Dr. Lavindra Tomar

Dr. Lavindra Tomar

Orthopedics Specialist - Orthopedic Surgeon,Hip Replacement Surgeon,Knee Replacement Surgeon

  , Delhi, India

  25 Years of experience

BIOGRAPHY

Dr. Lavindra Tomar is one of the finest Orthopedics Specialist in India. He is an experienced Orthopedic Surgeon in the India. The Medical practitioner has been associated with various reputed hospitals in the India. The physician is currently working as a Director and Unit Head - Orthopaedic and Joint Replacement Surgery, Max Super Speciality Hospital, Patparganj, India. The doctor is a well-reputed and sought after medical expert and is

  • MCh Degree in Ortho from University of Dundee, Scotland, UK.
  • MS Degree in Ortho from Meerut University, Meerut
  • Fellow of International college of Surgeons (USA)
  • Fellowship from Association of Osteosynthesis Davos (Switzerland)
  • Visiting Fellow Joint Replacement Australia , Germany, USA & U.K.

qualified. Dr. Lavindra Tomar has been associated with many hospitals over the course of his illustrious and experienced career.

The hospitals include:

  • Senior Consultant - Orthopaedic and Joint Replacement Surgery at Max Super Speciality Hospital, Patparganj, Delhi, Since 2004.
  • Senior Consultant Orthopaedics in Vinayak Hospital (Noida),Shanti Mukund Hospital (Delhi), R.K Ortho Hospital (Delhi )and Orthonova Hospital (Delhi) from 1994 to 2005.
  • Senior Residency from Jaslok Hospital ,Mumbai From 1993-1994.

Dr. Lavindra Tomar has more than 25 Years of clinic experience. The Clinician specializes in and performs the following surgeries:

  • Ankle Fusion Surgery
  • Anterior Cruciate Ligament (ACL) Reconstruction
  • Carpal Tunnel Release
  • Hip Resurfacing Surgery
  • Knee Arthroscopy
  • Meniscectomy
  • Meniscus Repair
  • Total Hip Replacement B/L
  • Total Hip Replacement U/L
  • Total Knee Replacement B/L
  • Total Knee Replacement Surgery U/L
  • Orthopedics
MEMBERSHIPS (10)
  • American Academy of Orthopaedic Surgeons
  • AO Spine Asia Pacific
  • AO Alumni Association Switzerland
  • International College of Surgeons, USA
  • Indian Arthroplastry Association
  • Alumni Association Dundee University, UK
  • Asia Pacific Arthroplasty Society
  • Indian Hip and Knee Surgeons, Society
  • Delhi Medical Council
  • Life Member of Indian Orthopaedic Association
Procedures
Ankle Fusion Surgery

What is Ankle Fusion Surgery

Ankle fusion operation, also known as ankle arthrodesis, is a surgical procedure conducted to close the joint space by joining the bones that make up the ankle joint.

Your ankle joint is an articulation of three bones. These three bones are known as the tibia, fibula, and the talus. During ankle fusion operation, the cartilage covering the bony surface of the ankle joint is scraped off. The diseased part of the bones is also trimmed.

Next, the newly exposed bony surface of the tibia and the talus are placed in close contact. Additionally, they are compressed using screws. New bone formation takes place in and around the joint resulting infusion of the bones into a single bone.

Candidates for Ankle Fusion Surgery

Ankle fusion operation is recommended for patients experiencing unbearable pain during the ankle movement. The pain may result because of the following reasons:

  • Joint wear and tear
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Infection in or around the joint
  • Neuromuscular disease
  • Failure of previous non-surgical treatment

Not all patients with the aforementioned conditions are always suitable for ankle fusion. Patients with the following characteristics are not suggested to undergo this surgery:

  • Insufficient quantity and quality of bone
  • Severe deformity in the leg
  • Vascular diseases that prevent proper healing
Anterior Cruciate Ligament (ACL) Reconstruction

Anterior cruciate ligament (ACL) reconstruction refers to the replacement of the damaged ACL with a tissue to facilitate normal functioning of the knee. ACL is a major stabilizing ligament in the knee, which connects the femur to the tibia. ACL helps provide proper movement of the tibia. ACL also facilitates pivoting or sudden change in the direction of the leg, preventing the damage to the knee.

