Dr. Binoy P. S

PRESENT EXPERIENCE DETAILS:

Consultant - Hand & Microsurgery, Department of Orthopaedics, Aster Medcity, Cochin, India.

Aster Medcity is a tertiary care center with bed strength of 670. Main thrust of the hospital is orthopaedic surgery. Orthopaedic Department has 7 consultants with different subspeciality , including myself. The subspecialies are hand surgery, pediatric Orthopedics,orthopedic oncology, foot &ankle surgery, arthroplasty and arthroscopy. It is a National Board of Examinations, India accredited center for orthopedic training. We have 9 DNB (Ortho) post graduates, making it a prestigious unit . I joined as a consultant in hand and microsurgery. The work spectrum includes more of elective surgeries and poly trauma. I have performed brachial plexus surgeries-repairs and reconstructions,replantations, different types of flaps, various tendon& nerve repairs ,reconstructions,tendon transfers, endoscopic carpal tunnel releases and wrist arthroscopies.

Consultant Hand & Reconstructive Microsurgeon, Department of Orthopaedics, St James Hospital, Chalakudy, India.

St James Hospital is a tertiary care center with bed strength of 500. Main thrust of the hospital is orthopaedic surgery. Orthopaedic Department has 9 full time consultants and 6 DNB (Ortho) post graduates, making it a prestigious unit and one of the biggest units in South India. I joined as a consultant in hand and microsurgery. Later hand and microsurgery was made into a unit under orthopedic surgery. I was in charge of Unit of Hand Surgery and Reconstructive Microsurgery. I have performed brachial plexus surgeries-repairs and P A reconstructions,replantations, free flaps, various tendon& nerve repairs ,reconstructions,tendon transfers, endoscopic carpal tunnel releases and wrist arthroscopy. Fractures of hand and wrist was treated with utmost care.

PREVIOUS EXPERIENCE DETAILS

Clinical Observer – Institut De La Main, Clinique Bizet, Paris, France

Institut De La Main is the biggest hand surgery group in Europe. Founder director of the group was the legendary hand surgeon Dr Raol Tubiana. The institute has pioneers in the subspecialities of hand surgery ; pediatric hand, brachial plexus, wrist arthroscopy, spastic upper limb, hand trauma etc. I was fortunate to be trained under Prof Christophe Mathoulin. The training included wrist arthroscopy and endoscopic carpal tunnel and cubital tunnel releases. Prof Mathoulin has probably one of the most surgical numbers on wrist arthroscopy.

Fellowship registrar in Hand and Reconstructive Microsurgery, Christian Medical College, Vellore,India

Hand and Microsurgery Department in Christian Medical College is one among the oldest in the world, started in 1951 by the legendary surgeon Prof Paul Wilson Brand. Department is considered as one of the pioneer unit and among the best centers around the globe. I belong to the first batch of two students selected for the Dr MGR Medical University recognized fellowship in CMC Vellore. These 2 seats are the only available training seats in India, recognized by university in medical college. As a fellow, I have been assigned a weekly schedule supervised by Prof Binu P Thomas, which includes out patient clinics, day care surgeries, emergency calls, main operations. The tertiary care hospital is about 3000 bedded and daily input of patient’s s around 200 in Hand and Reconstructive Microsurgery clinic. Weekly surgical cases average upto 120 in number. On call days an average of 8-10 cases per day are done on emergency basis.

Fellow in Hand and Microsurgery, Ganga Hospital, Coimbatore, India. In 2010, there were 2 FNB(Hand & Microsurgery) seats granted by National Board of Examinations, New Delhi.

Both seats were allotted to Ganga Hospital Coimbatore. The tertiary care hospital is about 420 bedded and daily input of patient’s s around 160 in Hand and Reconstructive Microsurgery clinic. As a fellow, I have been assigned a weekly schedule supervised by Dr S Rajasabapathy, which includes out patient clinics, day care surgeries, emergency calls, main operations. Weekly surgical cases average upto 240 in number. On call days an average of 30-35 cases per day are done on emergency basis. I have done one three local and two national presentation during my tenure so far. One original article is in the process of review by an indexed journal. As a part of my fellowship I have completed my basic and advanced microsurgery courses conducted in the hospital.

Senior Resident / Assistant Professor, Department of Orthopedics, Kasturba Medical College, Mangalore, Manipal University,India .

After my Post Graduation training in Orthopedics, I was fortunate to join back the institution. KMC Mangalore has 1400 bedded Govt Wenlock Hospital and 1200 Bedded Kasturba Medical College Hospitals attached to it. There are 100 beds in Govt Wenlock Hospital for orthopedic patients. I worked under Prof B Jagannath Kamath in Govt Wenlock Hospital. Prof Jagannath Kamath is a passionate teacher and excellent surgeon. He is a trained Hand and Microsurgeon who nurtured my interest in Hand and Microsurgery. For 6 months I worked as Senior Resident. Subsequently I was promoted as Assistant Professor. 6 months after my promotion I had to leave the institution to join for my FNB training in Ganga Hospital, Coimbatore,India.

