Dr. Sanjay Agarwala

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Dr. Sanjay Agarwala is the Head of Orthopaedics at the P. D. Hinduja National Hospital & Medical Research Centre. He is a gold medalist in MBBS as well as in MS (Orth) from the University of Bombay. He obtained his M.Ch in Orthopaedic surgery from the University of Liverpool, U.K., and was awarded the Norman Roberts Medal.

He has received several national & international fellowships and awards notably:

  • The International Graduate Fellowship Award of the Rotary Foundation USA.
  • Hand and Microsurgical Fellowship, Derby, UK
  • The Stanley Johnson Microsurgical Fellowship Award, Harrow, UK.
  • The Journal of Associations of Physicians of India (JAPI) awarded him the J.C. Patel – B.C. Mehta award.

Dr. Agarwala has conducted several teaching programmes to the Orthopedic faculty all over India. Under the chairmanship of Dr. Sanjay Agarwala there is a DNB training in Orthopedics recognized by the National Board where post graduate students in Orthopedics are trained at Hinduja Hospital.

He is the Chairman of the AO Foundation Western India Chapter for teaching of fracture management, and under his chairmanship Hinduja Hospital has been recognized as an AO centre of excellence, amongst the top-5 in the country.

His main areas of interest are joint replacement surgery, he is a pioneer in performing normal physiology joint replacements. Patients can resume activities like yoga and exercises after surgery with a close to normal and improved quality of life.

He also performs arthroscopic surgery of the knee, complex fracture fixation using the Swiss AO techniques, re-implantation and micro surgical work for limb salvage and restitution. Being conversant with the use of the surgical microscope Dr. Agarwala has initiated the programme offering Micro Lumbar Discectomy and Holmium Laser Discectomy for selected cases.

He has shown that auto transfusion and the use of Recombinant Human Erythropoetin reduces the need for blood transfusion in hip and knee surgeries. His dissertation for the M.Ch.Orth. examination, 1985, University of Liverpool on nerve conduits that can be used instead of nerve grafts, was awarded the Norman Roberts Medal at the examination. He has four original papers in the British Journal of Plastic Surgery.

His bench-mark research on Deep Vein Thrombosis in Arthroplasty surgery, is the first in India, has resulted in 5 major publications and has established the prevalence and incidence of this dreaded condition in orthopedic patients. With the parameters suggested, it is possible to cut down on the incidence and morbidity of this condition in Indian patients undergoing joint replacement.

The Journal of Orthopedics and Traumatology in 2000 has published an article on Box Osteotomy of the Tibia, as a “new technique” in the management of osteoarthritis of the knee, often an alternative to knee replacement for younger patients. His results with plating for the box osteotomy has been published in 2009 issue of the Journal of Orthopedics. He has successfully used Alendronate, a Bisphosphonate, to treat AVN of the hip for the last 10 years with great success. Alendronate which is most commonly used to treat osteoporosis, prevents bone resorption. This has been reported in the journal of Rheumatology 2005 issue, in the JBJS 2009, and more recently in the Journal of Arthroplasty, October 2011. Relief was seen within a few weeks and 80% became freely ambulant.

From clinical excellence, surgical skill and basic research, Dr. Sanjay Agarwala has successfully blended the best of the East and the West to bring world class surgical facilities for the benefit of Indian patients.

Education

  • M.S. (Orthopaedic Surgery),Mumbai University, 1982, MMC Reg. No. 42011
  • M.Ch. Orth, University of Liverpool, U.K. ,British General Medical Council (GMC),1985.Reg. No. 3047833
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Sanjay Agarwala
Specialities
Centre for Orthopedic Care
Orthopaedics
Conditions
TKR
THR
Trauma Injuries
Congenital Limb Deformities
Bone Tumours
Scoliosis
Sports Injury
AVN
Arthroscopic
Shoulder Joint Replacement
First name
Sanjay
Last name
Agarwala
Designation
Director Professional Services, Section Head - Orthopaedics & Traumatology
Qualifications
M.B.B.S., M.C.P.S., D.Ortho, M.S. (Orth), M.Ch. (Orth)(ENG)
Areas of expertise
• Total Knee Replacement
• Total Hip Replacement
• Trauma and Fracture Fixation using AO techniques
• Primary and Revision Joint Surgery
• High Tibial Osteotomy
• Arthroscopy of the knee for sports injuries
• Micro Lumbar Discectomy
Honours & Awards

He has received several national & international fellowships and awards notably:

