M.Ch. - Joint Replacement & Reconstruction

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Total joint replacement and joint reconstruction are different kinds of surgical procedures..

Total joint replacement and joint reconstruction are different kinds of surgical procedures. In joint replacement, the affected joint is completely or partially removed and replaced with artificial implants. In cases of joint reconstruction, a surgical procedure is done to repair the existing joint. Out of these two, joint replacement therapy is more advanced and more frequently used and less invasive too. With the growing number of disorders like Osteoarthritis, rheumatoid arthritis, inflammatory conditions and trauma, the significance of trained specialists in these surgical procedures is making rapid strides. Replacement surgery is usually done on the knee, hip or shoulder. In the case of total replacement, mobility is more and recovery time is less. Whereas in the case of partial replacement, complexities are more and mobility is less. The method and choice of the treatment directly influence the post-operative care of the patient. The opportunities are diversifying in this field with the advances in imaging, radiology and surgical skills. Therefore, to a student contemplating a career in orthopaedic surgery, the increasing number of research papers that are done in this field has propelled the need for trained specialists in the field of joint replacement and joint reconstruction specialists. 

M.Ch course in Joint replacement and Joint Reconstruction is targeted to develop the specialists with the required skill sets that can examine and assess the patients with arthritis and other related problems. It enables the student to gain proficiency in basic surgical skills and techniques that are required in arthroplasty.  The nature of the course is to provide rigorous didactic lectures and first-hand practical experience of advanced training in this subspecialty under the domain of surgery. It is aimed at students wishing to pursue a career in joint replacement and joint reconstruction techniques. The course is designed to prepare the students in all aspects of preventive oncology along with its allied subspecialties of joint reconstruction, musculoskeletal oncology, biomechanics, soft tissue handling, rehabilitation, implant choice, DVT prevention, blood management, templating, preoperative planning, and many other concepts. The students are trained to develop interpretational skills and knowledge of the specialized instruments in arthroscopy.  Data collection, amylase and its surgical audit are other challenges that are to be overcome during the course. It is expected that during the course the students will gain proficiency in many aspects of joint replacement and joint reconstruction and compliance with professional ethical techniques. The curriculum is designed to ensure students participation in treatment planning sessions, logbook clinical audit, seminars, journal clubs, case conferences, viva, grand round presentations and practical exposure of first-hand knowledge and theories of teachings. The students are given specialized clinical training in arthroplasty techniques. These include debridement of an open wound, amputations, joint aspiration, hemiarthroplasty, total or revision hip arthroplasty, revision or total knee arthroplasty, Hemi or total or reverse shoulder anthropology, Hence, the students need to prepare themselves in all facets of joint replacement and joint reconstruction. 

The course can be taken by the candidates who have completed post-graduation in orthopedic surgery to or equivalent from a recognized university. The M.Ch course takes 3 years to get completed. A career in this field is very promising as one can seek employment in sectors like government hospitals, private clinics, research centres, laboratories, medical universities and many more. The job roles offered are consultant, orthopaedic surgeon, joint replacement surgeon, joint reconstruction surgeon, professor and many others. After the completion of the M.Ch course, one can also opt for research work or higher studies.