Mr Riten Pradhan works for The Orthopaedic Service and offers a comprehensive and extensive service which has demonstrated enhanced recovery rates, which, in return, means shorter stays in hospital for the patient. This is the result of close collaborative working with other teams such as the Physiotherapy team and the Anaesthetics team.
Joint replacements - hip, knee and shoulder, foot and ankle.
Ortho-geriatric team - Specialise in fractures of the neck and femur and also look after the elderly.
DEXA scanning - We run a DEXA scanning service to treat Osteoporosis and to investigate existing cases that are being treated by the team. However, this service is also available for GPs to request directly for their patients. This is housed within the fracture clinic.
Upper Limb Service - Shoulder replacements & all kinds of Arthroscopic Surgery for shoulder (cuff repairs, stabilisation).
Fracture Clinics - These are run daily for patients that have been referred through the A&E pathway, however, the team now also have a dedicated direct referral line so that GPs can directly refer patients who have received initial treatment anywhere else but need follow up treatment or checks. This prevents the patients having to visit A&E again simply to get a referral to the service, therefore greatly improving the access pathway for those patients.
Physiotherapy - We provide a comprehensive physiotherapy service to the local population. This includes an in-patient service, and an out-patient musculo-skeletal service at the hospital and at a number of GP practices and health centres. There is also a domiciliary service.
Theatres - We have three dedicated theatres that are used every day for elective surgery including day surgery and we also have access to a fourth theatre which is used for trauma cases.
Enhanced recovery programme - This is run alongside the anaesthetics service and the physiotherapy team to aid quicker rehabilitation of patients through ensuring correct pain management and treatment to reduce the stay of elective patients.
Between Nov 2012 and Oct 2013 the trust carried out:
- 4000 T&O Procedures
- 400 Primary Hip and Knee Replacements
- 250 Fracture neck of Femur Patient
The team also saw 7,700 New patients and had 19,000 out-patient visits
The GEH has the lowest readmission Rate in the Midlands for 2013/14. The standardised rate for Orthopaedic Non-Trauma and Reconstructions is 73.9 which means it has a quarter less admissions than the England average.
The crude rate at the level of 3.1% is the lowest in the region which suggests not only good quality care but also cost effectiveness for commissioners.
There was a recent visit from the President of the British Orthopaedic Association which proved that our outcomes in Joint Replacement Surgery are on par with national standards. Our infection rates are lower than nationals and we are currently expanding the service, appointing additional consultants to meet the demand.