ABHIMANYU SINGH

• Clinical Experience and Current Role
  I have extensive experience in the field of orthopaedics, including:
  
  - Conducting comprehensive patient evaluations in orthopaedic surgery clinics and emergency departments.
  - Currently serving as specialty doctor in Trauma & Orthopaedics with a focus on Hip and Knee subspecialties.
  - Actively participating in trauma meetings, conducting audits, and engaging in monthly educational sessions.
  
• Surgical Expertise
  
  My surgical experience encompasses:
  
  - Performing and assisting in both primary and complex hip and knee arthroplasty procedures under the guidance of experienced supervisors.
  - Gaining exposure to a broad spectrum of clinical scenarios, which has significantly enhanced my practical skills and clinical acumen.

- Performing basic arthroscopic procedures of the knee and assisting

in complex arthroscopic soft tissue procedures including ligament

reconstruction.

- Performing trauma cases encompassing both upper limb and lower

limb trauma, periprosthetic fractures and paediatric trauma

- Part of the revision team assisting complex knee and hip revisions

• Examining patients in orthopaedic surgery clinics, and
  emergency rooms. Presently working as an
  international travelling fellow in Hip & Knee
  subspeciality.
• Actively participating in the trauma meetings, audits
  and monthly teaching sessions.
• Performing and assisting primary and complex hip/
  Knee arthroplasty under supervision with exposure to
  wide range of clinical scenarios.
• Running elective hip and knee clinics consisting of a wide variety of cases such as primary osteoarthritis, soft tissue (knee) and complex failed primaries needing revision and complex preoperative planning (under the guidance of a consultant)

• Working in a team lead by a renowned senior orthopaedic surgeon (Dr Arun B. Mullaji) offering a wide array of procedures with the majority being hip and knee arthroplasty
• Providing the vast city of Mumbai treatment in hospitals at different locations which included Breach Candy Hospital, Hinduja Khar Hospital, Cumballa Hills hospital
• Providing patients outpatient service at four locations - Kemps Corner, Khar, Powai and Ghatkopar
• Procedures performed included mobile bearing / fixed bearing unicompartmental knee replacements, navigation assisted total knee arthroplasty, total hip replacement, shoulder replacements, knee arthroscopies and complex knee and hip revisions
• Research work included analysis of data related to alignment, gaps, knee scores and radiographic X-ray measurements.
• Published three articles :

1. Mullaji, A., Shah, R., Bhoskar, R., Singh, A., Haidermota, M., & Thakur, H. (2022). Seven phenotypes of varus osteoarthritic knees can be identified in the coronal plane. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 30(8), 2793–2805. https://doi.org/10.1007/s00167-021-06676-8

2. Mullaji, A., Bhoskar, R., Singh, A., & Haidermota, M. (2022). Valgus arthritic knees can be classified into nine phenotypes. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 30(9), 2895–2904. https://doi.org/10.1007/s00167-021-06796-1

3. Mullaji, A., Singh, A., & Haidermota, M. (2022). Arthritic knees with more than 10° valgus can have soft-tissue imbalance in flexion. Knee surgery, sports traumatology, arthroscopy : official journal of the ESSKA, 30(9), 2905–2914. https://doi.org/10.1007/s00167-021-06798-z

• ISAKOS accredited Fellowship in Hip and Knee Adult Reconstruction and Sports medicine from 1.4.19 to 31.5.19 under Dr. James Chow in Phoenix, United States of America.
• Observed the SUPERPATH (Supercapsular percutaneously assisted total hip arthroplasty), robotic assisted unicompartmental and total knee arthroplasty.
• Attended out patient department.
• Observed hip and knee arthroplasty surgeries being done on a day care basis in the surgical ambulatory centre
• Attended pre operative and post operative bedside rounds.
• Participated in weekly journal clubs.
• Attended the 24th North American Hip & Knee Symposium - West in Phoenix, Arizona on 25.4.2019

• Worked in the out patient department (OPD), emergencies and operation theatres on a rotational basis
• Supervised trainees, medical students, residents and interns to help each achieve proficiency in field
• Performed simple and complex trauma fixations
• Assisted in spine surgeries, arthroplasties.

