Paediatric Orthopaedics

Paediatric Orthopaedics

Preethi hospital provides comprehensive treatment for the entire spectrum of children ‘s orthopaedic disorders, covering paediatric upper limb and lower limb trauma, deformity correction and spine conditions. Our team is enriched with extensive clinical experience along with innovative treatment techniques. Preethi hospital is committed to provide complete orthopaedic care to children of all ages irrespective of their socio-economic condition. Our innovative and service minded approach in providing the paediatric care is well recognized by BLOSSOM trust , conducting regular camps in the area that are far from the reach of even basic health care. We provide specialitistic service in those areas are well appreciated in and around region of Madurai.

Our paediatric orthopaedic team headed by Prof.Sivakumar, provides a wide range of paediatric orthopaedic services which includes the following conditions.

Congenital and Developmental Disorder

  • Congenital hip deformities
  • Congenital hip dislocation
  • Coxa vara
  • Perthes disease
  • SCFE
  • DDH

Treated with brace, supervised physiotherapy, surgery including fusion and non fusion techniques.

Tumour Condition : Simple bone cyst to fibrous dysplasia and malignancies.

Knee Disorders : Congenital knee dislocation, sports injuries, patellofemoral malalignment , osteochondral and meniscal injuries.

Foot and Ankle Disorders : CLUB FOOT ,congenital vertical talus, metatarsus adductus,congenital toe deformities, flat foot, neurological foot conditions.

Shoulder Disorders : Obstetric brachial palsy, instability, sports injuries.

Hand and Wrist Disorders : Birth defects and trauma Musculoskeletal infection: septic arthritis, tuberculosis, infection of long bone and its sequalae.

Neuromuscular Disorders : Cerebral palsy, spina bifida, arthrogryposis and muscular disorders.

Trumatic Fractures :

  • Fractures of long bones involving both upper limb and lower limb
  • Limb lengthening and deformity correction using Ilizarov technique and LRS system
  • Skeletal dysplasia

We also provide extensive outpatient and rehabilitation services which includes

  • Gait laboratory services
  • Paediatric Rheumatology services
  • Hydrotherapy, physiotherapy and occupational therapy

Our paediatric unit is open at all times for elective and urgent admissions and its onsite state of the art facilities and expertise mean all children can be diagnosed and treated here, from complex cases and to acutly unwell children , to those needing routine outpatient appointments.

When you visit our Children’s unit and you will find a warm , clean, welcoming with choclates and homely environment designed to help make your child feel at ease, reduce their anxiety and aid their recovery.

Attracting outstanding surgeons in every specialities enables us to offer the breadth of children’s services, ensuring a fully integrated healthcare approach.

Our paediatric Intensive care unit headed by Dr. Santhosh supports for all paediatric treatment for critically ill children.

Uniqueness of Preethi Hospital

Easy Access to Specialists

Our hospital is open at all the times for elective and urgent admissions. We also run fast track referral services which means that your child can have a same day appointment with a well renowned paediatrician if necessary

Multidisciplinary Approach

We have a team of over 150 health care professionals to help with your child’s diagnosis, treatment and recovery .

Paediatric Orthopaedic Care And Emergency On Call Medical Teams

Our dedicated Intensive care unit and emergency on call medical teams, mean you can be assured that the best available emergency care is on hand should your child need

State Of The Art Medical Equipment

Our hospital has the best diagnostic and imaging technology enables our specialist to diagnose and treat the orthopaedic problem quickly and accurately. This means treatment can begin earlier and child can get better sooner which helps to reduce the inevitable stress on the family.  Our diagnostic and imaging department offers a wide range of examinations, in a child friendly environment , with the option of anesthetized CT scans should your child find it difficult to stay completely still for the duration of the scan.

True Orthopaedic Hospital With Family Centered Approach

Our hospitals motto is that every child and their families will feel respected, supported , involved and of course, properly  cared for. We understand that when your child enters hospital, it is important that they receive compassionate care and kindness and that’s at the heart of what we do here at the PREETHI HOSPITAL – Madurai

Premium Accomodation

Staying with us is a very comfortable experience and all children are given their own private room with a TV and ensuite facilities. We encourage a parent to stay overnight in their child’s room too, as we know that when your child is in hospital you want to be there every step of the way.