  • The Norman Roberts Medal at the M.Ch final examinations.
  • The International Graduate Fellowship Award International 1982 at the Institute of Orthopaedics, Robert Jones & Agnes Hunt Orthopaedics Hospital, Oswestry, Shropshire, U.K.
  • Listed in the “Marquis Who’s Who In The World”, 1998 – till date.
  • The International Graduate Fellowship Award of the Rotary Foundation USA.
  • Hand and Microsurgical Fellowship, Derby, UK.
  • Recipient of the Chatrubhuj Jekhete Gold Medal for overall excellence in all subsets of medicine and surgery as well as in MS (Orth).
  • The Stanley Johnson Microsurgical Fellowship Award, Harrow, UK.
  • J.C. Patel – B.C. Mehta award by The Journal of Associations of Physicians of India (JAPI).
  • Norman Roberts Medal, awarded by University of Liverpool, U.K.
  • Gold medalist in MBBS and at the MCPS.
  • Stood first in the University of Bombay.
Publications
  1. "Surrogate Conduits for Bridging Peripheral Nerve Defects" Proceedings of the British Microsurgical Society meeting, 1984, Brit. J. Plas. Surg. 38, No.3, 445.
  2. "Expanded Polytetrafluoroethylene (Goretex) Tubing for Bridging Peripheral Nerve Defects" IRCS Med. Sci., 1985, 13, 326-327.
  3. "Microlumbar Discectomy" Bombay Hospital Journal, October 1994 volume 36 No. 4, Pg. 117 to 120.
  4. “Under-Running Sutures for Easy Stitch Removal” Plastic & Reconstructive Surgery, Volume 99: pg. 602 February 1997.
  5. “Use of Mini-Vacuum Drains in Small Surgical Wounds” Plastic & Reconstructive Surgery, Volume 101: pg. 1421 April 1998.
  6. “Lumbar Disc Decompression Under Local Anaesthesia: Holmium Laser Technique” Indian Journal of Orthopaedics; Vol. 33 No.2, April 1999, Page 118 to 121
  7. “Autologous Blood Transfusion in Orthopaedic Surgery – A Practical Alternative” Indian Journal of Orthopaedics; Vol. 33 No.3, July 1999, Pg. 195 to 199.
  8. Proximal Tibial Serpentine Osteotomy as a prophylactic treatment of pre-pseudarthrotic high risk tibia” Indian Journal of Orthopaedics,Vol.34, No.3, July 2000 – Pg. 177 to 180.
  9. “Box osteotomy – a New technique of Proximal Tibial Osteotomy for the Osteoarthritis of the Knee” Journal of Orthopaedics & Traumatology Volume 9 No. 3 September 2001 pg 218-227.
  10. “Study of Alendronate in Avascular necrosis of bone” Journal of Association of Physicians of India, Vol. 49, September 2001;49: 949-950
  11. “The Use of Recombinant Human Erythropoetin In Indian Patients Undergoing Major Orthopaedics Surgeries to Reduce Perioperative Transfusion Recruitment”. Indian Journal of Surgery, Volume 64, No.1, 2002 pg 38-43
  12. Alendronate in the treatment of Avascular Necrosis of the hip S.Agarwala, V R Joshi et al. Rheumatology 2002; 41:346-47.
  13. “Screening for deep venous thrombosis in post- operative orthopaedic patients : Comparison of Colour Doppler sonography and contrast venography” Indian Journal of Orthopedics July 2002, Vol. 36. No.3 Pages 154-156).
  14. “Orthopaedicians and Rheumatic Diseases” The Journal of General Medicine April-June 2002 Vol. 14 No. 2.pg 55-60
  15. “Deep Vein Thrombosis in Indian patients undergoing major lower limb surgery” Indian Journal of Surgery 2003, Volume 65, Issue 2 (March/April).pg 159-162
  16. “Ho:Yag laser-assisted lumbar disc decompression : A minimally invasive procedure under local anesthesia Neurology India January-March 2003, Vol. 51, Issue 1, Pages 35-38).
  17. “Incidence of Deep Vein Thrombosis in Indian patients – a prospective study in 104 patients” Indian Journal of Orthopedics, Vol.37, No. 2., April 2003 issue., (Pages 159-162).
  18. “Genetic factors in DVT” Journal of Thromb Haemaost 2004; 92 pgs 1167-9
  19. “Osteoid Osteoma–puzzling presentation & effective management-case report” Indian Journal of Orthopedics ,July 2004, Vol. 38, No.3, pgs. 183-184.
  20. “Pre and post-operative DVT in Indian patients – Efficacy of LMWH as a prophylaxis agent.” Indian Journal of Orthopaedics,Vol 39 No.1, January 2005 pgs 55-58
