 beyond 20 years, it is depends on again the patient usage. So, complex trauma involves like all the fractures around the joints which involves a more anatomical reductions which we do very regularly and quite oftenly and which is very outcome results are very good what we do in our hospital and the patient is mobilized within the time. Thank you. Namaste. I am Dr. Malinath working as a senior consultant in Manipal Hospital in the department of orthopedics joint replacement and arthroscopy. I am specialized in treatment of arthritis and sports medicine. In arthritis in order patients we treat them first with the conservative methods, non-surgical methods. If it fails then we do a minimally immunized surgeries for the knee and hip, minimally immunized hip replacement, minimally immunized knee replacement and in anger patients, the patient is very painful, has got a painful joint then we do a reconstructive surgery that is called a realignment surgery where the knee joint is not changed, only it is realigned or reconstructed with a corrective surgery that gives a relief for longer time period without major complications. In sports medicine injuries for knee ligament reconstructions, I fix the ligaments without using a screws nowadays that gives a more stability and it is less expensive to the patient and patient recovery is also very fast. In ankle tendons ruptures, I repair tendons without opening the diseased side that is pathological side without opening I repair it that is called a percutaneous tender repair technique. These are all unique techniques available in Manipal Hospital. We assure you best and good advanced services in our hospital, thank you. Hello, I am Dr. Sushal Shantakumar, I am a consultant shoulder surgeon in Manipal Hospitals and shoulder arthroscopy is one of my expertise. Arthroscopy means looking into a joint, it is derived from arthrose meaning joint and scopy meaning to look. During shoulder arthroscopy we make multiple small incisions in your shoulder and insert a tiny camera. We then fill it up with water and then visualize the structures inside your joint. The damaged tissues are then repaired using specialized instruments. Some of the common conditions which can be treated with shoulder arthroscopy or impingement syndrome, rotator cuff tears and recurrent dislocation. Impingement is a condition which is caused due to a bony outgrowth or what we refer as a spur from the under surface of the bone called acromion which forms the roof of the shoulder. This bony outgrowth can press on tendons causing inflammation and even cause rotator cuff tears. Fortunately with arthroscopy we can clean up your entire joint, clear the inflammation and then shave the acromials per using a specialized instrument known as burr. In some individuals who are untreated they can develop frank rotator cuff tears. Similarly with arthroscopy we can repair our torn rotator cuff using special sutures known as shoulder anchors. We attach the tone tendon to the bone. These anchors can be made of metal, plastic or even awfully biodegradable materials. These do not need to be removed after the surgery. Recurrent dislocation. Arthroscopy is an option in recurrent dislocations. We can suture the tone ligaments using special arthroscopic anchors and then with a supervised program we can get the patient back on his back resuming his activities as early as possible. One of the biggest advantages of arthroscopy is fast recovery time and minimal trauma to the tissues. Hi I am Dr. Viji Rajan a consultant orthopedic surgeon at Manipal Hospital, Bangalore. I specialize in knee surgery. I do everything around the knee including both joint replacement surgery as well as keyhole arthroscopic surgery. Today I am going to be talking about arthroscopic surgery pertaining to the knee. This keyhole surgery has changed the way we look at sports related knee injuries. Today we are able to reconstruct every ligament in the knee and can get back to a person to pre-injury level sports activity within 3 to 6 months following surgery. Joint replacement surgery has again undergone a big revolution in the last 10 to 15 years. Today we have newer implants and improved surgical techniques which have improved the life of joint replacement surgery. Despite this we do have a couple of joint replacements who fail after 15 to 20 years and for these patients we have revision knee surgery which is basically redoing the failed primary knee replacement. We can perform this surgery fairly safe and get back to full recovery in 80 to 90 percent of the patients undergoing a second time or a third time redo surgery following a failed primary knee replacement surgery. In addition to this we have newer implants which have improved the quality of life. Many patients who have knee related problems can feel safe to undergo surgery and return back to reasonably good activity as well as pain free function. Thank you very much. Hello I am Dr. Lokesh A.V. I am a consultant orthopedic surgeon at Manipal Hospital's HAL Road, Bangalore. I specialize in joint replacement, shoulder surgery, arthroscopy and pelvis tabular trauma. So, talking about joint replacement we are a premier center doing high numbers of joint replacement surgery using computer navigated cutting edge technologies and we use high end rehabilitation maneuvers and also very good pain management to make your joint replacement as comfortable and as easy as possible. The other specialty which I want to talk about is pelvis tabular trauma. We are one of the top pelvis tabular trauma management centers. It usually is a very common fracture but not so commonly managed all over India and we are one of those centers which we are proud to say that we are actually managing this pelvis tabular trauma. All facets of pelvis tabular trauma like revision surgeries, old fractures, new fractures and we have seen that they are all mismanaged in many centers worldwide because of lack of knowledge and we are a high volume center for pelvis tabular trauma. Thank you. My other area of interest is shoulder surgery. We deal with all aspects of shoulder problems from arthroscopy to arthroplasty, a joint replacement in trauma management. We actually are trained internationally to manage shoulder problems and from simple conservative physiotherapy management to injections to surgeries we do everything about shoulders. Thank you.