Bone and Joint

Bones and joint problems are extremely common and are a major cause of reduced activity and disability. These problems can range from congenital deformities, fractures, diseases such as various types of arthritis, to degenerative conditions.
BAPS Yogiji Maharaj hospitals is among the country’s premiere hospitals specializing in the care of the musculoskeletal system. We are dedicated to providing compassionate care to our patients. We benefit from the varied knowledge and skills of all of our surgeons enabling us to provide comprehensive orthopedic care.
Bone and joint care is one of our core specialties. The bone and joint program at BAPS YogijiMaharaj Hospitals makes it a center for excellence in orthopedics with highly skilled clinical expertise. Our Hospitals provide cutting-edge diagnostic and operating facilities. A comprehensive support of Rheumatology Services makes it a complete program. Also, application of Minimal Access Surgery minimizes the extensive drawbacks of surgery, reducing hospital stay, blood transfusion and results in faster recovery.

Total Knee Replacement (TKR)

Knee pain and arthritis and stiffness is treated with a variety of methods. This includes medications, physical therapy and exercises, weight loss methods and surgery to replace the worn out cushions between the joint spaces.
It is when all other medications and therapies fail that patient may consider a Total Knee Replacement or TKR. This involves replacement of the worn out joint with artificial prosthetic joint.
TKR  is a very successful surgery and with proper accompanying physical therapy it can provide much relief. This mimics the original joint and allows a free movement of the joint. Benefits of this operation are remarkable in terms of freedom from pain, improved range of movement of the knees, improved sleep and better quality of living.


Early mobilization not only prevents formations of blood clots but also rapid recovery. Blood thinning medications are also prescribed if patients are prone to develop blood clots and these may be continued even after the discharge. On discharge patient may need crutches, walker or a cane to walk. After around six to eight weeks they will be able to walk with minimal assistance.
Knee Replacement Surgery is done generally for people with a stiff and painful knee that makes it difficult to perform even the simplest of activities usually due to osteoarthritis, rheumatoid arthritis or traumatic injuries and fractures.
Once the surgery is fixed, a date will be scheduled for your surgery. You may need to go for certain blood reports and physician fitness prior to surgery. There may be a requirement of blood transfusion if your surgeon feels it is needed. The average hospital stay is usually 5 days for knee replacement surgery.

Total Hip Replacement (THR)

Total Hip Replacement (THR) is necessary when none of the other methods to correct a damaged hip is effective. In this operation the surgeon replaces the ball and the socket with metallic replacements and the cartilage with artificial joint material.
Early physiotherapy ensures early mobility and rapid recovery. Within a day or two you will be encouraged to walk with the help of crutches, walker or a cane.
The benefits offered by this operation are remarkable in terms of reduction of pain and thus improvement of sleep, improvement of range of motion, physical capabilities and quality of life.

Common causes of Hip pain include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Hip fractures
  • Bone Tumors


Doctors recommend hip replacement surgery when hip pain and loss of function become severe and when medicines and other treatments are no more effective to relieve the pain. Hip Replacement Surgery is recommended when:
  • One is having continuous hip pain and/or
  • When you become immobile in your day to day activities

Total Shoulder Replacement Surgery

Total shoulder joint replacement surgery replaces the bones of the shoulder joint with artificial joint parts, and it’s an option to patients who suffer from joint dysfunction. This is usually the result of osteoarthritis or rheumatoid arthritis, but rarely for those who have sustained severe trauma from a shoulder fracture. Generally, all other modes of treatment are considered first, such as physical therapy and medication, patients not responding to conservative treatments may require surgery The goal of shoulder replacement surgery is to restore the best possible function to the joint by removing scar tissue, balancing muscles, and replacing the destroyed joint surfaces with artificial ones. The performance of a joint replacement depends on age, weight, activity level and other factors and recovery may take time.

