Dr.karnav Panchal is a specialist in knee, hip, shoulder and elbow related problems. After completing his M.S. in orthopedics at B.J. Medical College, one of the prestigious institutes in India, he has been trained in the fields of joint replacement surgeries and sports injuries at Mumbai and South Korea.
M.B.B.S. M.S. (Ortho) (Gold Medalist)
Fellow in primary and revision arthroplasty (Bombay Hospital, Mumbai)
Fellow in primary and revision arthroplasty (Bombay Hospital, Mumbai)
Fellow in advanced arthroscopy and sports medicine (St. Mary’s Hospital, South Korea, Hinduja Hospital, Mumbai)
Dr. Karnav Panchal has been a bright student throughout his undergraduation and post-graduation days, bagging a couple of gold medals to his name. He has completed his M.S. (Orthopedics) from B. J. Medical College and Civil Hospital, Ahmedabad which is one of the most prestigious post-graduate teaching institutes in India.
He gained four years of rigorous experience at a high surgical output centre like Civil Hospital, Ahmedabad. He also successfully completed a six months fellowship at St. Mary’s Hospital (South Korea) to satiate his keen interest in sports injuries, arthroscopy and joint replacement surgeries. He learnt many advanced techniques in KNEE, SHOULDER, ELBOW, HIP, ANKLE ARTHROSCOPIES AND JOINT REPLACEMENT SURGERIES. During his stay in South Korea, he got to interact with some of the world’s most renowned surgeons Dr. Sung Jae Kim, Dr. Young Girl Rhee, Dr. Jin Young Park (South Korea), Dr. Minoru Yoneda, Dr. Eiji Itoi (Japan), Dr. J. P. Ianotti, Dr. Jaffery Abrahms, Dr. Flatow (USA). He has also gained experience in the above mentioned fields from various well-known hospitals like Breach Candy, Hinduja and Bombay Hospital, Mumbai.
Dr. Karnav’s deep interest in research is reflected by his active participation in various national and international conferences, where he has presented several oral papers. He is also invited as a faculty in many of the conferences to deliver a talk on the specialized subjects of sports injuries and joint replacement surgeries. He has many publications in various prestigious international journals like The American Journal of Sports Medicine, Journal of Arthroscopy, Journal of Arthroplasty, The Knee, Archives of Orthopedics and Trauma Surgery etc.
With his deep knowledge and surgical skills, Dr. Karnav Panchal has successfully completed more than 4000 surgeries in his speciality fields of arthroscopy, sports injuries and joint replacement surgeries. He is a director of “FREEDOM JOINT CARE CENTRE”, EPIC HOSPITAL, AHMEDABAD. Dr. Karnav Panchal is truly “COMMITTED TO HEALTHY JOINTS”.
Have performed more than 3000 knee, shoulder, elbow, ankle arthroscopies and knee, hip, shoulder, elbow joint replacement and revision joint replacement surgeries.
Shoulder arthroscopy has become a common procedure in today’s orthopedic practice. The safety of this procedure has been well established, but there are some complications associated with every surgical procedure both minor and major. In the present era, with advanced arthroscopic instruments, it is rare to encounter the problem of instrument breakage during arthroscopic surgery. Here, we report an unusual case in which we found a detached arthroscopic lens within the shoulder joint. A 58-year-old male patient who was previously operated for shoulder arthroscopy for the treatment of impingement syndrome combined with shoulder stiffness. We performed shoulder arthroscopy again and removed the detached lens arthroscopically. This case warrants the need for the surgeon and the operating room staff to be well acquainted with the arthroscopic instruments and to check the instruments properly before and after the completion of the procedure. If the operating room staff would have identified the damage to the scope, encountered during the primary operation, we could have avoided the second procedure to remove the lens.
Included in the study were 33 patients (16 male, 17 female; mean age, 53.4 years) with arthroscopically confirmed intratendinous tears treated with transtendon suture bridge repair from March 2006 to July 2012. A history of trauma was found in 10 cases (30.3%). The dominant arm was involved in 26 cases (78.8%). The mean follow-up duration was 56 months. Preoperatively, a thorough physical examination was performed; at final follow-up, shoulder range of motion (ROM) in forward flexion, abduction, external rotation (ER) at the side, and internal rotation (IR) at the back was noted, and clinical outcomes (American Shoulder and Elbow Surgeons [ASES] score; University of California, Los Angeles [UCLA] score; visual analog scale [VAS] for pain; and Simple Shoulder Test [SST]) were recorded and compared with the preoperative data. Postoperative magnetic resonance imaging (MRI) was performed at 6 months to investigate rotator cuff healing status and repair integrity.
The purpose of this study was to document the distribution of the articular branch of the lateral pectoral nerve (LPN) to the shoulder and to identify a suitable point for its blockade.
This study involved the dissection of 43 shoulders of 22 unembalmed cadavers (6 male and 16 female) to identify the LPN and its articular branch to the shoulder. To identify the suitable anatomical point for blocking the articular branch of the LPN, several anatomical landmarks around the shoulder were measured.
The articular branch of the LPN to the shoulder was present in 29 of 43 cases (67.4 %). The appropriate point to block the articular branch of the LPN was identified at a mean distance of 1.5 cm below the clavicle, on the line connecting the closest points between the clavicle and the coracoid process, and at a mean depth of 1.0 cm from the skin.
Total knee arthroplasty (TKA) can be associated with severe pain in early postoperative period. Adductor canal block may provide optimal analgesia following TKA. However, ideal regimen for administration whether continuous or single shot is yet undefined. We prospectively randomized 90 patients in continuous and single shot adductor canal blockade groups. Postoperative VAS (visual analog scale for pain) score was significantly better at all times in continuous than single shot technique (P<0.001). However, ambulation ability (Timed Up & Go, 10m walk, 30s chair) and early functional recovery (active SLR, ambulation with walker, staircase competency, ambulation distance and maximal flexion at discharge) showed no statistical significant difference. Continuous adductor canal blockade was superior to single shot block in terms of pain control but was similar for early functional recovery.
To analyze the clinical and radiologic outcomes of arthroscopic cyst decompression and labral repair in patients with inferior paralabral cysts with chronic shoulder pain.
Between March 2006 and September 2012, 16 patients who were identified as having inferior paralabral cysts presented with chronic shoulder pain. All patients underwent a thorough physical examination and preoperative magnetic resonance arthrographic evaluation. The mean age was 30 years (range, 17 to 50 years). The mean follow-up period was 38 months (range, 16 to 60 months). Clinical outcome scores (American Shoulder and Elbow Surgeons; University of California, Los Angeles; and Simple Shoulder Test) and passive shoulder range of motion were evaluated at last follow-up. Follow-up magnetic resonance imaging was performed at a mean of 8 months to determine the labral healing status and assess for cyst recurrence.
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