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Monday 5:30pm - 9:30pm Tuesday 5:30pm - 9:30pm Wednesday 5:30pm - 9:30pm Thursday 5:30pm - 9:30pm Friday 5:30pm - 9:30pm Saturday 5:30pm - 9:30pm

Dr. Shivade Nishant Trauma and Joint Replacement Surgeon, 1st Floor, Kanchan Smruti Apartment, Datta Digambar Society, Ingale Nagar, Near Waraje Jakat Naka, Pune (2025)

20/04/2025

Case Highlight: Tendoachilles Repair Using Modified Krakow’s Technique

A young, active laborer presented with a complete Tendoachilles tear—an injury that can significantly impact mobility and livelihood, particularly in physically demanding occupations.

Surgical repair was undertaken using the Modified Krakow’s Suturing Technique, a reliable and widely accepted method that offers excellent biomechanical strength and promotes optimal tendon healing. Intraoperatively, precise approximation of the tendon ends was achieved, ensuring secure fixation and alignment.

Notably, the patient demonstrated immediate restoration of ankle plantarflexion post-repair—an encouraging indicator of the repair integrity and early functional recovery.

The attached surgical video provides a brief overview of the repair technique employed.

For Expert Orthopaedic Care in Pune, consult Dr. Nishant Shivade.

18/04/2025

Orthopaedic Case Success Story :-

Intra-articular Fracture | Medial Femoral Condyle

A young, active female patient with high physical demands presented with an intra-articular fracture of the distal femur medial condyle.

Given the nature of the injury and the patient's lifestyle, I performed Open Reduction and Internal Fixation (ORIF) using medial distal femur plating to ensure anatomical alignment and joint stability.

Post-operative recovery has been excellent. X-rays confirm solid bone healing, and the patient has regained a high level of functional mobility—a great outcome considering the complexity of the fracture.

Precision, early intervention, and the right surgical approach can make a big difference in long-term joint function—especially in young, active individuals.

For expert orthopaedic care in Pune, consult Dr. Nishant Shivade. Whether it’s complex fractures or sports injuries, we ensure you get back on your feet, stronger.

12/04/2025

Case Highlight -
Complex Forearm Trauma – Successfully Managed

A young male patient sustained a left distal one-third shaft fracture of the radius and ulna with associated distal radio-ulnar joint (DRUJ) dislocation following trauma.

The patient was managed surgically with Open Reduction and Internal Fixation (ORIF) using anatomical plates for both bones. Intraoperative goals included restoration of radial bow, anatomical alignment, and DRUJ stability. Post-fixation, complete restoration of forearm anatomy and joint congruity was achieved.

Early mobilization and functional recovery are now underway. Timely surgical intervention in such injuries plays a pivotal role in preventing long-term disability.

—
Dr. Nishant Shivade
Orthopaedic Trauma & Joint Replacement Specialist | Pune

22/01/2025

Surgical Case Report: Complex Femur Fracture Revision

I am Dr. Nishant Shivade, an Orthopaedic Trauma Surgeon based in Pune. Recently, I managed a highly complex case involving a patient who had previously undergone distal femur plating at another institution. Unfortunately, the patient suffered a repeat fall on the same side, resulting in a peri-implant fracture of the femoral shaft. The complications included instability of the original fixation and the need for a major revision procedure.

Upon assessment, it was clear that the initial plating had failed due to the additional trauma, and the fracture had propagated along the femoral shaft. Given the severity and complexity of the situation, I recommended the removal of the existing plate, followed by the insertion of an antegrade femoral nail to provide better biomechanical stability and promote healing.

The surgery was technically challenging due to the compromised bone quality and the need to realign the fractures precisely. However, with careful planning and ex*****on, the procedure was successful. Postoperatively, the patient experienced an excellent recovery with no further complications. The outcome was truly rewarding, and the patient regained full function, highlighting the importance of timely and appropriate intervention in complex trauma cases

18/01/2025

Hello, I’m Dr. Nishant Shivade, an Orthopaedic Surgeon from Pune.
Today, I want to talk to you about Osteoporosis, a condition that weakens bones, making them more susceptible to fractures.

Incidence:

Osteoporosis affects over 200 million people worldwide, with women being more commonly affected than men.
It is more prevalent in older adults, especially those above 50 years of age.