  21. “Post-operative pyrexia after arthroplasty – when to panic”? Indian Journal of Orthopedics – Vol 39, No.1,April 2005 pg 93-98
  22. “Efficacy of alendronate, a bisphosponate in the treatment of AVN of the hip. A prospective open-label study” Rheumatology Vol. 44, April 2005, pgs 352 – 359
  23. “Hydroxy apatite as a bone graft substitute : use in cortical and cancellous bone”. Indian Journal of Orthopaedics, Vol. 39, Number 4, October 2005 issue ,pgs 254-256
  24. “Charnley-Hasting bipolar modular replacement option for intracapsular fracture neck femur” Indian Journal of Orthopaedics – July 2006 issue Vol. 40 No.3, pgs 157-160
  25. “Short barrel DHS plates for the treatment of inter-trochanteric hip fractures in Indian population” Indian Journal of Orthopaedics – October 2006 issue Vol. 40 No.4, pgs 235-238
  26. “Staple versus locking compression plate fixation after lateral closing wedge high tibial Osteotomy” Journal of Orthopedic Surgery ,Volume 16,No.3, December 2008, pgs 303-307
  27. “The use of Alendronate in the treatment of avascular necrosis of the femoral head – follow-up to eight years” Journal of Bone and Joint Surgery Br. Vol. 91-B, No. 8, August 2009, pgs 1013-1018
  28. Ten-year Follow-up of Avascular Necrosis of Femoral Head treated with Alendronate for 3 years Journal of Arthroplasty Vol. 26, No.7, October 2011,pgs 1128-1134.
  29. “Osteochondral fracture lateral femoral condyle treated with ORIF using Z plasty- A modification of Coonse & Adams approach” Case Reports in Orthopaedics – Hindawi publishing corporation. Volume 2011 pg 1-5.
  30. “Anterior approach and conventional plate osteosynthesis for distal femoral fractures (AO/OTA 33) proves as effective as technically demanding recent advancements like MIPO, TARPO and LISS”. Journal of Maharashtra Orthopedic Association ,Issue 1,Year 7,Jan-Mar 2012
  31. “Functional Outcome in Distal end radius fracture treated with Locking compression plates” Bombay Hospital Journal,Vol. 54, No. 2,April 2012 pgs 209-220
  32. “Wilson's Osteotomy for Treatment of Hallux Valgus in Indians” Indian Journal of Foot and Ankle Surgery XXVIII (2) December 2012, pgs 7-13
  33. “Post-traumatic pseudoaneurysm of popliteal artery following total knee Arthroplasty.” Indian Journal of Orthopedics,volume.47,issue 1, Jan 2013, pgs 101-103
  34. “Patellar Clunk Syndrome in a Current High Flexion Total Knee Design”. Journal of Arthroplasty 28,January 2013, pgs1846-1850
  35. “Results of uncemented distal locked prosthesis in revision hip arthroplasty with proximal femoral bone loss – a retrospective study” Indian Journal of Orthopedics , Vol. 476, Issue 1,Jan 2013,pgs 83-86
  36. “Neutralized chemical matricectomy with the Winograd method in the management of ingrowing toenail.” The Journal of Foot & Ankle Surgery(Asia-Pacific), July-Dec 2014;1(2):pgs55-59.
  37. “Functional Outcome following a large head total hip arthroplasty” Indian Journal of Orthopedics , (2015)Vol 48, Issue 4,pgs 410-414
  38. “A rare case of giant cell tumour arising from anterior cruciate ligament: Its diagnosis and management “ Journal of clinical orthopaedics and trauma 6(2015) pgs 140-143
  39. “A novel technique of patella fracture fixation facilitating early mobilization and reducing re-operation rates” Journal of clinical orthopaedics and trauma 6 (2015) pgs 207-211
  40. “A novel semi Open technique for Repair of Acute Rupture of Achilles Tendon.” Journal of Foot and Ankle Surgery (Asia Pacific) Jan-June 15 2(1) 22-26
  41. “Prevalence of MRSA colonization in an adult urban Indian population undergoing orthopedic surgery” Journal of clinical orthopaedics and trauma 2016 Jan-Mar; 7(1): 12–16.
    PMCID: PMC4735570
    https://dx.doi.org/10.1016.jcot.2015.08.004
  42. “A report of nonunion at medial wedge high tibial osteotomy site and its management” Journal of Natural Science, Biology and Medicine August 2015, Vol 6, Supp 1