Following conditions can cause the necessity for a shoulder replacement surgery:

  • Osteoarthritis (Degenerative Joint Disease)
  • Rheumatoid Arthritis
  • Post-traumatic Arthritis
  • Rotator Cuff Tear Arthropathy
  • Avascular Necrosis (Osteonecrosis)
  • Severe Fractures


Total shoulder replacement surgery is a major surgical procedure. The surgeon removes damaged bone and cartilage, resurfaces the socket within the shoulder blade and replaces the ball or head of the humerus at the top of the arm bone.
This depends on factors such as your age, physical condition and activity level. These devices are made with stronger materials and provide a secure fit to last the remainder of patients’ lives.
The shoulder joint can degenerate from a number of factors that have nothing to do with age. Athletes or a traumatic injury from an accident or fall also may require shoulder replacement.

Bone Fracture Surgery

Bone fracture surgery is a surgery to fix a broken bone using metal screws, pins, rods, or plates to hold the bone in place. Bone fracture surgery is used when a broken bone does not heal properly with casting or splinting alone. Improper healing that requires surgery can occur in cases of compound fractures and fractures that involve joints, such as wrists and ankles.


Whether you need surgery to treat a fracture or a cast depends on the type of fracture you have and where it is. Some fractures don’t heal well if they are treated using a cast.
Our body reacts to a fracture by protecting the injured area with a blood clot and fibrous tissue. Bone cells begin forming on the either side of the fracture line. These cells grow towards each other and thus close the fracture.
Physiotherapy and exercise can build up strength in your bones and muscles, which will help you to get back full movement in your arm or leg.

Rheumatology Treatment

Rheumatology includes clinical problems involving joints, soft tissues, autoimmune diseases, vasculitis, and heritable connective tissue disorders. Many of these diseases are now known to be disorders of the immune system, and rheumatology is increasingly the study of immunology. Rheumatology Services are offered for the patients who suffer with rheumatoid arthritis, lupus, ankylosing spondylitis, scleroderma, Sjogren’s Syndrome, psoriatic arthritis, gout, Crohn’s related arthritis and other rheumatic conditions. The services include diagnosis, evaluation and the most treatment of all forms of osteoporosis, arthritis, lupus and musculoskeletal disorders, including patient counseling and rehabilitation programs. Early diagnosis and treatment is therefore essential in ensuring that patients can control their disease. The rheumatologists provide targeted and comprehensive care for patients with joint, muscle and complex connective tissue diseases.


Rheumatologists are physicians specially trained to deal with different arthritic conditions, autoimmune disorders, metabolic bone diseases and soft tissue rheumatic conditions.
Rheumatologist will help by
  • Evaluating a patient with joint complaints and making a correct diagnosis;
  • Planning the right treatment
  • Monitoring the patient periodically, to check adverse / side effects as early as possible;
  • In preventing joint damage and improving quality of life of the patient.
Diagnosing rheumatic diseases requires a systematic approach in evaluating the symptoms and signs. A family doctor may be able to recognize the presence of a rheumatic disease and should then refer the patient to a rheumatologist.

Paediatric Orthopedics

Paediatric Orthopaedics is the study and treatment of growing bones, joints and muscles. Among the most-common conditions we treat are:

  • Spinal deformities such as scoliosis, spondylolithiasis, and spinal trauma
  • Paediatric and adolescent sports injuries
  • Foot and hip development problems such as club foot and hip dysplasia
  • Lower extremity deformities such as knock knees, bowleggedness, and rotational problems
  • Upper extremity deformities, whether congenital or developmental
  • Leg length discrepancy
  • Benign and malignant tumors
  • Fractures and other trauma to the extremities and spine


A child’s musculoskeletal problems are different from those of an adult. Because children are still growing, the body’s response to injuries, infections, and deformities may be quite different than what would be seen in a full-grown person. Sometimes, what is thought to be a problem in a child is just a variation of growth that resolves with time; the evaluation and treatment of a child is usually quite different than for an adult for a similar problem.