Spectrum of Orthopaedic Disorder - Evaluation and Management
April 6, 2025
Dr. Rohit Lamba, Consultant in Orthopaedics and Joint Replacement at Artemis Hospital, walks through a wide spectrum of cases he has treated: knee and hip arthritis, developmental hip disorders in children, avascular necrosis linked to steroid use and sickle cell disease, and complex trauma reconstruction after fractures, infections and blast injuries. The session shows how robotic and computer-navigated systems are used in modern joint replacement and outlines when surgery, rather than medication, becomes the right course of treatment.
Questions Doctors Asked Dr. Rohit Lamba
Real questions from the live masterclass, answered by Dr. Rohit Lamba, Consultant, Orthopaedics & Joint Replacement.
Which group of patients is hip replacement surgery indicated for?
Asked by Moderator
Dr. Lamba outlined four categories. The first is congenital deformity, such as developmental dysplasia of the hip, where the hip is out of the socket from birth. The second is a childhood infection, Perthes disease, or a slipped epiphysis that reshapes the hip and leads to arthritis later in life. The third is avascular necrosis that has reached an advanced, arthritic stage in early adulthood. The fourth is a hip fracture that has not united properly, healing in a poor position that causes arthritis and pain.
Answered by Dr. Rohit Lamba
Is there a definitive treatment for arthritis?
Asked by Doctor on the call (name unclear from transcript)
Dr. Lamba answered on the assumption the question was about rheumatoid arthritis, since a network issue had cut off part of the question. In the early stage, before the cartilage is damaged, it can be managed well with disease-modifying antirheumatic drugs (DMARDs); cases that do not respond well can move to biological disease-modifying drugs, but only after full evaluation by an orthopaedic surgeon or rheumatologist. Once the cartilage is already damaged, the definitive treatment is hip replacement, and with current implants a patient can expect to stay pain-free and active for the next 30 to 35 years.
Answered by Dr. Rohit Lamba