 

Damage to the ACL Surgery 

The ACL can be injured in different ways, thus warranting a need for ACL repair. The following scenarios may damage the ACL:

  • Collision with a football
  • Slowing down while running
  • Landing incorrectly after a jump
  • Twisting of the knee and the foot in opposite direction

 

Initial Treatment for Anterior Cruciate Ligament Tear

The ACL may not require surgery when the knee is stable when the ligament is not torn completely, or even when you don’t have to strain your knees by active sports. The alternate treatment in such a situation is “RICE” – Rest, Ice, Compression, and Elevation.

Physiotherapy, exercise, and braces for legs can help provide support to the knee. Exercises such as swimming, running in a straight line, and playing golf can be preferred by active individuals if they do not wish to return to an active sports life.

Carpal Tunnel Release
  • Carpal tunnel decompression, popularly referred to as carpal tunnel release, is a surgical procedure conducted to relieve symptoms of carpal tunnel syndrome.
  • A nerve called median nerve along with many tendons pass through a small tunnel called carpal tunnel from the forearm to the upper hand. This nerve controls the movement of your fingers except for the little finger.
  • Sometimes there is tremendous pressure on the nerve and it presses the nerve against the tunnel. This results in specific symptoms such as numbness, weakness, tingling sensation, or pain in the fingers. This is known as carpal tunnel syndrome.


Is carpal tunnel surgery compulsory?

The treatment for carpal tunnel syndrome depends on the severity of the condition and the duration of the symptoms. Generally, the physicians first recommend non-surgical interventions such as the use of corticosteroid injections and wrist splints to relieve the symptoms of carpal tunnel syndrome.

A carpal tunnel treatment surgery is recommended in case:

  • You experience loss of function in fingers or hand because of nerve damage confirmed in a median nerve test.
  • Your symptoms do not subside. Wait for two to seven weeks after starting non-surgical treatment.
  • You have difficulty in performing daily activities ranging from reduced strength in the thumb, loss of feeling, and loss of coordination.
  • You are not able to get sleep properly because of the pain.
  • The main cause of this situation is rheumatoid arthritis.

The carpal tunnel treatment surgery is an open technique. The surgeon may make a cut in the transverse carpal ligament that forms the roof of the tunnel. The carpal tunnel treatment allows more room for the median nerve and the tendons to pass through the tunnel. Thereby, the pressure on the nerve is reduced causing relief from the symptoms.

Hip Resurfacing Surgery

Birmingham hip resurfacing surgery is an alternative to the total hip replacement surgery, which is indicated in patients with advanced arthritis of the hip. The latter could be performed as an anterior hip replacement or posterior hip replacement.

Both hip resurfacing and total hip replacement procedures are, in a way, a form of hip replacement. In Birmingham hip resurfacing surgery, the femoral head of the bone is not removed.

Instead, it is trimmed and capped with a metal covering and the damaged bone is replaced with a metal cup. In total hip replacement surgery (anterior hip replacement and posterior hip replacement), the femoral head and neck of the bone are removed and replaced with a metal ball and a metal stem.

Conditions that are treated with hip resurfacing

  • Arthritis
  • Fracture
  • Increased stress to the bones because of obesity (overuse of the bones)
  • Congenital abnormalities
  • Necrosis (loss of blood supply)

Best Candidates For Birmingham Hip Resurfacing Surgery

Patients with advanced arthritis of the hip are recommended to undergo hip resurfacing surgery. Hip resurfacing is not suitable for all patients. Patients below 60 years who have strong healthy bones are allowed to undergo hip resurfacing surgery. Patients with femoral neck cysts, severe bone loss, and osteoporosis are not suitable for this procedure.

Knee Arthroscopy

Arthroscopy is a minimally invasive procedure used for the diagnosis and treatment of conditions related to the joints. It is performed with the help of a special instrument called an arthroscope. It comes with an attached video camera and a light. What is observed by the camera is recorded and can be viewed by the surgeon on a television monitor.

Arthroscopic knee surgery is an alternative to total knee replacement and other forms of knee replacement surgery. During the knee arthroscopic surgery, small incisions are made to insert an arthroscope and other surgical tools to correct a defect in or around the knee joint. Total knee replacement, on the other hand, refers to complete removal and replacement of the diseased joint with a prosthetic implant.

When is knee arthroscopy required?

