DEPARTMENT OF ORTHOPAEDICS UNIT –I
Prof. Iqbal Ahmed Bhutta M.B.B.S., MCPS, M.S. Professor of Orthopaedic Surgery

Brief History & Introduction

The Department is the oldest amongst the surgical specialties in the country and was established at King Edward Medical And Mayo Hospital, Lahore in 1956. It was started by Prof. Muhammad Ayub Khan . Now the department of orthopaedic surgery (unit-I) presently headed by Prof. Iqbal Ahmad Bhutta. The department provides health care services, education, rehabilitation and social work services.

VISION :o obtain recognition of KEMU/MHL at National and International level by providing high quality patients services through education and research.

Faculty List

Sr.No. Name Designation Qualification
1 Prof. Iqbal Ahmed Bhutta Professor MBBS,MCPS, MS.
2 Dr.Ghulam Murtaza Cheema Associate Prof. MBBS.FRCS, FCPS
3 Dr. Saeed Akhter Asst. Prof. MBBS,FSPS
4 Dr.Rana M.Arshad Asst. Prof. MBBS,FSPS
5 Dr. Muhammad Iqbal Mirza S.R MBBS,M.S
6 Dr.Muhammad Hanif S.R MBBS,MD, FCPS
7 Dr. Javed Raza Khan S.R MIBBS,MR,FCPS

Group Photo Department of Orthopaedic Surgery Unit-I

Introduction Of Various Subspecialties & Departmental Sections

Trauma Section.

This section includes Male, Female & Pediatrics units. It caters for patients coming from all over Pakistan & Afghanistan particularly Punjab. As a result of ever increasing traffic, Law & order problems, mechanization and industrial injuries, the No. of complicated Mutilating Trauma has become a leading cause of mortality and morbidity of modern life. Although this is just one area of whole orthopedics but it is so dominating that our major work load is because of this.

Ilizarov Section

In order to cope with complicated trauma, limb deformities & tumor management, we have developed the most efficient and reliable system of ilizarov External fixation. This system was originally developed in Russia and is in our practice since mid 90s. This facility has enabled us to deal with complicated trauma, developmental and congenital deformities. It has also helped us to save the limbs which mould other wise were difficult to salvage.

Paediatric Section

Pediatric orthopedic section is one of the oldest in Punjab and is serving since several decades when there was no such facility available around. Although with passage of time this specialty has been developed on its own and separate hospital and departments has started functions. This unit is still dealing a good number of patients with various problems including pediatric Trauma, infections, deformities and tumors.

Spinal Cord Injury Unit.

Spinal Cord Injury is one of the most devastating injury occurring to the humans resulting in disablement of great magnitude. Majority of the victims of spinal paralysis are at the prime of their youth and go into despair as a result of complications (Medical, Psychological Social & Vocational) resulting from inappropriate and non-specialized management. The only way to persevere their lives and give them a purposeful creative attitude is possible by managing the spinal cord injury in a comprehensive care system at specialized centers, which has been proved beyond doubt.

The department of Orthopedics has started a dedicated service for Spinal Cord Paralysis to improve the quality of care and follow up services. It will serve as a training center for medial and para medical staff as well as a role model for other institutions in the country.

For the acute stage management ten beds has been reserved for spinal patients with a back up of fully equipped intensive care facility of two beds. It has its own separate medical and para medical staff under the leadership of Dr. Muhammad Saeed Akhtar, Assistant Professor Orthopedics, trained for the comprehensive management of Spinal Cord Injury. The Rehabilitation facility is in the process of development. Hoping this nucleus will develop into a center of excellence at par with similar centers in the developed world.

Radiolody Section

Orthopedic patients are most difficult to transport to remote radiology department for radiological evaluation. In order to facilitate the admitted patients. The department has developed its own radiology section since 1978. We have two latest model image intensifiers in operation theatre and 100 MA portable X-Ray machine for ward. All the patients are benefiting from this facility. For the purpose we have two Radiographers, one for ward the other for O.T. one dark room facility also available in the section.

Physiotherapy Unit

Physiotherapy facility was developed / started in 1976. It gradually developed over the years to the extent that it has started functioning independently in collaboration / Liaison with orthopedic department.

Rehabilitation Unit

The school of orthotics and prosthetics was developed by the orthopedic department and progressed to the extent that it has started functioning on its own in collaboration with the parent department.

Operation Theatre

Separate dedicated orthopedic O.T is located with in the orthopedic department premises. Theatre Suite consists of 5 op. theatres, Sterilization room, Surgeons office, Sister Office & Separate office for paramedics, There is Central Gas supply, Recovery area for patients. Each O.T consists of one OP. table specially designed for orthopedic surgical procedures. One anesthesia machine, monitoring system, diathermy, Sucker & other latest equipments. U.V. Lights are also available in most of the theatres. there is separate staff for each OT including Nurses, O.T.A. & sweepers etc. sterilization Room has autoclave machine & hot air oven & three technicians.

