§ The casebook

Cases are the evidence.

A plain-language casebook of the kind of orthopaedic problems Dr. Vikram treats — written for patients and families, not for doctors.

An honest note. Documented cases are shown only with the patient’s consent, with all identifying details removed. Cases marked “representative example” illustrate the kind of condition and care offered — they do not depict a specific patient and will be replaced by documented cases over time.

10 cases shown.

X-ray of a healed elbow with the joint rebuilt and plates holding the bone, the arm restored to a near-full range of movement.BeforeAfterDocumented case

Complex trauma reconstruction

A shattered elbow, rebuilt.

An elbow broken into several pieces in a fall, pieced back together with precision plating. Within about ten weeks the arm could bend and straighten almost fully again.

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Close view of a person climbing a flight of stairs, the kind of everyday movement a comfortable knee allows.Representative example

Knee replacement

A worn-out knee, replaced.

When arthritis wears a knee down to bone on bone, a knee replacement can take the pain away and make walking comfortable again.

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Two surgeons at work in an operating theatre, representing the care taken during a hip replacement.Representative example

Hip replacement

A new hip, a new stride.

A worn or collapsed hip can be replaced so that movement becomes smooth and pain-free, and a normal stride returns.

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A pack of road cyclists racing together, representing a return to active sport after injury.Representative example

Sports injury · keyhole surgery

Back on the field.

A knee ligament torn in sport can be rebuilt through keyhole surgery, helping an active person return to the activities they love.

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An X-ray film of a limb on a viewing screen, representing the imaging used to plan a fracture repair.Representative example

Trauma care

A complex leg fracture, realigned.

A badly broken leg bone can be set straight and held firmly in place, so it heals in proper alignment.

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Hands lifting dumbbells from a rack, representing the strength and reach restored after a shoulder repair.Representative example

Shoulder · keyhole surgery

A torn shoulder, repaired.

A tear in the muscles around the shoulder can be repaired through keyhole surgery, helping strength and reach return.

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A clinician studying scan films on a backlit panel, representing the careful planning behind realigning a limb.Representative example

Deformity correction

A bent limb, straightened.

A limb that is bent, twisted or unequal in length can be carefully realigned so that it works and bears weight properly.

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A surgical team working beneath theatre lights, representing the care taken in spine treatment.Representative example

Spine care

Relief from back and leg pain.

When a nerve in the spine is pinched, pain can travel down a leg and disturb walking and sleep. Easing the pressure can bring relief.

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A person doing a guided floor exercise on a mat, representing physiotherapy for managing joint wear.Representative example

Joint preservation

Easing arthritis without surgery.

When surgery can wait, arthritis is often managed with physiotherapy, medication, injections and joint-preserving care.

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People exercising on mats in a bright open studio, representing active, healthy movement after a child's recovery.Representative example

Children's orthopaedics

A child's fracture, healed straight.

A child's broken bone is treated with their growth in mind, so it heals straight and continues to develop normally.

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