Knee arthroscopy is conducted for the diagnosis and treatment of the following conditions:

  • Inflammation of the knee
  • Injuries such as :

    • Fractures
    • Ligament tear
    • Tendon damage
    • Torn meniscus
    • Misalignment of kneecap
    • Bakers cyst
    • Meniscus tear
    • Loose fragments of bone or cartilage
Meniscectomy

Meniscectomy is a type of meniscus tear treatment in which a part of the meniscus is removed. This is done when an individual suffers from a type of a knee injury called meniscus tear. The surgical decision to remove all of or a part of the meniscus is taken based on the overall health, age, activity level, and the nature of injury of the patient.

This meniscus treatment is performed by a team of orthopaedic surgeons. The doctor is likely to advise this surgery if they think that it is the best available treatment for you, depending on the exact location of the tear, its pattern, and size.

There are different types of a meniscus tear. A small meniscus tear usually requires no surgery and heals on its own through home treatment. A moderate to larger tear in the red zone of the meniscus is best treated with the help of a meniscectomy surgery. A tear in the white zone of the meniscus, on the other hand, is not treated with the help of meniscectomy surgery because there are fewer chances of healing.

Meniscus Repair

The meniscus is a rubbery ligament between the shinbone and the thighbone. Meniscus tear takes place when there is a solid contorting movement of the knee, especially when the knee is bent while the foot is firmly placed on the ground. It is one of the most common knee injuries among sportsperson who play football, cricket, and tennis, and people who perform high-impact activities.

 A few people may suffer from meniscus tear due to ligament of knee degeneration that takes place with age due to several factors.

 Pain, swelling and tightness may increase over several days if you have a meniscus tear. You may not be able to straighten your knee, and it may lock in position. It may be problematic for you to put weight on your leg or even walk normally like before.

 Minor meniscus tears can heal by itself if there is a good blood supply to the area. However, some tears require arthroscopic surgery to fix the tear. It is important to rest and let the ligament heal. Ice packs and physical therapy helps with the recovery of a meniscus tear.

Different Approaches to Meniscus Repair Surgery

 Only 10 percent of meniscus tears can heal by itself if there is an appropriate blood supply.

Most of the surgeries are arthroscopic surgeries in which a special device is used to view inside the knee and see the torn meniscus. There are different procedures, however, that can be conducted to repair or fix the meniscus and these include the following:

  • Meniscectomy: It can be partial meniscectomy or complete, that is, the torn meniscus can be partially removed or completely. It can be done as an open surgery or arthroscopic surgery.
  • Meniscal Repair: It can be performed open or arthroscopically and the preservation of the meniscus involved three aspects:
    • Repair of the torn meniscus
    • Non-surgical treatment of asymptomatic meniscal pathologies
    • Partial meniscectomy and resection

  • Meniscal Regeneration: Meniscal transplantation (MAT) can be performed to restore the meniscus. In this case, a graft is usually taken from the hamstring muscle to reproduce the meniscus.

Total Hip Replacement B/L

Total hip replacement surgery also called total hip arthroplasty, is a surgical procedure conducted to replace the damaged or diseased hip joint with an artificial joint or prosthesis. The hip prosthesis contains the following three components:

  • A stem, which fits into the thigh bone
  • A ball that fits into the stem
  • A cup which is inserted into the socket of the hip joint

The two types of prostheses used in the total hip replacement surgery include a.) cemented and b.) uncemented prostheses. A combination of both is sometimes used during the surgery, depending on the recommendation made by the patient.

The hip joint surgery is conducted in patients when other non-surgical and surgical alternatives fail to work and relieve the patient of the terrible hip pain. A successful hip joint surgery ensures increased mobility, improved function of the hip joint, and pain-free movement.

There are two types of total hip replacement surgery, differentiated on the basis of whether a single or both the hip joints are replaced. Total hip replacement bilateral refers to the replacement of joints on both the sides of the hips. This procedure is conducted when both the sides are affected.

 

BEST CANDIDATES FOR BILATERAL HIP JOINT SURGERY

Patients who experience the following symptoms are recommended to undergo bilateral hip replacement surgery:

  • Pain in both the sides of the hip, which restricts daily activities such as walking or bending
  • Pain in both the sides of the hip that persists even when in resting state
  • Stiffness in hip preventing the movement or lifting of the leg
  • No relief from the use of anti-inflammatory drugs, physical therapy, or walking support
Total Hip Replacement U/L

Unilateral hip replacement surgery is conducted in patients who suffer from osteoarthritis of just one hip joint or those who have damaged or infected joint on one side of the hips.

A unilateral hip replacement surgery is less time intensive and serious than a bilateral hip replacement surgery, which involves removal and replacement of joints on both the sides of the hips.