Causes:

Age-related bone loss
Hormonal changes, particularly post-menopause in women
Calcium and Vitamin D deficiency
Sedentary lifestyle and lack of weight-bearing exercise
Family history of osteoporosis

Prevention:

Adequate intake of calcium and Vitamin D through diet and supplements
Regular weight-bearing exercises like walking, jogging, and strength training
Avoid smoking and excessive alcohol consumption

Detection:

Early detection through a bone mineral density (BMD) test
Regular screening for high-risk individuals, especially post-menopausal women and older adults

Treatment:

Medications like bisphosphonates, hormone replacement therapy (HRT), and others
Lifestyle modifications to improve bone health
In severe cases, surgical intervention may be necessary for fractures
Early detection and proper treatment can help manage osteoporosis effectively, reducing the risk of fractures and improving quality of life.

Visit our clinic for a consultation or to learn more about preventive measures.

02/07/2024

🚩 Case 1 - Comminuted Proximal Humerus Fracture With Meta-diaphyseal Extension

🦴 Classification - AO Type 12C3 (Multifragmentary Fracture, Fragmentary Segments )

🦴 History - 35 Years Gentleman, Road Traffic Accident, Heafty Obese Male, Intact Radial Nerve

🦴 Plan - Open Reduction And Internal Fixation With Long PHILOS Plating

🦴 Approach
Deltopectoral Approach Extending to Anterolateral Approach for Humerus

🦴 Surgical Steps
Open Reduction
⬇️
Interfragmentary / Lag Screw Placement
⬇️
Long Philos ( Shoulder To Elbow) Plate Fixation

🦴 Post Operative Physio -
Shoulder and Elbow Range Of Motion Started on Day 1 as there was Absolute Stability

🦴 Slide 2 - Full Range Of Motion With Complete Union of Fractures

02/07/2024

🚩 Case 1 - Comminuted Proximal Humerus Fracture With Meta-diaphyseal Extension

🦴 Classification - AO Type 12C3 (Multifragmentary Fracture, Fragmentary Segments )

🦴 History - 35 Years Gentleman, Road Traffic Accident, Heafty Obese Male, Intact Radial Nerve

🦴 Plan - Open Reduction And Internal Fixation With Long PHILOS Plating

🦴 Approach
Deltopectoral Approach Extending to Anterolateral Approach for Humerus

🦴 Surgical Steps
Open Reduction
⬇️
Interfragmentary / Lag Screw Placement
⬇️
Long Philos ( Shoulder To Elbow) Plate Fixation

🦴 Post Operative Physio -
Shoulder and Elbow Range Of Motion Started on Day 1 as there was Absolute Stability

# philos

27/01/2024

To prevent Nursemaid's Elbow, it's important to use verbal cues instead of physical actions to get your child’s attention. When helping kids put on jackets or climb into car seats, be patient and avoid rushing or pulling on their arms. Swinging children by their hands or arms should also be avoided to reduce the risk of this common injury.
To Consult Dr. Nishant Shivade, Orthopaedic Surgeon, Trauma and Joint Replacement Surgeon, Pune Visit: http://drnishantshivade.com/ or Call: 9029589335

25/01/2024

Diagnosing Nursemaid's Elbow involves a physical examination where a healthcare provider assesses the child's range of motion and looks for signs of discomfort. The medical history, focusing on recent activities and symptoms, is also considered. An X-ray may be conducted to rule out a fracture or break, ensuring an accurate diagnosis of Nursemaid's Elbow.
To Consult Dr. Nishant Shivade, Orthopaedic Surgeon, Trauma and Joint Replacement Surgeon, Pune Visit: http://drnishantshivade.com/ or Call: 9029589335

14/01/2024

Let's fly high with our dreams and aspirations. Wishing you and your family a delightful, healthy, and prosperous Makar Sankranti!

Dr. Shivade Nishant Trauma and Joint Replacement Surgeon

20/04/2025

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22/01/2025

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Monday	5:30pm - 9:30pm
Tuesday	5:30pm - 9:30pm
Wednesday	5:30pm - 9:30pm
Thursday	5:30pm - 9:30pm
Friday	5:30pm - 9:30pm
Saturday	5:30pm - 9:30pm