Dr. Manish Pruthi
Consultant Orthopaedics & Musculoskeletal Oncology
MS Ortho (PGIMER, Chandigarh); DNB Ortho, Fellowship Musculoskeletal Oncology (TMH, Mumbai), Diploma Tissue Banking (NUS, Singapore)
- Bone tumours, Limb salvage surgeries, Pelvic tumours, Recycling of tumour bone,tumours in children and Expandable prosthesis
- Soft tissue sarcomas, Limb sarcomas, use of latest techniques including brachytherapy
- Skin Cancers, Squamous carcinomas, Malignant Melanomas
- General Orthopaedics, Hip fractures, Peri-articular fractures, upper limb trauma
Dr Manish Pruthi is a Consultant in Orthopaedics and Musculoskeletal Oncology at Kokilaben Dhirubhai Ambani Hospital.
Dr Manish Pruthi completed his Orthopedic training from PGI Chandigarh and Orthopedic oncology fellowship from Tata Memorial Hospital Mumbai. He has done his advance training in computed navigation in orthopedic oncology from Royal Orthopaedic Hospital, UK.
Musculoskeletal Onco surgeons are far and few in number and about 20 of them in active practice across the country.
Besides being a skilled surgeon, Dr Manish Pruthi is also an active researcher. He is well known in his field, nationally and internationally, because of his published work and active involvement (as invited faculty, guest speaker) in various national and international conferences.
Dr Manish Pruthi has performed about 350 major orthopedic surgeries in last 2.5 yrs of his tenure at Kokilaben Hospital. This includes challenging trauma cases, major tumor resections, management of bone infections and non unions. This includes international patients from Asia and Africa.
State of the art care is provided to patients with Musculoskeletal tumors with techniques like modular megaprosthesis, total bone replacements, recycling of tumor bones, brachytherapy and reconstructive surgeries.
The post operative infection rate is 0% in trauma cases and 4% in major tumour cases (international bench mark is 10%).
Dr Manish Pruthi has to his credit 16 publications in national and international journals. He has presented more than 40 research papers/ posters in various national and international conferences and has been invited as faculty in many national/ state conferences.
He is a section editor for the Journal of Arthroplasty and Joint Surgery and is a reviewer for many indexed journals.
Bala Ganesh, Mumbai
I had admitted my mother Mrs. Padma KH1000235258 for thigh bone implant on 17/09/14. I would like to thank Dr. Manish Pruthi for the excellent surgery he had performed on my mother and loving care he had given. I would also like to thank the junior doctor Dr. Shrikant Mishra for the way he used to encourage my mother. Dr.Manish Pruthi, my mothers suture has been removed and she remembers you very well and wants to thank you a lot. These thanks are from her. Thank you once again.
Mrs. Rajeshwari Majithia, Tanzania
I am from Dar es Salaam,Tanzania and was in your hospital on third December. During a minor accident, I was required to obtain a surgery for my right wrist.
Dr Manish Pruthi was the doctor in charge, and I was really struck with his maturity, professionalism, and calmness, both amidst and after the surgery. The doctors humble and compassion personality really brought confidence in me and my family, and truly instilled trust in his work and capabilities.
Additionally, Mr.Sachin & the nurses on the ninth floor were very warm and cheerful. That said, I am very glad I chose your hospital and highly recommend patients to choose the Kokilaben Dhirubhai Ambani hospital.
Mrs. Rajeshwari Majithia
Dr. Manish Pruthi: Total Femur Replacement for Osteosarcoma Femur
In September 2015, a middle aged man (44 years old) reported that he could not walk or stand for a day. He complained of on and off pain and swelling in his right thigh for 4 months. He was diagnosed with a femur fracture. After being diagnosed with femur fracture, he underwent an operation in the UAE, where he was employed at that time. He returned to India after the surgery.
The pain returned in a few weeks, hence he approached another hospital in India. There he was evaluated and diagnosed with a benign bone tumour. Benign tumour doesn’t spread so he didn’t have to worry much. Regular follow-ups and medication should have relieved him from pain but the problem persisted despite of undergoing suggested treatment.
Losing hope in the present treatment method, he approached Kokilaben Hospital in December 2015. Here, he was further evaluated and diagnosed with a high grade sarcoma of bone (Osteosarcoma), a type of malignant tumor with chances of spread.
Staging investigations were carried out. He received Neo adjuvant chemotherapy. He underwent Total Femur Excision in view of previous surgery and local disease contamination. The reconstruction was done with a Total Femur Prosthesis replacing both his hip and knee joints. His final pathology report showed complete excision of tumor with a good response to chemotherapy.
From the 2nd post-operative day, patient could walk carrying his complete body weight. His wound has healed, and he currently uses a stick for walking.
Dr. Manish Pruthi, Dr Ahmad Quazi, Dr Tanu Singhal: 2. Allograft-vascularized fibula composite for infected non union femur
A 25yr old patient from Yemen had presented to us with an infection and non union in his right femur (thigh bone). He had a history of Ewings sarcoma (malignant bone tumour) in this bone and was treated with radiation and chemotherapy 9 yrs back. He had infection in the bone post treatment and had multiple surgical procedures at various hospitals till now but was not able to walk and had a persistent discharge from his thigh. He was advised amputation outside in view of multiple failed surgeries and persistent infection.
At presentation, he had a dead bone in middle of thigh with an infection. He was planned for the staged surgeries, first to settle the infection and 2nd stage for the reconstruction.
In the first stage, the dead bone was removed, wound was debrided and a vacuum assisted dressing was applied and appropriate antibiotics were started after discussion with the infection control team of the hospital. Patient wound settled after 8 weeks of the treatment.
2nd stage was a challenging reconstruction in view of a gap in the bone of >15cm, osteoporotic and deformed bone and history of infection. After thorough counselling, patient was planned for the reconstruction of the defect. Complex reconstruction using a long plate, his leg bone with its blood supply (vascularised fibula) and an allograft bone from the tissue bank was done. His postoperative course was again complicated by infection but it settled after debridement and antibiotics.
Now the patient is more than 15 months post surgery, there is no infection and he is able to walk on his both lower limbs.