During the unilateral hip replacement surgery, which is also known as hip arthroplasty, the affected side of the hip is cut open to expose the diseased hip joint. It is cut and removed before transplanting artificial prosthesis.

Some hip replacement surgeons may choose to use the cemented prosthesis, while others may choose uncemented prosthesis. Opening up the hip area to perform the surgery is not necessary if a minimally invasive technique is used to achieve the same objective.

Unilateral hip replacement surgery is the last treatment options for a patient who have not experienced any relief from constant hip pain through other alternative treatments such as physical therapy, exercising, and the use of painkillers.

Best Candidates For Unilateral Hip Joint Surgery

Patients who experience the following symptoms are recommended to undergo unilateral hip replacement surgery:

  • Constant pain on one of the  side that makes it difficult to walk, stand, or sit properly
  • Stiffness on one side of the hip
  • Pain on one side of the hip even when resting
Total Knee Replacement B/L
  • The knee plays an important role in mobility. However, this joint may get damaged or diseased over a period of time because of an injury or conditions such as osteoarthritis, rheumatoid arthritis and so on.
  • The damage to the knee joint may lead to terrible pain and immobility. A knee replacement surgery is advised when the pain and mobility are not improved despite continuous use of medications and physical exercises.
  • A bilateral knee replacement surgery is performed when both the knees are damaged to diseased. If only one knee is affected, then the knee replacement surgeon recommends the patient to undergo replacement of just one knee, a procedure known as unilateral knee replacement surgery.
  • Osteoarthritis, post-traumatic arthritis, rheumatoid arthritis, knee deformity, vascular necrosis, and swelling and inflammation of the cartilage surrounding the knee are some of the indications for unilateral and bilateral knee replacement surgery.
  • A knee replacement surgeon may decide to conduct a total knee replacement surgery or a partial knee replacement surgery, depending on the extent of damage. A minimally invasive surgery can also be conducted with the help of an arthroscope. This type of surgery allows for minimal healing time, quick knee replacement recovery time, and fewer complications.
Total Knee Replacement Surgery U/L

Knee Replacement Surgery cost varies all across the world, where countries like the US, Australia and Canada provide the treatment at high prices. In countries like Taiwan,India, and Mexico Total Knee Replacement Surgery is far more affordable and is now offered at premium quality heathcare services.The knee joint is the largest joint in the body that aids in the mobility. During a knee replacement surgery, the diseased or damaged knee joint is replaced with an artificial joint made of metal or plastic. Your doctor would recommend a knee replacement surgery to you if you have a progressive pain even during sitting and lying down that leads to decreased or painful mobility.

Conditions that require a Knee Replacement Surgery

The joint ailments that may trigger a need for knee replacement surgery include:

  • Osteoarthritis
  • Rheumatoid arthritis
  • Post-traumatic arthritis
  • Knee deformities
  • Osteonecrosis or avascular necrosis
  • Swelling or inflammation that does not decrease

Depending on whether just one or both the knees are affected, a surgeon may conduct unilateral or bilateral knee replacement surgery. A unilateral knee replacement surgery refers to the removal of the diseased or damaged joint of a single knee and its replacement with prosthesis.

A unilateral knee replacement surgery can be recommended to an individual from any age group, depending on the extent of pain and immobility. The surgery helps provide relief from pain and immobility.

Types of Knee Replacement Surgeries

Total knee replacement surgery:

In total knee replacement surgery, the whole knee joint is removed and replaced with the artificial knee joint.

Partial knee replacement surgery:

The partial knee replacement or unicompartmental surgery involves the replacement of only the damaged part of the knee joint.

Minimally invasive surgery:

The total knee replacement surgery and partial knee replacement surgery can be performed by a minimally invasive procedure. This is an advanced surgical procedure that involves three to five-inch incision or smaller, which causes less pain and fast recovery whereas the usual traditional procedure involves 8 to 12-inch incision.

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Dr. Lavindra Tomar

Frequently Asked Questions
What area of specialization does Dr. Lavindra Tomar have?
Dr. Lavindra Tomar is specialized in India and of the most sought after doctors in Orthopedics Specialist.
Does Dr. Lavindra Tomar offer Telemedicine Consultation through Medigence?
No, this doctor dose not offer telemedicine via MediGence
How many years of experience does Dr. Lavindra Tomar have?
Dr. Lavindra Tomar is one of the most sought after specialists in India and has over 25 Years years of experience.
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