Our Orthopaedic Services

Joint replacement surgery is recommended when arthritis, bone degeneration, or joint damage causes persistent pain and severely limits daily activity. Dr. Keny performs primary total knee replacement (TKR) and total hip replacement (THR) using advanced implant systems with precise component alignment for long-term durability and natural movement.

Revision joint replacement addresses failed implants, periprosthetic infections, implant loosening, and instability after a previous arthroplasty. Using specialised revision components and bone augmentation techniques, Dr. Keny restores function even in the most complex cases. Each surgery is tailored to the patient's anatomy, activity level, and long-term goals — prioritising pain-free mobility and a faster return to independent living.

Arthroscopy is a minimally invasive keyhole surgical technique that allows diagnosis and treatment of joint problems through small incisions using a camera and fine instruments. This means less soft tissue disruption, reduced post-operative pain, faster healing, and quicker return to function compared to open surgery.

For the knee, Dr. Keny performs arthroscopic procedures for meniscal tears, ACL/PCL reconstruction, cartilage defects, synovitis, and loose body removal. For the shoulder, arthroscopic surgery addresses rotator cuff tears, labral (Bankart) repairs, shoulder impingement, SLAP tears, and recurrent dislocations. Arthroscopic techniques ensure precise treatment with minimal scarring and significantly shorter hospital stays.

Sports injuries can sideline athletes and active individuals from the activities they love. Dr. Keny provides expert diagnosis and evidence-based treatment for the full spectrum of sports-related musculoskeletal injuries — from acute trauma to overuse conditions.

Key areas include ACL and PCL ligament tears, medial and lateral collateral ligament injuries, meniscal damage, shoulder dislocations, rotator cuff strains, hamstring and quad injuries, tennis elbow (lateral epicondylitis), runner's knee, and stress fractures. Management ranges from non-surgical rehabilitation and bracing to advanced arthroscopic or reconstructive surgery — always designed around complete recovery and safe return to sport.

High-energy trauma from road accidents, falls, and workplace injuries can result in complex multi-fragment, periarticular, and open fractures requiring specialised surgical expertise. Dr. Keny manages these injuries using modern implants including locked plates, intramedullary nails, cannulated screws, and external fixators to achieve precise anatomical reduction and stable fixation.

Emphasis is placed on early mobilisation and functional rehabilitation to minimise stiffness, muscle weakness, and long-term disability. Special expertise in periarticular fractures around the knee, hip, elbow, and ankle — where accurate joint alignment is critical to preventing post-traumatic arthritis and restoring full limb function.

Pelvic ring injuries and acetabular (hip socket) fractures are among the most complex and life-threatening injuries in orthopaedic trauma, typically resulting from high-energy mechanisms such as road traffic accidents. They require specialised surgical skill, dedicated implant systems, and careful pre-operative planning.

Dr. Keny performs surgical fixation of pelvic ring disruptions (tile B and C injuries), acetabular fracture reconstruction, and associated posterior wall injuries. The goal is anatomical reduction of the hip joint surface and stable fixation of the pelvic ring — critical to preventing long-term complications like post-traumatic hip arthritis, pelvic malunion, and chronic instability. Early mobilisation protocols are followed to reduce the risks of prolonged bed rest.

When a fracture fails to heal within the expected timeframe, it is termed a non-union. When it heals in a poor or angulated position affecting limb alignment and function, it is a mal-union. Both conditions cause persistent pain, weakness, and disability — and require experienced surgical intervention.

Dr. Keny's approach includes exchange intramedullary nailing, plate augmentation, bone grafting (autograft and allograft), and biological augmentation to stimulate healing in non-unions. For mal-unions, corrective osteotomies restore normal bone alignment and joint mechanics. Careful pre-operative planning using radiological templating ensures accurate correction and durable fixation — returning patients to pain-free movement.

Trauma, infections, growth disturbances, and inadequately treated fractures can lead to acquired limb deformities — including angular deformity, rotational malalignment, and leg length discrepancy. These deformities alter normal biomechanics and cause secondary joint problems, pain, and gait abnormalities.

Dr. Keny performs corrective osteotomies, acute correction with internal fixation, and gradual correction using Ilizarov external fixation frames for complex multi-planar deformities. Each case is individually assessed using clinical and radiological measurements to plan the precise correction required. The goal is to restore normal limb alignment, joint mechanics, and functional walking ability — improving both quality of life and long-term joint health.

Arthritis is the leading cause of joint pain and functional disability worldwide. Dr. Keny takes a staged, patient-specific approach — beginning with the least invasive options and progressing to surgery only when necessary. Conditions managed include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, psoriatic arthritis, and gout.

Joint-preserving treatments include structured physiotherapy, activity modification, analgesics and anti-inflammatory medication, viscosupplementation (hyaluronic acid injections), platelet-rich plasma (PRP) therapy, and bracing. Surgical joint-preservation options include high tibial osteotomy (HTO) for knee arthritis and joint debridement. These treatments aim to delay or avoid joint replacement — particularly important for younger and more active patients.

Orthopaedic emergencies demand immediate, skilled intervention to prevent permanent disability, preserve limbs, and save lives. Dr. Keny provides prompt emergency care for a wide range of acute trauma presentations at Fortis Hospital, Kalyan — a fully equipped tertiary care centre.

Emergency conditions managed include open fractures requiring urgent debridement and stabilisation, fracture dislocations, traumatic amputations, compartment syndrome, vascular injuries associated with fractures, and polytrauma with multiple skeletal injuries. A structured damage-control orthopaedics (DCO) approach prioritises patient stability first, followed by definitive fixation once the patient's overall condition allows. Coordination with trauma anaesthesiologists, vascular surgeons, and the ICU ensures the highest standard of emergency orthopaedic care.