The Madras Institute of Orthopaedics and Traumatology (MIOT), had its genesis as an independent wing of Vijaya Hospital, where Padmashree Prof. Dr. P. V. A. Mohandas and his team performed many a surgical impossibility in the field of Orthopaedics. Subsequently, his international travel exposed him to the highly impressive standards of hygiene and competence of medical services in the West He grew obsessed with an overpowering desire to provide similar standards of professional health care in India. He left no stone unturned, no expense spared until in February 1999 MIOT opened its doors to the public. Thus, the seed of desire sown with dedication and nurtured with concerted effort, sprouted and now stands before us as the imposing structure of MIOT - the virtual brainchild of Dr. Mohandas.

MIOT Hospitals became a corporate body in early 1994 in tune with the evolving hospital culture overseas. This multi-crore, super-speciality hospital, nationally and internationally acclaimed for its professional standards, has collaborators in Australia, Germany and USA. The Hospital taps the advantage of this collaboration by sending its Doctors and Nurses to Germany periodically as part of its up gradation program.

Department of Orthopaedics

Joint Replacement and Revision Surgery:
Management of arthritis is a speciality of MIOT Hospitals. When arthritis reaches a stage when movement of the joint are restricted by pain, they require replacement. MIOT Hospitals is a pioneer in joint Replacement Surgery in India. We have specialized in it over the last 25 years. We offer hip replacement, knee replacement, shoulder replacement and elbow replacement. The surgery offers spectacular results. The patient is immediately relieved of pain and is restored to full mobility in 10 days.

While joint replacements are successful - the problem lies in the life of the joint. An artificial joint has a life of 20 - 25 years. To make them permanent scientists began researching material from high density polyethylene to titanium. Now, it is the considered option of scientists that if the artificial joint is implanted with correct anatomical alignment then, the longevity of the implant is improved. This is possible only through Computed Navigated Surgery.

Computer Navigated Surgery
The Department of Orthopaedics at MIOT was the first to practice Computer Navigated Joint Replacement Surgery in the Asia - Pacific region. In this type of surgery, the computer monitors every step of he surgeon, ensuring a zero error performance. Just as every person's fingerprint is different, every person's anatomical knee axis too is different. Through a camera attached to the computer, the shape and movement of the patient's hip, knee and ankle are registered in 3 dimensions. This helps us fine-tune the surgical instruments and cutting jigs to zero error before the bone is cut. The computer also reveal the accuracy of the cut. Once the cut is perfect the knee is 'balanced'. The computer shows all the important data before implanting the components of the knee. It shows the alignment, flexibility, extension gap etc. At the end of the operation the procedure can be stored on a CD.

Benefits of Computer Navigated Surgery
1. Ensures that the patient's total knee components will be implanted in the original anatomical axis with near zero degree error.
2. Lessens the time of the operation.
3. Because no intra-medullary rods are used to position the femoral instrument, the incidence of fatal fat embolism is minimised.
4. Accurately positioned knees are consistently possible.
5. Lifespan of the knee will definitely increase.

Orthopaedics Specialities at MIOT

1. Total Knee Replacement (Replacement with High Flexion Knees that allow kneeling)
2. Total Hip Replacement (articular Surface Replacement - a minimally invasive approach)
3. Total Shoulder Replacement.
4. Correction of Spinal Deformities.
5. Disc Excision and Disc Replacement.
6. Spinal Decompression.
7. Back pain Treatment.
8. Limb Lengthening.
9. Internal fixation of multiple fractures (Using the latest Locking Compression Plates called LCP's) - we are the first hospital in Asia-Pacific to use this)
10. Arthroscopic Surgeries.
11. Treating tumors of the bone.
12. Correcting deformities in children.
13. Plastic and Micro vascular Surgery.

Revision Surgery of the Hip and Knee
Revision surgery demands a high level of planning, customized component design, and the ability to overcome bone deficiency caused by wear and tear. Not many surgeons in the world can perform Revision surgery and MIOT is one of the few places with technology and expertise in this field. MIOT's facilities in this area of specialization will be further enhanced with the impending introduction of a bone bank.