Dr. Alaric Aroojis
Consultant - Paediatric Orthopaedics
MBBS, D'Orthopaedics, MS (Orthopaedics), DNB (Orthopaedics)
Paediatric Orthopaedics including congenital anomalies, cerebral palsy and deformity correction
Dr. Alaric Aroojis is one of the leading authorities in the country on the treatment of clubfoot by conservative & surgical methods. He is one of the few Paediatric Orthopaedic surgeons in the country to perform complex pelvic osteotomies for congenital hip dislocation and to use minimally invasive techniques to correct difficult limb deformities in children. At Kokilaben Dhirubhai Ambani Hospital, he straddles two Centres of Excellence - the Centre for Bone & Joint Surgery and the Centre for Children. He is an integral part of the multi-disciplinary Spina Bifida & Cerebral Palsy Clinics and works in close association with Paediatric & Rehabilitation specialists. The Cerebral Palsy Clinic offers advanced Orthopaedic & Rehabilitation care for children with cerebral palsy by various treatment modalities, such as neuro-developmental therapy, Botulinum injections, multi-level soft tissue surgery and advanced evaluation by Instrumented Gait Analysis, the first of its kind in the city.
After completing his medical school and Orthopaedic residency from the premier King Edward VII Memorial Hospital, Mumbai, he worked as a Specialist Registrar at the B. J. Wadia Hospital for Children where his interest in Paediatric Orthopaedics was kindled. He subsequently completed accredited Fellowship training in Paediatric Orthopaedics at the Alfred duPont Hospital for Children, USA, which has the largest Paediatric Orthopaedic program in North America; the National University Hospital, Singapore and the Royal Children's Hospital, Australia. He has also visited several centres in USA, Europe and Australia for advanced training in Paediatric Orthopaedics.
Dr Alaric Aroojis is a Paediatric Orthopaedic Surgeon who did his training in Orthopaedic Surgery in Mumbai and Fellowships in Paeditric Orthopaedic Surgery from USA,UK & Australia.
Paediatric orthopaedics is exclusively practiced by only about 20 Orthopaedic Surgeons in the whole country.
Dr Aroojis has done more than 1000 Paediatric Orthopaedic Surgeries at Kokilaben Hospital over the last seven years. These include advanced procedures like Correction of Congenital Talipes Equinovarus (Club Foot),Corrective Surgery for Cerebral Palsy and Complex Paediatric Trauma.
State-of-the-art care for Paediatric Trauma is offered using Minimally Invasive Fixation techniques such as Titanium Elastic Nails & AO Implants.
He is one of the leading exponents of the Ponseti Method of Clubfoot treatment and the only Indian to be nominated to the prestigious Medical Advisory Board of the Ponseti International Association (http://www.ponseti.info/about-us/ponseti-international/medical-advisory-board.html).About 30 new Clubfeet children are seen by him every year and he has successfully treated patients from different parts of the country as well as international patients from the Middle East and Afric who have travelled all the way to our hospital in the past 7 years.
Two specialized Multi Disciplinary Clinics are run at our Hospital
- The Cerebral Palsy Clinic offers various treatment modalities such as Neuro-Developmental Therapy, Botulinum (Botox) injections, Multi-Level Soft Tssue & Bony Surgery and Comprehensive Postoperative Rehabilitation. Select patients are offered evaluation by Instrumented Gait Analysis, the first such facility available in the city of Mumbai.
- The Spina Bifida Clinic, where children with Spina Bifida get comprehensive care from various Specialists such as a Pediatric Orthopaedist, Neurologist, Pediatric Surgeon, Urologist, Neurosurgeon and Rehabilitation Specialist in one hospital visit
There are very few Specialists in the country who have performed Complex Hip Reconstructive Surgeries such as Triple Innominate Osteotomy for Adolescent Hip Dysplasia and Safe Surgical Hip Dislocation for Slipped Capital Femoral Epiphysis. These are highly specialized surgeries which are provided in very few advanced centres and we get referrals from several parts of the country.
In conjunction with our Plastic Surgeons he has operated on congenital hand deformities
He has successfully corrected complex limb deformities in patients referred from different parts of the country using the latest methods of Growth Modulation & Fixators such as Orthofix & Ilizarov.
In addition, he has a strong Academic & Research interest and has to his credit 18 International Publications and 22 National Publications related to Pediatric Orthopaedics & Rehabilitation. He has authored a chapter in the world-renowned Rockwood & Wilkins' Textbook of "Fractures in Children", 5th Ed 2001 & 6th Ed 2006 and has served as Section Editor for the prestigious Infectious Disease Atlas published by the Indian Association of Paediatricians 2012.
