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Time of India
2 days ago
- Health
- Time of India
Bone bank boon for trauma patients, helps man with femur fracture regain mobility
1 2 3 Pune: A 30-year-old man was brought in a wheelchair to the OPD of a private orthopaedic hospital in the city after he met with a road accident. The accident, which occured in 2023, resulted in a femur fracture (broken thigh bone), which left a significant gap in his bone and caused disability. At that time, he underwent grafting from his own bone. Despite the grafting, the man could barely walk even after a year, which lowered his confidence. However, thanks to a bone transplant, the man is now walking properly and even riding his bike. Sancheti Hospital's bone bank, which recently completed over 100 transplants, is now utilizing bone bank harvesting to enhance the quality of care, especially for trauma patients and patients with certain bone defects. This is the only active bone bank in the city, said Dr Parag Sancheti, chairman and managing director of the hospital. Across the state, Tata Memorial Hospital in Mumbai and Govt Medical College in Nagpur have bone banks. "The bone bank acquires bones from healthy donors which are retrieved only after thorough screening and through stringent criterion. These bones are then stored and used for recipients in need, like a blood bank. The bone bank currently uses bones that are freshly acquired from donors and stored for about six months at -86 degrees before they are used. The donors are generally those undergoing surgeries for hip or knee joints in conditions like hip arthritis, avascular necrosis, and neck femur fractures. For example, in hip arthritis, even if the cartilage is damaged, the bone quality is good and can be used for bone grafting if harvested properly," said Dr Pramod Bhilare, spine surgeon and bone bank in-charge at Sancheti Hospital. Speaking about the 30-year-old patient, Dr Chetan Pradhan, the head of trauma unit, said, "The bone bank is a boon for such patients. In this case if not for the bone bank, his own iliac bone, the largest and uppermost part of the hip bone, from the other side would have been used. However, one of his iliac bones was already used in previous surgery, so we used the femur bone retrieved from hip replacement surgery, which otherwise would have been discarded. The process of grafting hardly took 30 minutes." Dr. Sahil Sanghvi, an orthopaedic at the hospital, said, "The bone bank was registered on July 10, 2024 under Transplantation of Human Organs and Tissue Act 1994, and till now we have stored more than 100 freshly frozen bones. Once the donor is screened for selection using several tests, including bone biopsy, his or her consent is obtained. The tests are done to rule out any infections and determine the quality of bone. Once qualified, the bones are then harvested and frozen." The first bone bank in India was established in Chennai in 2003 at the Govt General Hospital. The bone bank at Adyar Cancer Institute in Chennai is one of the largest in the country. Other institutions with bone banks are AIIMS Delhi, CK Birla Hospitals, Delhi, KMC Hospital in Manipal, and Ganga Hospital in Coimbatore. Dr. Sancheti, said, "The initiative not only promotes optimal use of surgical byproducts but also addresses the requirement of bone graft materials. In certain cases, this can also help in eliminating the use of extra metal implants. The entire procedure ensures that there is minimal rejection." Dr Pradhan said, "The bone bank is on a par with world standards. We have reported zero rejection. Currently, this bone bank is available for Sancheti Hospital but in the coming months we will make it available for other hospitals, too." City's orthopaedics have given a thumbs up to the initiative. Dr Nilesh Jagtap, senior joint replacement and orthopaedic surgeon, who practices independently, said, "Normally in smaller fractures, autografting (using own bone) can suffice, but in trauma cases where there can be a major loss or in cases of bone tumour, revision joint replacement surgeries or where there is likelihood of large bone gap, bone bank can be a boon for the patients. Earlier we had to get it from Mumbai, but if a bone bank is available in the city, it will be beneficial for patients in the city." Pune: A 30-year-old man was brought in a wheelchair to the OPD of a private orthopaedic hospital in the city after he met with a road accident. The accident, which occured in 2023, resulted in a femur fracture (broken thigh bone), which left a significant gap in his bone and caused disability. At that time, he underwent grafting from his own bone. Despite the grafting, the man could barely walk even after a year, which lowered his confidence. However, thanks to a bone transplant, the man is now walking properly and even riding his bike. Sancheti Hospital's bone bank, which recently completed over 100 transplants, is now utilizing bone bank harvesting to enhance the quality of care, especially for trauma patients and patients with certain bone defects. This is the only active bone bank in the city, said Dr Parag Sancheti, chairman and managing director of the hospital. Across the state, Tata Memorial Hospital in Mumbai and Govt Medical College in Nagpur have bone banks. "The bone bank acquires bones from healthy donors which are retrieved only after thorough screening and through stringent criterion. These bones are then stored and used for recipients in need, like a blood bank. The bone bank currently uses bones that are freshly acquired from donors and stored for about six months at -86 degrees before they are used. The donors are generally those undergoing surgeries for hip or knee joints in conditions like hip arthritis, avascular necrosis, and neck