R ARIVANANTHAM
CHENNAI, JUNE 23
Adding one more feather in its cap of glory, Rela Hospital, pioneers in organ transplantation, on Saturday announced implanting a Synthetic Ligament for treating knee injury of a 23-year old youth, first in the history of Tamil Nadu.
Announcing the successful arthroscopy procedure by implanting synthetic ligament, Dr Prakash Ayyadurai, Senior Consultant Arthroscopy & Sports Medicine of Rela Hospital said the surgery on Saturday went eventless, and the patient is expected to be discharged from the hospital within a week’s time. He can take up his routine activities without any restrictions, forgetting his painful and complex injury as a bad dream.
- Synthetic ligaments eliminate the need for an additional procedure, which has to be performed to harvest ligaments in the case of autograft
- Unlike allograft, there is no waiting period or requirement of regulatory approvals in procuring synthetic ligaments
- The patient can take up his routine activities without any restrictions, forgetting his painful and complex injury as a bad dream: Dr Prakash Ayyadurai, Senior Consultant Arthroscopy & Sports Medicine of Rela Hospital
Dr Ayyadurai further said, “Though arthroscopy surgery is not new, it is for the first time this minimally-invasive procedure was performed using synthetic ligaments, which have come as a viable and preferred alternative for both autograft and allograft in Tamil Nadu. The traditional methods of autograft and allograft have their own disadvantages. In autograft, an additional surgery has to be performed to harvest ligament from the patient’s own body. The risks include infection and other complications, besides the likelihood of reduced function and a permanent discomfort at the donor’s site. Similarly, in the case of allograft, there is a waiting period. Ligaments are difficult to procure in India as the availability is limited. There are also regulatory challenges. However, synthetic ligaments are readily available. They do not require regulatory approvals. Best of all, the recovery and rehabilitation time for the patient is in days, instead of weeks or months as is the case with procedures based on autograft and allograft.
Replying to a query, Dr Ayyadurai said the patient can lead a normal life within three to four weeks.
Dr. Ilankumaran Kaliamoorthy, CEO, Rela Hospital said, “Surgeons traditionally use either autograft, which involves harvesting and using ligaments of the patient’s own body, or allograft, wherein ligaments of the cadaver or amputated legs. These treatment approaches can lead to prolonged rehabilitation periods and incomplete recovery, affecting the patient’s quality of life and ability to return to work or sports. However, synthetic ligaments have come as a boon for patients with multi ligament injuries as they eliminate many of the shortcomings of the traditional methods.”
Dr. Klaudiusz Kosowski, Medical Director and Chairman, MedPolonia Private Hospital, Poland said, “The synthetic ligaments are made of a strong polythene material and are on par with the natural ligaments in terms of strength and durability.”
“Considering that about 15-20% of all knee injuries are multiligament knee injuries that require reconstruction of ligaments, synthetic ligaments can be a game changer in arthroscopy,” added Dr Kosowski.
Dr Kosowski further said that he had done over 2,000 reconstruction of ligaments using synthetic ligament since 2009.
Dr Bahaa Seedhom, Chairman and Technical Director of Xiros Limited and also Reader in the Department of Bioengineering, Leeds University of UK was also present at the media briefing. Xiros Limited is actively involving in Research, development and manufacturing of medical devices, primarily to do with soft tissue repair, such as tendons, ligaments, capsule, and cartilage etc.
Dr. Ashok S. Gavaskar, Clinical Lead – Orthopaedics, Head of Joint Replacement Services, Rela Hospital and Dr. Parthasarathy Srinivasan, Senior Consultant – Orthopaedics, Head – Spine Surgery, Rela Hospital, who were part of the successful implantation of synthetic ligament were also present at the press conference.
History of patient who underwent synthetic ligament implant
E Manikandan, a 23-year-old software professional from Chennai, has become the first person in Tamil Nadu to receive synthetic ligaments, as he successfully underwent an arthroscopy surgery on Saturday at Rela Hospital for the multi-ligament knee injury he sustained in a road accident three months ago. The surgeons used artificial ligaments to reconstruct two cruciate ligaments, the ones that are found inside the knee.
In a staged intervention, surgeons at Rela Hospital first stabilised the patient’s fractured pelvic region with external fixation and repaired a few other damaged ligaments and nerves in the knee. After a gap of three months, they performed an hour-long arthroscopy procedure today using synthetic ligaments, imported from the United Kingdom, and successfully reconstructed the two cruciate ligaments – namely, anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL). This advanced procedure marks a significant milestone in the treatment of complex knee injuries in Tamil Nadu.
ACL and PCL are the knee’s primary ligaments. They join thigh bones to the bones of the lower leg. Injuries to two or more of these primary ligaments are called multi-ligament knee injuries. These injuries are often associated with high-energy trauma, such as road accidents or sports injuries. Patients with multi-ligament knee injuries face a high risk of long-term morbidity, including chronic pain, instability, and impaired mobility.
