Pakistan Orthopaedic & Cosmetology Center
Operation Theater

State of art operation theater, located in Islamabad and Peshawar.

Rehabilitation Center

Rehabilitation Centre for speedy recovery under the supervision of qualified phycologists.

Emergency Services

Contact us by phone to make an appointment in emergency cases.

Qualified Doctors

Our team is staffed by qualified doctors and head by Dr. Khaqan Jahangir, Peter London Gold Medal Award winner.

PAKISTAN ORTHOPAEDIC AND COSMETOLOGY CENTER

Hip Deformities & Reconstruction

 At POACC, pediatric orthopedic surgeons treat hip disorders in children of all ages, from neonates to adolescents with hip dysplasia, Legg-Calve-Perthes Diease, slipped capital femoral epiphysis (SCFE) and avascular necrosis.   

Evaluation & Diagnostic Care 

Developmental dysplasia or congenital hip/joint abnormalities are found at birth.  If this occurs, our orthopedic surgeon will get a complete prenatal and birth history and look for any hereditary indications. Early detection is important for successful treatment. 

Non-Surgical Treatment 

Non-surgical treatment is often the first step in correcting hip deformity conditions, especially in hip dysplasia. Non-surgical treatments include: 

Pavlik harness
The Pavlik harness is used on babies up to 6 months old to prevent the hip from moving out of the socket, but allowing the legs to move a little. The harness is usually worn 24/7 for at least six weeks and then 12 hours a day for six weeks. Follow-up visits are important to examine the baby’s hip and adjust the harness as the baby grows. 

Traction and Casting
Traction uses force to stretch the soft tissues around the hip in a specific direction to allow the femoral head to move back into the hip socket, and is usually on a pulley mechanism above the bed. Traction is most often used for approximately 10 to 14 days. A cast is then put on to hold the hip socket in place 

Closed Reduction & Spica Cast
If hip dysplasia is diagnosed after age 2, closed reduction may be required to put the hip back into place manually, without cutting into the skin. A spica cast, worn for three to six months, will then be put on the baby to hold the hip in place, until the hip returns to normal placement. A special brace and physical therapy will most likely be necessary to strengthen the muscles around the hip and leg after the cast comes off. 

Surgical Treatment 

Persistent hip symptoms can lead to hip damage, because wearing out of cartilage inside the hip joint becomes permanent. Corrective surgery can treat a hip abnormality.   

If you would like your symptoms diagnosed or evaluated, or would like to explore our treatment options , contact our clinical coordinator at POACC. 

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Dupuytren’s Contracture 

 Dupuytren’s disease is a thickening of the palmar fascia in the hand, resulting in nodules or cords that can cause the fingers to be drawn into the palm.  The condition often has a strong family history. 

Some individuals have small bumps and require only observation.  When a significant contracture occurs from Dupuytren’s, the bent finger will make it difficult to wear gloves, shake hands, or put the hand flat on the table. 

We at POACc recommend that if hand function is affected, usually with the contracture exceeding 30°, then treatment is indicated.  

A new treatment is an enzyme injection performed in the office with a medicine called Xiaflex. A small injection is performed into the cord as an office procedure, followed by manipulation to straighten the finger several days later. 

If the disease has progressed to an advanced stage, surgery to remove the thick cords is performed as an outpatient surgery at POACC. The bandages are worn for several days, followed by early finger motion to restore function. 

If you would like your symptoms diagnosed or evaluated, or would like to explore our treatment options, contact our clinical coordinator at POACC. 

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Congenital Hand Deformities 

Infants born with abnormalities of the hand are a source of great distress to the parents.  These congenital hand deformities are rare, usually diagnosed at birth, and are sometimes associated with other systemic abnormalities that may require evaluation.  These conditions can include syndactyly (webbing of the fingers), radial club hand, absence of the thumb or bifid thumb, polydactyly (extra digits), and sometimes congenital amputations. 

Some conditions can be relatively mild and require no treatment.  Other conditions should have treatment early.  The patterns of hand use are often learned by age 2 years.  At POACC, we recommend that surgery before 2 years of age is should be performed in order to maximize the development of hand potential. 

Pakistan orthopaedic Cosmetology Centre, has hand surgeons who specialize in congenital hand deformities.  They have years of experience in dealing with these rare and unique cases.    

If you would like your symptoms diagnosed or evaluated, or would like to explore our treatment options , contact our clinical coordinator at POACC. 

GALLERY

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BOWED LEGS

At POACC correction of bowed legs is done with minimal invasive technique with your preferred anesthesia. You only get scars like pine holes or very small marks of surgery. 

The bowed legs are usually associated with knee deformities like genu varum, genu valgum, geno recurvatum and in adults’ development of osteoarthritis of different compartments of the knee joints. Bowed legs are quite common in third world countries. 