    DOI: 10.4103/0976-9668.166128
  43. “Patellaplasty, as an alternative to Replacing Patella in Total Knee Arthroplasty” Open Journal of Orthopedics 2015, 5, 277-282.
    http://dx.doi.org/10.4236/ojo.2015.59037
  44. “Lateral Wall Decompression for Malunited Calcaneal fractures” Journal of Foot and Ankle Surgery (Asia Pacific),July-Dec 2015
  45. “Giant cell tumor of Bone- an overview”, Archives of Bone and Joint Surgery 2016;4(1):2-9.
  46. “A lobulated pseudoaneurysm during acetabulum preparation in primary total hip arthoplasty” Indian Journal of Orthopedics March 2016, Vol 50, Isuue 2
    PMCID: PMC4800967
    https://dx.doi.org/10.4103/0019-5413.177586
  47. “Giant cell tumour of tendon sheath presenting as ulnar tunnel syndrome: A nmovel technique of tumor dissection with bipolar cautery” Journal of Trauma and Orthopedic Surgery 2016;11(1):2-5.
  48. “Caveats of Bisphosphonate abuse” Indian Journal of Orthopedics 2016;50:434-9. PMID:27512227 PMCID:PMC4964778
    https://doi.org/10.4103/0019-5413.185612
  49. “Comparison of closing wedge and opening wedge high tibial osteotomy for medial compartment osteoarthritis of knee in Asian population” Journal of Clinical Orthopedics and Trauma 7 (2016) 272-275.
    PMCID: PMC5106481
  50. “Post-patellectomy primary total knee arthroplasty” International journal of Orthopedics, Traumatology and Surgical Sciences, Vol 2, Special issue 1, July 2016, 255-258.
  51. “Osteotendinous suturing for anchorage of medial arthrotomy in total knee arthroplasty” Open Journal of Orthopedics 2016, 6, 357-362.
  52. “Surgical Management of Haglund’s syndrome in Nonathletes: A Retrospective Review” The Journal of Foot and Ankle Surgery (Asia-Pacific) Jan-June 2017;4(1):1-4.
  53. “Cerclage wiring as an adjunct for the treatment of Femur fractures: Series of 11 cases.” Journal of Orthopedic Case Reports 2017, Jul-Aug:7(4): 39-43
  54. “Restoring Natural Hip Movements with Large Head (Ceramic on Ceramic) Total Hip Replacement : Experience of our 150 patients over 6 years” Open Journal of Orthopedics 2017, 7, 414-427.
  55. Concealed cosmetic closure in total knee replacement surgery: A prospective audit assessing appearance and patient satisfaction
    J Clin Orthop Trauma (2017)
    doi.org/10.1016/j.jcot.2017.11.002
  56. Intraoperative fractures in primary Total Knee Arthroplasty
    J Clin Orthop Trauma (2017)
    doi.org/10.1016/j.jcot.2018.10.009
  57. Incorporation of screwless pressfit acetabular cups and disappearance of polar gaps.
    J Clin Orthop Trauma (2017)
    doi.org/10.1016/j.jcot.2018.11.012.
  58. Is Obesity a contra-indication for a successful Total Knee Arthroplasty?
    J Clin Orthop Trauma (2017)
    doi.org/10.1016/j.jcot.2018.11.016
  59. “Bisphosphonate Combination Therapy in the Management of Postchemotherapy Avascular Necrosis of the Femoral Head in Adolescents and Young Adults: A Retrospective Study from India”
    Journal of Global Oncology 2018 :4, 1-11.
    DOI: 10.1200/JGO.17.00083
  60. Traumatic dissociation of the tibial insert with patellar tendon rupture after high-flex posterior-stabilized Genesis II total knee arthroplasty.
    Rev Bras Ortop. 2017 May 10;53(5):632-635.
    doi: 10.1016/j.rboe.2017.05.001.
  61. Osteotendinous suturing for anchorage of Hip abductor mechanism in Total hip Arthroplasty through a Lateral Approach: A technical note.
    Journal of Orthopedic Case Reports 2018 Mar-April; 8(2): 26-29
    PISSN 2250-0685, EISSN 2321-3817
  62. Patellar resurfacing versus Nonresurfacing with Patellaplasty in Total Knee Arthroplasty. Indian Journal of Orthopaedics 2018;52:393-8.
  63. Lateral Condyle Fracture Dislocation of the Elbow Joint in an Adult: A Rare Case Report J Orthop Bone Disord 2018, 2(1): 000158.
  64. Effect of zoledronic-acid and alendronate on bone oedema and pain in spontaneous osteonecrosis of the knee: a new paradigm in medical management
    Revista Brasilia de Ortopedia 2018