He has presented over 50 scientific papers related to Pediatric Orthopaedics at various National and International conferences, and has been the recipient of several prestigious awards and scholarships. Notable among these are the Pediatric Orthopaedic Travelling Fellowship awarded by the Asia Pacific Orthopaedic Association (APOA) in 2004, International Scholarships awarded by the American Academy for Cerebral Palsy & Developmental Medicine (AACPDM) in 2007 & 2012, the Scoliosis Research Society in 2007 and SICOT scholarships in 2002, 2005 & 2007.
He has been invited as International Faculty to lecture at several countries abroad such as Singapore, Malaysia, Philippines, Nepal, Bangladesh, Pakistan, and Sri Lanka.
He serves as Executive Member, International Affairs Committee, American Academy for Cerebral Palsy & Developmental Medicine (AACPDM) 2012 - 2015.
Dr. Aroojis is an active member of the Indian Orthopaedic Association, the Bombay Orthopaedic Society and the Paediatric Orthopaedic Society of India. He currently balances his teaching commitments and academic research with a busy clinical practice in Paediatric Orthopaedics.
Mrs Faith Mathew
The doctors are very caring and committed to their work. The nursing staff are very pleasant and helpful.The international co-ordinator has been taking very good care of us, making sure all our needs are met.
Mrs Faith Mathew
Mrs Joy Anikpe, Nigeria
With gratitude to God, I write to appreciate the entire staff of Kokilaben Ambani hospital for their care and hospitality during my son's stay in the hospital.
My son Chisom was admitted in Kokilaben hospital for over 3 months, between May 22nd and August 28th when he was discharged. Chisom came in with critical case of capital backward slipped femoral epiphysis of more than 75% of both legs. The surgery was successfully done on both legs, hence the press release on his case, which was published by Mid-day newspaper on the 29th of July 2013.
Chisom who was placed under the care of Dr Alaric Aroojis, whom I would personally want to appreciate, commend and recommend. Dr Alaric Aroojis was not just my son's doctor but played a fatherly figure in India for my son, whom we always looked forward to see every morning. He was an encouragement to my son, with soothing words he debunked Chisom's fears. He was firm in discharging his duties but jokingly administering it thereby giving my son a relaxed mood even in the mist of anxiety and pain. He is a doctor who captures the mind of his patient first thereby striking a very cordial relationship, which helps the patient not to accept defeat but rather takes away the mind of the patient from his condition before dealing with the situation on ground. It's indeed a gift if I must say. Today my son is Kokilaben's star patient and back on his feet, it's happy feet indeed. Dr Alaric, my son and I appreciates your total dedication and love showered on us. May the good Lord bless you and keep using you mightly.
I must say Kudos to the International Patient coordinator team-Mr Deeparck, Malavika, Riddy. Oh my God! I appreciate my gynecologist - Ever smiling Dr Mrs Anshumala Shukla who successfully operated on me in March 2012. My Dentist Dr Mrs Manisha Soni who gave me a new set of teeth. Now, I chew better and beam smiles here and there. Dr Vishal, who was always beside Dr Alaric. And so many others. I love you all.
I really wanted to meet Mrs Tina Ambani but it failed. I pray and hope that Kokilaben Hospital will keep the good work going, the ever smiling and courteous staff, the neat environment and efficient service and many more. Once more, thanks.
Mrs Joy Anikpe.
Shungu Stuart, Zimbabwe
We are doing fine. The operation was really very helpful. Shungu is doing physiotherapy three times a week with two different institutions. He has gained so much confidence and we have also bought him a gym bike to use at home and intent on getting him additional gym equipment such as treadmill etc that are found at physiotherapy centres. The Indian experience was very beneficial and I have been receiving quite a number of enquiries from a lot of patients who would want to get in touch with you once there budget are healthy.
Thank you and take great care.
Please pass my regards to your team
Ms. Kaseo Mwendwa, Kenya
We had a good trip back home and have settled in.
I wish to extend our gratitude to the entire KDAH staff and in particular to the medical team under Dr. Alaric Aroojis and Dr. Dinshaw Pardiwala for the excellent care accorded to my daughter during her admission and subsequent convalescing period.
A big thank you to you too for being on hand to make our stay as comfortable as possible.
