Convenor Dr. Mandar Agashe
Co-Convenor Dr. Binoti Sheth & Dr. Chasanal Rathod
Venue L. T. M. G. Hospital, Wadia Children’s Hospital, Pinnacle Hospital (Thane), Jupiter Hospital (Thane), S. R. C. C. Hospital (Haji Ali), Mumbai
Date October 25 – 29, 2017
Delegates 17 / 15

The Bombay Orthopaedic Society “Paediatric Orthopaedic Course 2017” was conducted from October 25 – 29, 2017 at various hospitals in Mumbai. I, Dr. Mandar Agashe was the Convenor of the course and I was ably supported by my Co-Conveners, Dr. Binoti Sheth and Dr. Chasnal Rathod and guided by the course mentor, Dr. Taral Nagda. This year’s course was a grand success with the course being over-subscribed and a record number of 16 delegates registering and attending the course. There were delegates from all over the country as well as three international delegates – 2 from Nepal and 1 from Egypt.

The course started on October 25, 2017 at L. T. M. G. H. with cadaveric dissection. The delegates were divided in two batches – one batch was explained and performed surgeries for the hip and shoulder in form of safe surgical dislocation of the hip and shoulder muscle transfer and glenoid osteotomy for brachial plexus palsy, while the other batch was taught forearm and foot tendon transfers and releases commonly performed in paediatric orthopaedics. The batches then switched places in the afternoon session. It was a very enriching experience to the delegates and was highly rated in the feedback forms. After the session, there was a brief interactive case discussion session on Paediatric Trauma with the delegates.

The second day was at Pinnacle Hospital, Thane, with the theme of the day being Hand and upper extremity and Foot and ankle procedures. Dr. Sandeep Vaidya, Dr. Atul Bhaskar, Dr. Swapnil Keny and myself performed a total of 11 surgeries – Notable amongst them being Shoulder muscle transfer for OBPP, pan-talar release for Congenital vertical talus, Greens procedure for Sprengel’s shoulder, Torticollis release, various surgeries for CTEV like tenotomies and posteromedial soft tissue release (PMR), etc. The cases were relayed to the conference room and the delegates could also observe the surgeries in the operation rooms if they wanted to.

The third day was at the B. J. Wadia Hospital for children where the theme was Hip and deformity correction. Dr. Rujuta Mehta, Dr. Alaric Aroojis, Dr. Arjun Dhawale, Dr. Sandeep Vaidya and myself performed a wide gamut of surgeries including open reduction and femoral / pelvic osteotomy for unreduced DDH, VDRO for Perthes disease, Safe surgical dislocation and modified Dunn osteotomy for SCFE, corrective osteotomies for genu valgum and cubitus varus and Woodward procedure for Sprengels deformity.

The fourth day of the course was dedicated to the difficult topic of cerebral palsy. In the morning, the consultants of the Jupiter Cerebral Palsy Clinic, Dr. Taral Nagda and Dr. Chasnal Rathod gave insightful lectures on evaluation and decision making in cerebral palsy. The highlight of the morning session was the visit to the state-of-the-art 3D gait analysis lab. There was also a hands-on session on evaluation of patients of CP where the delegates could try to deduce the treatment plan. The afternoon session was dedicated to operative demonstrations of various surgeries in cerebral palsy including USG guided Botulinum toxin injections, percutaneous releases, forearm tendon transfers and crouch correction surgeries.

The last day of the course was a half day symposium on “Office Paediatric Orthopaedics” at the S. R. C. C. Hospital Auditorium which was open to all members of the BOS as well as PG’s. Around 110 people (including delegates and faculties) attended this symposium and the hall was packed till the end even when it overshot the time. It was also webcasted (first time in the Paediatric Orthopaedic Symposium) and more than 600 people logged in to view the webcast live and further 400 watched the weblink later on.

All-in-all the course was a huge success, with most of the feedback being very good to excellent and all the delegates have voted that they will definitely come for this program again and would definitely recommend this to their friends and colleagues.

Dr. Mandar Agashe