduates are regularly posted for the past two years from various Government and Private Medical Colleges.

All the DRP Post graduates posted in our Department are trained under subject specific learning objectives. This will be dealt with under the following headings:

• Theoretical knowledge (Cognitive domain)
• Practical and clinical skills (psychomotor domain)
• Attitudes including communication skills (Affective domain)
• Writing thesis / Reviewing Research activities (Scholarly activity)
• Training in Research Methodology (Practice based learning, Evidence based practice)
• Professionalism
• Teaching skills

All the DRP PGs are involved in the following academic activities

• Case Presentation- Once a week in the ward and in Outpatient department
• Seminars- Once a week on every Friday
• Journal club- Once a week on every Saturday
• Academic grand ward rounds- Twice a week presentation of cases by residents and clinically applicable discussions

Quality of training are monitored by log books, supportive supervision and continuous assessment of performance.

Proximal fibular chondrosarcoma

Pigmented Villo Nodular Synovitis

CTEV correction and surgeries done in CTEV clinic regularly