RESEARCH AND DISSERTATION

1. Clinical and MEP correlation of rhomboids as determinant of intact C5 root in brachial plexus injuries. Done as dissertation during Hand Surgery & Reconstructive Microsugery training in Christian Medical College, Vellore. Done as dissertation to Dr MGR Medical University.2013.

2. Assessment of Functional outcome in Major Replantations of Upper Limb. Done as Dissertation during FNB training in Ganga Hospital, Coimbatore. 2012.

3. A study of bacteriological flora in osteomyelitis and antibiotic sensitivity. Submitted as dissertation to Manipal University. April 2009.

INVITED LECTURES AND SCIENTIFIC SESSION CHAIRING

1. Faculty and chaired scientific sessions at National conference of Indian Society for surgery of Hand , October 2024, Bangalore, India.

2. Topic presented : 1)I have something to share with you 2) Chronic scapholunate ligament injuries. Annual conference of Orthopedic association of South Indian states. August 2024, Palakkad, India.

3. Topic presented : Relevant surgical anatomy of PIP joint for replacement . CapFlex PIP J Replacement Cadaveric Course. August 2024, Bangalore, India.

4. Topic presented : Thumb CMC arthritis - Evaluation &management . Basic CME of Kerala orthopedic association. May 2024, Kollam, India.

5. Topic presented : Reconstruction of hand fractures ,KAICON 2024, Calicut , India.

6. Topic presented : Management of scaphoid nonunion .Kerala Orthopedic Association annual conference. January 2024, Kottayam, India.

7. Chaired scientific session at 4th biennial Cochin International Orthopedic Summit. September 2024, Kochi, India.

8. Topic presented : Dupuytren’s contracture . 46th annual conference of Indian Society for Surgery of Hand, September 2023, Chandigarh, India.

9. Topic presented: Role of hand surgeon in rheumatic diseases. SZIRACON 2023, Thiruvananthapuram, India.

10. Topic presented : Management of hand fractures and principles of JESS fixation &Suzuki frame application .16th annual conference-sushrutha institute of plastic, reconstructive & aesthetic surgery. June 2023, Thrissur , India .

11. Topic presented : PIP joint injuries -How to not miss them and effectively manage . Indian Society for Surgery of the Hand xmidterm CME ,May 2023. Srinagar , India .

12. Topic presented : Nerve repair with joint flexion versus nerve graft . 45th Annual Conference of Indian Society for Surgery of the Hand. October 2022, Jaipur, India .

13. Topic presented: Neurovascular injuries in tibial plateau fractures .Advanced CME of KOA. Plateau and pilon fractures.September 2022, Perinthalmanna, India .

14. Topic presented: Diagnosis &management of acute scaphoid fractures. Indian Society for Surgery of the Hand Mid term CME ,May 2022. Cochin , India .

15. Topic presented : Tendon ruptures and complications of plating. 66th Annual Conference of Indian Orthopedic Association.December 2021, Goa, India

16. Topic presented: How not to miss bony injuries in wrist .OASISCON TNOACON 2021. September 2021, Selam, India.

17. Topic presented: Dilemmas in scaphoid nonunion .39th Annual Conference of Kerala Orthopedic Association,January 2020. Perinthalmanna, India.

18. Chaired scientific session at Ganga Operative Hand Surgery Course. Ganga Hospital , Coimbatore, India. May 2019.

19. Topic presented : Management of Delayed presentation of scaphoid fractures. 5th Mid Term Indian Society for Surgery of Hand (ISSH) CME, Kasturba Medical College, Manipal, India. April 2019.

20. Chaired scientific session at 5th Mid Term Indian Society for Surgery of Hand (ISSH) CME, Kasturba Medical College, Manipal, India. April 2019.

21. Topic presented : Research methodology and formulating scientific question. Research Methodology and Thesis writing CME, St James Hospital , Chalakudy, India. February 2019.

22. Topic presented : Nerve Graft. Basic CME on Tendon and Nerve Repair at Government Medical College, Thrissur, Kerala. November 2018.

23. Chaired scientific session at 42nd national conference of Indian Society for Surgery of Hand (ISSH) . Coimbatore, India. October 2018.

24. Topic presented : Middle and proximal phalanx fractures, Fractures of thumb metacarpal. Amrita Basic Hand Course. Amrita Institute of Medical Sciences, Cochin, India. August 2018.

25. Faculty for tendon and nerve repair workshop. Annual Conference of Karnataka Orthopedic Association. Mangalore, India. February 2018.