femur fractures. For example, in hip arthritis, even if the cartilage is damaged, the bone quality is good and can be used for bone grafting if harvested properly," said Dr Pramod Bhilare, spine surgeon and bone bank in-charge at Sancheti Hospital. Speaking about the 30-year-old patient, Dr Chetan Pradhan, the head of trauma unit, said, "The bone bank is a boon for such patients. In this case if not for the bone bank, his own iliac bone, the largest and uppermost part of the hip bone, from the other side would have been used. However, one of his iliac bones was already used in previous surgery, so we used the femur bone retrieved from hip replacement surgery, which otherwise would have been discarded. The process of grafting hardly took 30 minutes." Dr. Sahil Sanghvi, an orthopaedic at the hospital, said, "The bone bank was registered on July 10, 2024 under Transplantation of Human Organs and Tissue Act 1994, and till now we have stored more than 100 freshly frozen bones. Once the donor is screened for selection using several tests, including bone biopsy, his or her consent is obtained. The tests are done to rule out any infections and determine the quality of bone. Once qualified, the bones are then harvested and frozen." The first bone bank in India was established in Chennai in 2003 at the Govt General Hospital. The bone bank at Adyar Cancer Institute in Chennai is one of the largest in the country. Other institutions with bone banks are AIIMS Delhi, CK Birla Hospitals, Delhi, KMC Hospital in Manipal, and Ganga Hospital in Coimbatore. Dr. Sancheti, said, "The initiative not only promotes optimal use of surgical byproducts but also addresses the requirement of bone graft materials. In certain cases, this can also help in eliminating the use of extra metal implants. The entire procedure ensures that there is minimal rejection." Dr Pradhan said, "The bone bank is on a par with world standards. We have reported zero rejection. Currently, this bone bank is available for Sancheti Hospital but in the coming months we will make it available for other hospitals, too." City's orthopaedics have given a thumbs up to the initiative. Dr Nilesh Jagtap, senior joint replacement and orthopaedic surgeon, who practices independently, said, "Normally in smaller fractures, autografting (using own bone) can suffice, but in trauma cases where there can be a major loss or in cases of bone tumour, revision joint replacement surgeries or where there is likelihood of large bone gap, bone bank can be a boon for the patients. Earlier we had to get it from Mumbai, but if a bone bank is available in the city, it will be beneficial for patients in the city."
Time of India
24-04-2025
- Time of India
Madhya Kailash turns choke point
Chennai: The twin traffic junctions — Madhya Kailash and Adyar Cancer Institute — which serve as critical links to Old Mahabalipuram Road (OMR), Adyar, Guindy and Saidapet, have emerged as the city's newest chicken necks, leading to vehicular pile-ups stretching upto Indira Nagar MRTS station on OMR and Anna University and beyond on Sardar Patel Road. To make matters worse, the artificial logjam caused by inadequate police presence, ineffective traffic regulation and potholed roads has become a cause for heartache not just during peak hours, but throughout the day. You Can Also Check: Chennai AQI | Weather in Chennai | Bank Holidays in Chennai | Public Holidays in Chennai "Forget new roads, even rudimentary maintenance is unheard of on this stretch. The neverending potholes and uneven gravel patches are a hazard for commuters. The condition is aggravated in the aftermath of even a short spell of rain," said Pooja R, who travels from Velachery to Taramani daily. The Cancer Institute signal gives just two minutes for vehicles coming from Guindy and Kotturpuram, while vehicles turning right from Madhya Kailash towards Kotturpuram block the entire strech of the road. "Even when the signal turns green, we are unable to move because of vehicles waiting to turn. We lose 15–20 minutes just between Madhya Kailash and the Cancer Institute almost every day," said Rajesh Kumar, a delivery agent working with an aggregator. Adding to the frustration of commuters is the traffic police's inaction. "They are often seen passively observing the commotion instead of taking the initiative to clear the bottlenecks and to manage the flow," said Muthuvel, an auto driver. Motorists complain that the situation has worsened ever since the TIDEL Park U-turn flyover opened. "Earlier, at least vehicles from Thiruvanmiyur and Thoraipakkam stopped at the signal. Now, with the flyover, they just pour into Sardar Patel Road without any check," said K Saravanan, a commuter from Thoraipakkam. Vehicles from Adyar heading towards Guindy are compelled to turn left at Madhya Kailash, travel 800 metres along OMR, and take a U-turn to rejoin Sardar Patel Road. Simultaneously, vehicles from OMR heading towards Adyar use the underpass at the Cancer Institute flyover to make another U-turn. These loops not only increase travel time but also funnel multiple U-turning streams into already saturated junctions, creating several conflict points. Traffic police say that once the L-shaped flyover construction at Madhya Kailash is completed, a better-regulated U-turn system will be introduced. They have also proposed diverting Guindy-bound traffic from Kotturpuram via the Cancer Institute signal to take a left and then a U-turn, after the pillars are completed for the L-shaped flyover, which could help ease congestion. In the long term, officials have floated the idea of demolishing the compound walls of institutions such as Anna University, IIT-Madras, the Cancer Institute, and Gandhi Mandapam to widen the road. Until then, they admit, the congestion is likely to persist.