• Worked in the out patient department (OPD), emergencies and operation theatres on a rotational basis
• Performed various simple and complex trauma surgeries
• Held journal clubs for residents
• Attended monthly trauma meet to discuss unique cases
• First assistant during live surgery demonstrated at the Bombay Orthopaedic Society Basic arthroplasty course held at King Edward
• Memorial hospital, Mumbai on 5.7.18
• Supervised trainees, medical students, residents and interns to help each achieve proficiency in field
• Assisted in arthroscopy, arthroplasty and spine surgeries.

• This was my first job after completing my residency and was one of the largest hospital in Asia. It was a good experience as it was a transition from the public healthcare sector to the private healthcare sector.
• Duties involved conducting ward rounds, on calls and theatres on a rotational basis.
• Performed various procedures which ranged from simple washouts to complex fracture plating/nailing.
• Assisted in arthroscopy, arthroplasty and spine surgeries
• Handled emergencies such as dislocations, compound injuries, amputations.

• The residency program spans 3 years, with residents rotating through six independent units specializing in different orthopaedic subspecialties. Each rotation lasts 6 months, allowing residents to gain experience in areas such as arthroplasty, spine surgery, sports medicine, and paediatric orthopaedics.
  
  Year-by-Year Progression
• First Year
  During the first year, residents focus on developing fundamental skills and knowledge:
  - Patient and ward management
  - Pre-operative and post-operative protocols and documentation
  - Plaster application and traction techniques
  - Wound management and dressing
  - Communication skills
  Surgical skills developed in the first year include:
  - Diaphyseal nailing
  - Diaphyseal plating
  - Percutaneous pinning
  
• Second Year
  The second year builds on the foundation established in the first year, with residents taking on more complex cases:
  - Managing polytrauma patients
  - Independent execution of compound fractures
  - Treatment of intra-articular fractures
  - Assisting with complex trauma cases
  
• Third Year
  In the final year, residents are exposed to advanced procedures and complex cases:
  - Performing a high volume of complex upper and lower extremity trauma surgeries
  - Managing deformities and non-union cases
  - Assisting with pelvi-acetabular trauma
  - Participating in joint replacement surgeries, including:
  - Primary hip and knee arthroplasty
  - Revision arthroplasty
  - Assisting with basic and advanced spine surgeries
  
  This structured program allows residents to progressively build their skills and knowledge throughout the three years, preparing them for independent practice in orthopaedic surgery.

• As a junior registrar in orthopaedics, my first rotation provided an excellent introduction to the specialty and solidified my interest in pursuing an orthopaedic residency. During this time, I gained valuable hands-on experience in several key areas:
  
• Clinical Assessment
  I honed my skills in evaluating patients by taking comprehensive histories, analyzing presenting complaints, and assessing current symptoms. This allowed me to develop a systematic approach to understanding orthopaedic conditions and formulating initial diagnostic plans.
  
• Documentation
  I became proficient in medical documentation, writing detailed admission notes, care plans, and chart notes for new patients. This improved my ability to communicate patient information clearly and concisely to the healthcare team.
  
• Procedural Skills
  I had the opportunity to observe, perform and assist with various orthopaedic procedures, including:
  
  - Intra-articular injections
  - Joint aspirations
  - Total knee replacements
  - Arthroscopic ligament reconstructions
  
  These experiences provided invaluable insights into orthopaedic techniques and perioperative management.
  
• Surgical Assistance
  As part of the surgical team, I assisted in both major and minor orthopaedic surgeries. This hands-on involvement enhanced my understanding of surgical anatomy, instrument handling, and operative protocols.
  
• Academic Engagement
  I actively participated in daily orthopaedic rounds, which expanded my theoretical knowledge and kept me updated on current practices. I also prepared and presented case studies, further developing my clinical reasoning and presentation skills.
  
• This rotation not only familiarized me with the diverse aspects of orthopaedic practice but also reinforced my passion for the specialty. The experience provided a strong foundation for my future training in orthopaedic surgery.
  

• Rotated in various surgical and medicine sub specialties
• Completed daily rounds to check on patients and identify any reasons for concern
• Wrote detailed and professional progress notes for each patient, outlining notable events and examinations findings
• Built strong foundation in medical practice by contributing to different areas of patient care and administrative practice
• Applied classroom learning by directly caring for patients with acute concerns and chronic conditions
• Shadowed physicians and surgeons to learn various techniques and procedures
• Shadowed emergency medical services team in emergency room setting and during field response.