26. Topic presented : Rheumatoid hand . Annual conference of Kerala Rheumatology Association . September 2015

DELEGATE PRESENTATIONS

1. Glomus tumour of finger tip -Analysis of recurrence and nail deformities (first author ) .Presented by second author Mr Jayal Shenny ). FESSH-EFSHT 2023, May 2023, Rimini, Italy.

2. Acute carpal instability complex -Functional and radiological outcome . IFSSH,IFSHT &FESSH Combined congress ,London 2022.

3. Functional outcomes following acute perilunate injuries of wrist. SICOT 2019, Oman, December 2019.

4. Functional outcome of acute periluinate injuries of wrist . Best paper category. Kerala Orthopedic Annual Conference, Kollam, India. January 2019.

5. Video Presentation on Ulnar Collateral Ligament Repair of MCP joint of thumb. Best paper category. Kerala Orthopedic Annual Conference, Kollam, India. January 2019.

6. Assessment of Functional outcome in Major Replantations of Upper Limb- National conference of Indian Society for Surgery of Hand – November 2011, Manipal (Best paper category).

7. Functional Outcome of One Bone Forearm Done in Salvage Situations- National conference of Indian Society for Surgery of Hand – November 2010, Nashik.

8. Should neurotropin incorporated nerve sutures be considered in future?– National conference of Indian Society for Surgery of Hand – December 2009, NewDelhi.

9. Custom designed X ray cassettes for imaging in patients with Illizarov external fixator- Karnataka Orthopedic Association conference, KOACON 2009, Bangalore, Karnataka.

10. Apert syndrome – Rare presentation with an orthopaedic challenge- State conference of Karnataka Orthopaedic association, KOACON 2008, Mangalore, Karnataka.

PUBLICATIONS

1. Kamath BJ, Sayoojianadhan Binoy P, Harshvardhan et al. Percutaneous pinning of Supracondylar fractures : A simple modification in technique to minimize growth plate damage. Techniques in Shoulder & Elbow surgery. 11(2) : 33-36, June 2010.

2. Kamath BJ, Harshvardhan, Sayoojianadhan Binoy P et al. Innovative nerve approximator from external fixator –A quick fix solution . Techniques in Hand & Upper extremity. September 2011 - Volume 15 - Issue 3 - p 182–184.

3. K Ghanashyam Kamath, Jagannath B Kamath, Harshvardhan, Sayoojianadhan Binoy P. New technique of imaging and treatment of pediatric supracondylar humerus fractures without moving injured limb. Techniques in Hand & Upper extremity.September 2011 - Volume 15 - Issue 3 - p 185–187.

4. Kamath BJ, Praveen Bharadwaj, Sayoojianadhan Binoy P, Harshvardhan et al. Modified bone tie – A new method for interfragmentary compression for unstable oblique metacarpal and phalangeal fractures. Techniques in Hand & Upper extremity.

SPECIAL FIELD OF INTEREST

1. Reconstructive Microsurgery. P A P A

2. Hand injuries.

3. Wrist arthroscopy.

4. Brachial Plexus Surgeries.

5. Neurological Hand Disorders (Cerebral Palsy, Traumatic Brain injuries).

HOBBIES

Reading books, travelling and long drives.

MANAGEMENT ACTIVITIES

1. Executive Committee Member - Indian Society for Surgery of the Hand.

2. Organising chairman-Indian Society for Surgery of the Hand Mid term CME ,May 2022. Cochin , India .

3. Managed Mangalore Orthopaedic course audiovisual department and photography department. 2006-2008.

4. Managed the registration of delegates in 33rd Annual Conference of Karnataka Orthopaedic Association. February 2009. Mangalore.

REFERENCES

1. Dr S RAJASABAPATHY

MBBS,MS, Mch, FRCS.

Head Of Department Department of Plastic,Hand & Microsurgery,

Ganga Hospital, Coimbatore.

E mail : rajahand@vsnl.com

Mobile ; +919842219328.

2. Prof BINU P THOMAS

MBBS,MS(Ortho),FHS(Klienert Institute, Louiville,USA).

Head Of Unit of Hand and Microsurgery, Department of Orthopaedics,

Christian Medical College, Vellore, India.

Mobile : +919443485617

E mail: binu@cmcvellore.ac.in

3 . Dr PRASAD VARKEY MBBS, MS (Ortho)

Head of Department, Department of Orthopaedic Surgery,

St James Hospital, Chalakkudy Kerala, India -680307

Mobile : +919447346282

E mail : drprasad@doctor.com.

4. Dr Vijay Mohan,

Lead consultant -Department of Orthopedics & Rheumatology,

Aster Medcity, Cochin.

India Mobile : +91 9447760119

E mail : drvijay.mohan@asterhospital.com.