We also provide advocacy and interpreting services to support families from overseas during their stay with the hospital. Yearly CP champs by top paediatrician.

Preethi hospital aims at being support to children with orthopaedic and neuromuscular problems from Madurai  and other parts of the Tamilnadu.

Vision  of Preethi hospital  is to provide best comprehensive state of the art pediatric orthopedic and rehabilitation services across Tamilnadu  through training, partnership with BLOSSOM trust , healthcare centres and government agencies and  reaching out to people.

Role of Paediatric Surgeon

Children are not just small adults. They cannot always say what is bothering them, or answer medical questions, or be patient and cooperative during a medical examination. Paediatric orthopaedic surgeons know how to examine and treat children in a way to help them be relaxed and cooperative. They appreciate the worry that goes with having a child with a musculoskeletal problem and they have experience in communicating with anxious family members. Most pediatric orthopaedic surgeons’ offices are arranged and decorated with children in mind. Specially designed equipment, available toys, videos, and reading materials all help to create a comfortable and nonthreatening environment for the child.

Statitics Of Paediatric Orthopaedics:

Blossom Trust

Preethi Paramedical Institute was established in the year 2010 by the Blossom Global Trust, Madurai, in which Dr.T. Hema, MD, DGO, DNB (OBG) is a managing trustee. The Main motto of the institute is empowerment of underprivileged women through offering technical education in the area of paramedical. The institute has been affiliated with Indian Medical Association-Tamilnadu Branch, which offers courses in paramedical education.

The Blossom Global Trust, Madurai sponsors all expenses related to books and tuition fee throughout the course period. The institute facilitates students to explore knowledge and skills in various departments in hospital and in class room, while maintaining strict discipline in every aspect. 70 students have been trained and ensured 100% placement up to 2014 batch in various hospitals in and around Madurai and other districts.

Club Foot

It is a foot deformity in which foot is turned inside and heel is drawn up and is difficult to feel. Shape of the foot resembles golf stick and hence termed as club foot. The diagnosis is obvious at birth by the look of the foot. Some will even know before the child is born, with help of an ultrasound scanning.

Exact incidence of clubfoot is not known in India but boys outnumber girls. One or both feet may be affected right foot being more common. This is commonest foot deformity.


The appearance is unmistakable: the foot is turned to the side and it may even appear that the top of the foot is where the bottom should be. The involved foot, calf and leg are smaller and shorter than the normal side. It is not a painful condition. But if it is not treated, clubfoot will lead to significant discomfort and disability by the teenage years.

Stretching and casting – Ponseti technique

Treatment should begin as soon as possible after birth for a successful outcome without the need for surgery. Over the past few years more and more success has been achieved in correcting clubfeet without the need for surgery. A particular method of stretching and casting, known as the Ponseti method, has been responsible for this.

To get best result the treatment should start within first one to two weeks of life. In trained hands (paediatric orthopaedic surgeon) the success rate of this method is more that 95%.

With this method, the doctor changes the cast every week for several weeks, always stretching the foot toward the correct position. The heel cord is then released by small stitch-less surgery, followed by last cast for three weeks.

Once the foot has been corrected, the infant must wear a brace initially for full day and then at night for more than four years to maintain the correction. This has been extremely effective but requires the parents to actively participate in the daily care by applying the braces. Without the parents’ participation, the clubfoot will almost certainly recur. That’s because the muscles around the foot can pull it back into the abnormal position.

The goal of this, and any treatment program, is to make your newborn’s clubfoot (or feet) functional, painless and sp table by the time he or she is ready to walk. (Note: Anytime your baby wears a cast, watch for changes in skin colour or temperature that may indicate problems with circulation.)


Paediatric Orthopaedics
Dr. Senthil Kumar Ganesan
MS ortho., FRCS ortho.,
Paediatric Orthopaedics
Dr.V.Soma Shekar
M. S. Ortho