    https://doi.org/10.1016/j.rboe.2017.12.008
  65. Protection of trunnion during revision total hip arthroplasty. Ann R Coll Surg Engl. 2019 Sep;101(7):532-533.
  66. Bisphosphonate combination therapy for non-femoral avascular necrosis.
    J Orthop Surg Res. 2019; 14: 112.
    doi: 10.1186/s13018-019-1152-7
  67. Single Dose Therapy of Zolendronic Acid for the Treatment of Transient Osteoporosis of Hip Ann Rehabil Med. 2019 Jun; 43(3): 314–320.
    doi: 10.5535/arm.2019.43.3.314
  68. Multidimensional management of a vascular injury following total knee arthroplasty: A rare case report Journal of Clinical Orthopedics and Trauma 10 (2019); 991- 994
    https://doi.org/10.1016/j.jcot.2018.04.005
  69. Advantages of clamping and drainage over continuous drainage in total knee arthroplasty Journal of Clinical Orthopedics and Trauma
    https://doi.org/10.1016/j.jcot.2019.03.013
  70. Restoring stability in a Neglected Acetabular Fracture with Dual Mobility Total Hip Arthroplasty: A Case Report International Journal of Research in Orthopaedics 2019 Sep; 5(5):965-968
  71. Decreased Hospital Length of Stay and Enhancing Recovery in Total Knee Arthroplasty Journal of Clinical Orthopedics and Trauma
    https://doi.org/10.1016/j.jcot.2019.03.013
  72. Repurposing Denosumab to stabilize Acetabular protrusion: Obviating Surgery. Open Journal of Orthopedics, 2020, 10, 110-115.
  73. Twisted plating- A Method of distal fibula fixation Revista Brasilia de Ortopedia 2020; 55(1): 33- 39
  74. Safety and efficacy of sequential simultaneous bilateral total knee arthroplasty: A single centre retrospective cohort study Journal of Clinical Orthopedics and Trauma 2020
    https://doi.org/10.1016/j.jcot.2020.05.015
  75. Analgesic effectiveness of Local Infiltrative Analgesia alone versus combined single dose adductor canal block with Local Infiltrative Analgesia: A single centre case control study
    Journal of Clinical Orthopedics and Trauma 2020
    https://doi.org/10.1016/j.jcot.2020.05.044
  76. Dual Mobility THR: Resolving Instability and Providing Near Normal Range of Movement. Journal of clinical orthopaedics and trauma Sept 2020. https://doi.org/10.1016/j.jcot.2020.08.023
  77. Vigorous Endosteal reaming across fracture site to aid union in Atypical Femur fractures Open journal of orthopedics
    Doi: 10.4236/ojo.2020.1012039
  78. TFNA Implant Failure with Helical blade cut-out- a case study Journal of orthopaedic case reports
    Doi:10.13107/jocr.2020.v0.i09
  79. Repurposing Denosumab for recalcitrant bone healing
    BMJ case reports 2021; 14:238460
    Doi; 10.1136/bcv02020-238460
  80. Avascular necrosis as a part of ‘long COVID-19’
    Agarwala SR, et al. BMJ Case Rep 2021;14e242101.
    doi:10.1136/bcr-2021-242101
  81. Superior functional outcome with dual mobility THR as compared to conventional THR in fracture neck femur : a prospective cohort study
    Sicot – J 2021, 7, 42
    Doi.org/10/1051/sicotj/2021041
  82. Co-relation of Preoperative D-Dimer Levels and Postoperative Venous Thromboembolism in Patients Undergoing Total Hip Arthroplasty and Total Knee Arthroplasty
    Open Journal of Orthopedics,2021,11,269-277
    doi:10:4236/ojo.2021.119025
  83. Predictive factors affecting long-term survivorship of ASR metal-on-metal total hip arthroplasty, SICOT-J 2021, 7, 51
    doi.org/10.1051/sicotj/2021040
  84. A Paradigm Shift in Osteonecrosis Treatment with Bisphosphonates
    A 20-Year Study
    JB JS Open Access. 2021 Dec 17;6(4):e21.00042.
    doi: 10.2106/JBJS.OA.21.00042.
    PMID: 34934885; PMCID: PMC8683207.
  85. Secondary osteonecrosis of the knee as a part of long COVID-19 syndrome: a case series
    BMJ Case Rep 2022;15:e248583.
    doi:10.1136/bcr-2021-248583
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Fractures, Hip Injury & Disorders,  Hand & Wrist Disorders,  Elbow injury & disorders, Shoulder Seperation, Frozen Shoulder, Rotaror Cuff Disoder, Tendonitis, Brisitis, Fractures