About Orthopaedics

The Department of Orthopaedic Surgery at Kasturba Hospital, Manipal is dedicated to providing excellent patient care and outstanding education in the field of Orthopaedic Surgery and musculoskeletal Medicine. The department is committed to advance knowledge related to Musculoskeletal conditions through five sub speciality units renowned at both National and International levels.

The Department focuses on patient care through the following sub-specialties like Hand and Microsurgery (Wrist & Elbow);  Paediatric Orthopaedics, Spine surgery and Rehabilitation, Sports Medicine (Shoulder, Knee, Foot and Ankle), Complex trauma and Joint Replacement (Hip, Knee and Shoulder),  along with rehabilitation support through full-fledged Physiotherapy and Occupational therapy. The Artificial Limb Center with an inbuilt workshop and manufacturing unit facility provides comprehensive Orthotic and Prosthetic care.

Contact Details

Court Road, Udupi, Karnataka – 576101


Unit i [Hand & Microvascular surgery]


Specialises in treatment and rehabilitation of traumatised hands, Wrist and elbow pathologies, Wrist and elbow arthroscopy, congenital hand anomalies, Brachial plexus injuries, tendon and nerve reconstruction and Micro surgery.

  • Correction and rehabilitation of Congenital Hand & Upper Limb deficiencies
  • Pollicisation of absent thumb
  • All hand and upper limb fractures management
  • Small bone lengthening in Hand
  • Wrist , small hand joints and elbow arthroscopy and sports injuries of upper limb
  • Brachial Plexus Injury repair and reconstruction
  • Nerve & Tendon Injuries repair and reconstruction
  • Paralytic Upper limb correction
  • Biological joint replacement of finger Joints
  • Replantation of amputated digits and vascular repairs
  • Treatment of elbow, hand and finger stiffness
  • Flap surgery to cover large wounds
  • Endoscopic carpal tunnel release
  • Trigger finger, de Quervain’s tenosynovitis and tennis elbow surgeries
  • Prosthetic and orthotic support of upper limb and 3D printed prosthesis

unit ii [Paediatric Orthopaedics]


Special clinics are conducted for Congenital Foot and Hip Disorders, Cerebral Palsy, Perthes’ disease, Limb Lengthening and Complicated Paediatric cases.

  • Correction of Club Foot and DDH
  • Other Complex Congenital diseases of lower limb
  • Neuromuscular disorders evaluation and management
  • Complex pediatric hip disorder management
  • Deformity correction of lower limb and limb lengthening
  • Osteomyelitis and septic arthritis and their sequelae
  • Paediatric trauma
  • Metabolic bone disease management
  • Paediatric tumor
  • Diagnosis and management of Skeletal dysplasia

Unit iii [Spinal Surgery]

Deals with correction of Spinal Deformities and management of Spinal injuries, Tumors of the Spine, Spinal Tuberculosis. The unit also focuses on Complex Hip Disorders and performs Primary and Revision Total Hip Replacement Arthroplasty.

  • Back pain management
  • Deformity correction, posterior instrumentation and fusion in Scoliosis.
  • Anterior decompression, posterior instrumentation and global fusion in tuberculosis of the spine.
  • Fenestration and discectomy.
  • Minimally invasive discectomy & Mini TLIF Surgery.
  • Pedicle Screw Fixation
  • Stabilization of Fractures of the spine
  • Anterior cervical spine decompression, stabilization & fusion.
  • Reduction, stabilization & fusion in spondylolisthesis.
  • Bone tumor excision & reconstruction.
  • Primary and Revision Total Hip Replacement Arthroplasty.

Unit iv [Arthroscopy and Sports Medicine]

Specialises in Arthroscopic Surgery of various joints, Sports Medicine and arthroplasty of knee. Arthroscopy of the knee and shoulder

  • Arthroscopic Ligament reconstruction of ACL & PCL, arthroscopic avulsion fracture fixations
  • Complex repairs and reconstructions of multiligament injuries of the knee
  • Arthroscopic meniscal surgeries including meniscal repair
  • Arthroscopic stabilisation for recurrent dislocation shoulder, Rotator cuff repair, SLAP tears and Acromioclavicular joint stabilization
  • Complex fracture fixation of shoulder and shoulder replacement
  • Arthroscopic assisted surgery for recurrent dislocation of patella
  • Deformity correction of knee: High tibial osteotomy
  • Advanced cartilage surgeries, including Autologous Cartilage Implantation
  • Arthroplasty of Knee
  • Ankle Ligament reconstruction for recurrent ankle sprain
  • Management of Ankle & foot injuries and deformities
  • Management of repetitive stress injuries

unit v [complex Trauma and Joint Replacement]

Specialises in complicated trauma, Polytrauma, Primary and Revision Hip and Knee surgery.