Library, Audiovisual Section, Computer Section, Auditorium
The department has a well maintained library, audiovisual section, computer section and a well equipped auditorium with a seating capacity of 40 persons. Through these facilities, the department is actively involved in teaching the undergraduate and post graduate medical students and nurses.

MOSQUE:

The department has an honour to establish one mosque for proper prayers five times a day along with library containing Quran and other religious Islamic Books.

Teaching Programs

Postgraduate Programs

• FCPS
• MS

Undergraduate programs

M.B.B.S.
• Weekly lectures of 3rd, 4th year classes.
• Group discussions in O.P.D. and ward including history taking case presentations. Demonstrations, minor surgical procedures and in OP. Theatre, operative procedure demonstrations. College CPC (case presentations/Lectures for final year M.B.B.S.

List of Postgraduate Residents

1. Dr. Shahbaz Ahmed FCPS
2. Dr. Faran Mehmood FCPS
3. Dr. Shehzad Azhar FCPS
4. Dr. Khalid Awan MS
5. Dr. Mohammad Khalid Syed MS
6. Dr. Iftikhar Ahmed Butt MS
7. Dr. Mohammad Faiz MS

Research Projects of the Department in 2006

1. Research projects have been completed under the supervision of Prof. Iqbal Ahmed Bhutta and they are published in various Journals during the years 2004-2005, which are recognized by the PMDC.

2. Unstable Intertrochanteric fractures of Proximal femur. Dr. Ahmad Awad, Prof. Dr. Iqbal Ahmed Bhutta, Dr. Ghulam Haider. The Professional Vol 9 No.3 2002 279-284.

3. Rationale for operative treatment of caries Spine. Mohammad Arshad, F.N. Hussain, A.Ahmad. Annals of K.E.Medical College Vol 8, No.3,2002 16-171.

4. A modified incision for the operative correction of Idiopathic Club foot. F.N. Hussain, M. Arshad, A. Ahmad. Journal of Pakistan Orthopaedic Association Vol 13, No.2, Aug 2001, 140-146.

5. Steroid sparing effects of methotrexate and its hepatotoxicity in rheumatoid arthritis. BY Dr. Tahira Mutaza Cheema, Dr. Ghulam Murtaza Cheema, Dr. Rana Mohammad Arshad, Prof. Iqbal Ahmed Bhutta in JRMC Vol 8 2004 72 – 74.

6. Management of open fracture shaft of long bones of lower limb caused by Firearm injury in Adult A prospective review. Ghulam Murtaza Cheema, M.Iqbal, Javed Hasan Khan, Rana M. Arshad, Aftab Ahmad in PPMJ Vol. 15 No. 3, 2004. 139-143.

7. A comparative study of caudal epidural injection of Bupicaine alone & Mixed with steroid for treatment of persistent low back pain. Shahid Ahmed, Ghulam Murtaza Cheema, Saeed Akhtar, M. Hafeez, Syed M. Awais in PPMJ Vol 15 No. 4 2004: 144 – 148.
8. Subtrochanteric Femoral fractures in Adults fixed by closed intramedullary Nail & Dynamic Condylar Screw. Ghulam Murtaza Cheema, Shahbaz Ahmed, M. Khalid Syed, Rana , M. Arshad, Iqbal Ahmed Bhutta. PPMJ Vol 15 No. 4 2004: 183 – 187.

9. Management of closed Comminuted fermoral Shaft fractures in adults: Comparison of closed 1/L 1/M Nailing & MIPPO. M. Hanif, Shakeel Khan Ghauri, Iqbal Ahmed Bhutta, Rana M. Arshad Biomedica Vol. 19, 2003 : 18 – 23.
10. Management of closed famoral shaft fractures: Compersison of 1/L 1/M nail & predrilled K Nail. Shakeel Khan Ghauri, M. Hanif, Iqbal Ahmed Bhutta in JPOA

11. Study of non spinal, Extra articular, Osseous tuberculosis, its modes of presentation, Diagnostic pitfalls and treatment. Thesis by: Dr. Khalid Awan,
Papers Presented / Lectures

• Giant cell tumor of bone – A report of results in fifty cases by
Prof. Dr. Iqbal Ahmed Bhutta.
Read at K.E.M.C. Alumni Symposium 2002.

• Role of Vit D in prevention and treatment of Osteoporosis
Lecture by Prof. Dr. Iqbal Ahmed Bhutta.
At 3rd National Osteoporosis Conference 2003.

Current Research Work

New research projects have been started & few under process of near completion.
• Role of electric cauterization and power burring of margin in G.C.T of bone
• Role of Ilizarov fixator in acute and definitive care of complex tibial fractures.
• Paediatric applications of Ilizarov technique.
• Managing loss of bone in open tibial fractures using Ilizarov fixator for callotasis.
• Outcome Of Delayed Minimally Invasive Plate Osteosynthesis In Firearm Injuries Of Femoral Shaft,
• Comparative Study Of Management Of Open Proximal Metaphyseodiaphyseal Tibial Fractures By Firearm And Road Traffic Injuries Treated With Ilizarov
• Assessment Of Accuracy Of Predictive Value Of Mangled Extremity Severity Score In Lower Limb Injuries