Articles
Physical Disabilities
The another challanging and rarely performed surgeries are the physical disabilities and paediatric orthopaedics. Since Dr Pramod Lamichhane has a sound knowledge and expertise with treatment of physical disabilities which he acquired from Prof. Dr AK Banskota and the team from HRDC. We have been doing very rare and demanding surgeries. Club foot surgeries, deformity correction, surgeries for cerebral palsy, PPS, scoliosis and kyphosis so on.
A seven year old girl presented with angular deformity and shortening of the right leg for two years. Treatment was done for shaft of tibia fracture with LLC multiple times at multiple centres of Nepal and India but with no improvement. Finally she was brought to our hospital. We treated the case on charity basis with deformity correction and fixation with flexible Im nails percutaneously and allowed to weight bear at 6 weeks. Now the legs are equal, fracture is healing and the deformity is corrected.
Club Foot Treatment
In coordination with HRDC we have been doing club foot treatment. This year we performed one adult club foot surgery and thirteen poseti treatment and Heel cord release in eighteen children.
Pre and post treatment of Clubfoot by Ponseti Method
Adult club foot surgery
A 52 years old lady presented with recurrent bursitis with club foot to our hospital.We performed excision of the bursa, Tripple arthrodesis and open TAL. She is doing well and walking with the painless plantigrade foot. Probably this may be the first clubfoot surgery in adult in Nepal.