  • Joint replacement surgeries (Primary and revision of hip, knee, shoulder)
  • Tumour resection and limb reconstruction with mega prosthesis.
  • Management of peri prosthetic fracture, prosthetic joint infection.
  • Arthroscopy assisted treatment of knee and shoulder problems.
  • Revision of joint replacement

Complex Trauma

  • Polytrauma/open fracture management.
  • Management of late complication of fractures and dislocations.
  • Acetabular fracture Fixation
  • Minimal invasive plating for articular fractures
  • Internal fixation and replacement arthroplasty for fractures around the hip joint.
  • Limb reconstruction surgeries


Image Intensifier, operating microscope for spine & micro vascular surgery.

Five Operating Theaters.

Bone Banking for Auto and Allografts.

Minimally invasive spine surgery system.

Arthroplasty & Arthroscopy set up

CT Scanner


DXA and Bone Scan


Ortho 1 Clinic (Hand & Microvascular Surgery)

Hastha Clinic : Tuesday & Saturday 10.30 am to 1.00 pm

Brachial Plexus Clinic : Friday 11.00 am to 1.00 pm

Ortho 2 Clinic (Paediatric Orthopedics)

Perthes’ Clinic : 1st Saturday : 8.30am to 12.30pm

Cerebral Palsy Clinic: Thursday at 2.00pm TO 4.00pm

Club Foot Clinic: Saturday : 8.30am to 12.30pm

DDH Clinic: Saturday : 8.30 am to 12.30 pm

Limb lengthening Clinic: Saturday : 8.30am to 12.30pm

Ortho 3 Clinic (Spine Surgery)

Spine Clinic on Saturday 9.00 am-12.30 pm

Ortho 4 Clinic (Sports Medicine & Arthoscopy)

1. Sports Injury Clinic: Monday & Wednesday 9.00 am to 4.00 pm

2. Shoulder Clinic : Monday & Wednesday 9.00 am to 4.00 pm)

3. Osteoporosis clinic: 2nd Saturday 9.00 am to 12.00 pm

4. Foot & Ankle Clinic: Every Wednesday 9.00 am to 12.30pm

Ortho 5 Clinic (Joint Replacement & Complex Trauma)

1. Fracture Clinic: Wednesday 9.00 am to 12.30 pm

2. Arthroscopy & Arthoplasty Clinic : Monday, Tuesday & Wednesday 9.00 am to 4.00 pm


“Hastha” is a project for children with Congenital hand anomalies or birth defects. It offers a special clinic for these children on Mondays, Tuesdays, Friday and Saturday. The clinic works to provide a comprehensive care in terms of diagnosis, treatment, rehabilitation, prosthetic support (3D printed prosthesis), Government aid and financial aid from the hospital.

Support Services


The Physiotherapy outpatient department is equipped with necessary electro therapeutic equipment such as

  • Electrical stimulator
  • IFT
  • TENS
  • UVR
  • Ultrasound
  • SWD
  • Whirlpool
  • Wax bath
  • Hot and cold packs

A fully equipped fitness center is established for weight reduction and for general health in normal as well as the diseased

Occupational Therapy

The Centre deals with all kinds of pre and postoperative orthopaedic and trauma conditions with reported functional limitations. The services include

  • Scheduling, Social skill training, Stress management and assertive training.
  • For Clients With Mental Illness :Group therapy activity
  • House and Work Site evaluation and modification
  • Balance and Coordination training
  • Perceptual and Cognitive training
  • Neurodevelopment and Sensory integrative therapy
  • Hand Function and Hand Writing training
  • Community based services
  • Biofeedback and functional electrical stimulation, Ergonomics and Back care
  • Activities of Daily Living (ADL) training
  • Work hardening and retraining
  • Wheelchair training and modification
  • Instrumentation : Splinting , Assistive and Positioning devices

Artificial Limb Center

The center offers comprehensive Orthotic and Prosthetic services. The high quality artificial limbs, or prosthetic devices have transformed many disabled people’s lives. 3D printed prosthesis is a new application which has been started

The Team

Dr. Rajaram Pai

Associate Professor