Dr. Florence Mwendwa
Dr. Alaric Aroojis | Bilateral slipped capital femoral epiphysis (SCFE) on 14 year old
Chisom, a fourteen year old Nigerian boy was not unduly worried when he noticed a slight pain in his thighs after returning from school one day. However, over a period of a few weeks, his pain & limp got progressively worse till he was unable to get out of bed or walk. His worried parents consulted several doctors in Nigeria but were unable to come to a diagnosis. Finally Dr. Anaka, a local Orthopaedist took a hip Xray and diagnosed him to have bilateral slipped capital femoral epiphysis (SCFE). Realizing the emergency nature of the condition and aware that it required expert management, Dr. Anaka decided to refer the patient to the Paediatric Orthopaedic Unit of Kokilaben Ambani Hospital in Mumbai. Rushing through their visa formalities, Chisom was airlifted to India and was immediately admitted to Kokilaben Ambani Hospital on 22nd May.
Says Dr. Alaric Aroojis, the Consultant Paediatric Orthopaedic Surgeon at Kokilaben Hospital under whom Chisom was admitted, “I was shocked to see Chisom’s condition when he first arrived. The plucky teenager was obviously in severe pain and unable to move in bed, but he still flashed a warm smile. I knew right away that this boy was a fighter!” Chisom was quickly stabilized and sent for an emergency Xray & CT scan which revealed that he had suffered a severe displacement of the ball of both hip joints.
Slipped capital femoral epiphysis (SCFE) is an uncommon condition seen in adolescents, wherein the ball begins to separate from the rest of the thigh bone due to a weak growth plate. It is more common in boys, African Americans & very obese children. Untreated, this condition can disrupt the blood supply to the ball of the hip joint and result in a lifetime of pain & disability. Considering the severity of his condition, Dr. Alaric Aroojis decided to offer a newer but more complex method of surgical correction which involved opening and dislocating the hip joint, trimming the excess bone and realigning the displaced ball back in position – all the while taking care to meticulously preserve the blood supply.
According to Dr. Alaric Aroojis, who has completed his Paediatric Orthopaedic fellowship training at reputed centres in the US, Singapore and Australia, “This is a very complex reconstructive hip surgery which has become popular only since the past few years. It requires a great deal of precision and skill to execute and is thus performed in merely a handful of centres in India. The biggest challenge in Chisom’s case was the fact that that he had severe displacement of both hips and we had to get the timing between the surgeries right”.
After a grueling 5 hour surgery, the right hip was treated successfully, followed by a similar operation on the left hip two weeks later. Chisom’s pain disappeared within a few days of surgery and he was soon able to sit up independently and turn himself in bed. Once satisfactory healing was seen on the Xray, he was gradually made to stand and walk with the help of a walker, for the first time after several months.
According to Dr. Alaric Aroojis, “what makes Chisom’s case unique is that this is the first time a patient has undergone this complex procedure on both hips. To the best of my knowledge and after a detailed search of scientific literature, I have been unable to find a similar case performed elsewhere in the world and certainly not in India. It goes to show that with the proper infrastructure, we in India, are on par with the best in the world”. Dr. Wudbhav Sankar, Asst. Professor at he Children’s Hospital of Philadelphia, who recently reported on the largest multicentre series of treating severe unstable SCFE with this complex procedure in the reputed American volume of the Journal of Bone & Joint Surgery concurs “In my experience, I have not encountered a single case where this procedure was performed on both hips”.
Chisom is quite unaware of what all the fuss is about. Like a normal teenager, all that he wants to do is get back to his football game as soon as possible.
Dr. Alaric Aroojis: Osteogenesis Imperfecta or Brittle Bone Disease
Zahraa Thani is a 12 year old Iraqi girl with Osteogenesis Imperfecta or Brittle bone disease, a rare skeletal disease where the bones fracture repeatedly & heal with severe deformities.
When Zahraa first presented to us, she had severe bowing deformities of both lower limbs and had not stood independently or walked for 7 years. She underwent corrective osteotomies of all 4 bones of her leg and rodding with a customized telescoping rod (Sheekh kebab surgery). 2 months post-surgery, her osteotomies have healed well, the legs are completely straight, and she is able to stand and walk for the first time in 7 years. She has now been started on special medication to strengthen her bones further.
The parents are thrilled with the result and very grateful to the hospital for the care she has received over the past 2 months. This is a very rare and complex surgery, performed in very centres in India and highlights the need for multi-disciplinary care including Paediatric Orthopaedics, Paediatric Endocrinology & Paed Rehabilitation.