If the bowed legs are left uncorrected, knee pain and arthritis of the knee joint develop at an earlier age than a person with normal straight legs and knees.  It is because of uneven pressure over the outer and inner parts of knee joint. If it is not corrected early, it leads to progressive deformation and worsening of pain and arthritis. 

Legs deformation and pain are the reasons why a great number of elderly people cannot walk. Such abnormal anatomy of these people is the main cause of knee joint replacement surgery. If the legs shape is corrected at the early age; joint replacement will in most case be not required or delayed to latter years of life.  

The affected person not only suffers life-long pain but gets into low esteem and other mental illnesses because of the shape and ongoing pain of the knees. 

We at POACC get lot of exposure to such patients and all our team members are well informed about the patients’ future needs.  

We offer quick, bloodless surgery for correction of bowed legs at POACC UNDER THE CARE OF TEAM OF EXPERTS. We use Ilizarov technology. Average duration of the operation is 50 minutes. Using the crutches the patient is able to walk on the following day after the operation.  

Legs deformity correction procedure is mostly started on the 7th day after the operation by means of dosage adjustment of nuts in the apparatus of external fixation.  

Depending on the initial extent of deformation, legs shape correction is performed within the period of 7-25 days. Devices are removed from the extremities consecutively with an interval of 2-4days. Correction of legs shape at POACC usually takes 1-5 months 

If both legs are bowed, we start simultaneously with both legs. It takes 3-4 months to complete the whole process depending upon extent of deformation. 

At POACC the Physical therapy is an important part of our comprehensive treatment and we advocate that patients should continue to see their therapists three times a week after leaving the hospital. Physical therapy helps to ensure that the surrounding soft tissues remain flexible as the bone heals, and that muscle strength is maintained. 

If you would like your symptoms diagnosed or evaluated, or would like to explore our treatment options , contact  our clinical coordinator at POACC.

GALLERY

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Cosmetology

There are multiple causes and types of deformations in the anterior part of the feet like the transverse foot spreading, in other words, transverse flatfoot, under-riding or overriding of toes, crowding of toes, deformations as a result of poliomyelitis, cerebral palsy, post trauma, rheumatoid arthritis etc.

General surgical operations could only eliminate the consequence of such diseases – just one of the components of deformation of anterior feet part (i.e. toes deformation, “cones”, corns, etc.).
Therefore, the results of such operations, as a rule, used to be often regarded as unsatisfactory.

We offer, innovative surgeries and techniques for correction of deformations in the anterior part of foot and help to eliminate both the consequence and the main causes of the disease.

With our team effort, patients are able to walk right after the operation. Total time of the treatment including medical assessment is two weeks.

We offer you unique possibility to increase your height. We use the Ilizarov technology, which is based on the natural (physiological) ability of bones to grow. This growth is stimulated by the operation and supported by the Ilizarov devices. This is the most perfect and the safest legs and arms lengthening method.
There are three periods of the limb lengthening procedure:
I. The first is the operation, during which the osteotomy and the reliable fixation with special orthopedic apparatus are performed.
II. The second is the stretching period. Ilizarov technology allows making 1 mm stretching a day.
III. The third is the consolidation period. It is continued maximum as the double lengthening time. At the end of the consolidation period the device is removed from patients’ legs.

At POACC & HILLSCLINIC the individual proportions of the patient are taken into account to determine optimum length for height correction.
The procedures are performed separately, consecutively for both legs.
The maximum and safe increasing is 7-9 cm.
All our patients at POACC and HILLSCLINIC are active during the treatment, and the day after operation all of them find it easy to move. The function of legs is saved because patients can do movements during and post lengthening period.
To perform the procedure patients must stay all treatment time at the clinic.

Briefly the height increasing procedure is as follows:
A surgery of a shin is done under the general/spinal/epidural anesthesia, where during the process an apparatus of external fixation is applied.
Average time for such surgical intervention is about 40-50 minutes. The patient is ambulant on the following day but usually uses the crutches.
On the fifth day after the surgery elongation is started by means of dosage adjustment of nuts in the fixation apparatus.
Mean extension rate is 1 mm per 24 hours.

In the process of elongation a new bone tissue called “regenerate” is formed.
Removal of the apparatus from the operated extremity can be done after a certain period, which is required for thickening & maturation of the bone regenerate.
Height increase up to 6-7cm takes 8-10months on average. During the treatment the patients are active; they can walk independently with crutches or even without them.
The maximum possible limb lengthening in tibia / femur is 7-13cm. The age of patients can be from 16 to 60 years.

POACC being the only facility in PAKISTAN for HEIGHT INCREASE and CORRECTION OF LIMB LENGTH DISCREPANCY; deals with local and international clients through:

www.hillsclinic.com
www.Facebook.com/hillsclinic
Email: info@hillsclinic.com

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"Meeting the challenges of an ever-changing healthcare environment."- "Dr. Khaqan Jahangir Janjua "

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