Consultant orthopaedic and trauma surgeon with a special interest in shoulder and elbow surgery, based at Mid Yorkshire Hospitals NHS Trust and providing private orthopaedic surgery in Leeds at the Spire and Nuffield private hospitals.
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Mr Balchandran Venkateswaran FRCS is a consultant orthopaedic shoulder and elbow surgeon at Longlands Consulting Rooms, Dewsbury, Spire Elland Hospital, West Yorkshire, Spire Leeds Hospitals, and Nuffield Health Leeds.
Mr Venkat started training in orthopaedics at Madras University in 1993, completing a masters degree in orthopaedics in 1996. He undertook further basic orthopaedic training in Yorkshire for 2 years, completing his FRCS in 1998. As a higher surgical trainee in Yorkshire Deanery from 1998 to 2004, he completed his FRCS in orthopaedics in 2002 and completed an acclaimed one-year fellowship in shoulder and elbow surgery at the Reading Shoulder Unit in 2004.
In May 2005, Mr Venkat set up a new shoulder arthroscopy and shoulder daycase surgery service in the NHS. As a clinical tutor he contributes greatly to the teaching of juniors and coordinates appraisals for all trainees. Mr Venkat is also on the Specialist Training Committee at Yorkshire Deanery.
Mr Venkat has taken part in a national trial on the treatment of rotator cuff disease and has been invited to write on shoulder injuries chapters in current orthopaedics. As Audit Lead he has led and co-ordinated multiple projects and regularly sets up the agenda and programme on audit mornings. Mr Venkat also runs a Yorkshire shoulder course every year for national orthopaedic trainees.
Research interests in shoulder surgery
Mr Venkat is interested in shoulder surgery, rotator cuff disease, shoulder pain, and instability. He has co-authored chapters in books on shoulder surgery and has written numerous publications and presentations on upper limb and general trauma. Mr Venkat also runs courses for orthopaedic trainees. Mr Venkat has published articles on the following topics:
- Arthroscopic Capsular Release for Posttraumatic Shoulder Stiffness
- In-vivo Rotator Cuff Blood Flow Measurement Using Laser Doppler Flowmetry
- A.O. Dynamic Condyle Screw in Proximal and Distal Femoral Fractures
- Age-Related Outcome in Carpal Tunnel Surgery
- Early Experience with the PlantTan Fixator Plate for 2 and 3 Part Fractures of the Proximal Humerus
- Extension of the Working Length of an Intramedullary Nail
- An easy Preoperative Method to Determine Tibial Intramedullary Nail Length
- Delayed Presentation of Tuberculosis of the Talo-navicular Joint: A Case Report.
- Irreducible Postero-lateral Dislocation of the Knee Joint with Fracture of the Lateral Condyle of the Femur - A Rare Case Presentation
- Vascular Injuries Complicating Fractures
- The Implications of Sagittal Malpositioning of the Stem in Cemented Charnley Total Hip Replacements
- Peripheral Paresthesia in Patients with Subacromial Impingement Syndrome
- Surgical Management of Proximal Humeral Fractures
- Management of Infections after Shoulder Arthroplasty
- Resurfacing Arthroplasty of the Shoulder
- Surgical Approaches for Instability Surgery of the Shoulder
Memberships and posts held
Private orthopaedic surgery and treatment
Mr Venkat provides treatments for complex shoulder problems, impingement, rotator cuff tears, arthritis, cuff tear arthropathy, acromioclavicular joint injuries, shoulder dislocations, frozen shoulders, and joint replacements of the shoulder and elbow. He is also interested in sports injuries of the shoulder and elbow.
Mr Venkat provides a one-stop clinic for patients and uses ultrasound as part of the diagnostic work-up. His services are complemented by the state-of-the-art radiology technology available at the above-mentioned hospitals.
Rotator cuff tear
The rotator cuff consists of four muscles and their tendons. These surround the ball of the shoulder joint. The muscles fine tune the movements of the shoulder joint and assist other large muscles in moving the arm. The tendons run under the acromion (part of the shoulder blade) where they are very vulnerable to being damaged. This can lead to a tear resulting in a painful, weak shoulder.
A rotator cuff repair involves stitching the torn tendon back onto its attachment to the arm bone (Humerus). It can be performed through keyhole surgery.
Arthritis and shoulder replacement
The shoulder is a ball and socket joint with a large range of movement. Usually when severe arthritis (wear of the bearing surfaces of the joint) affects the joint surfaces the shoulder becomes painful and difficult to move with stiffness, crepitus and significant night pain.
Treatment of this condition involves the replacement of the damaged surface of the ball of the joint. This type of shoulder replacement is called "the Copeland Shoulder".
Stiff or frozen shoulder
A shoulder becomes frozen when the soft tissues around the joint become tight and short. It is of uncertain aetiology and can be more common in diabetics. It can occur after trauma or surgery when it is known simply as post-traumatic stiff shoulder. The scarring prevents the shoulder from moving and leads to the pain and stiffness.
Shoulder dislocations and instability
The shoulder joint is designed to give a large amount of movement. Therefore support from the ligaments and muscles is essential. The cartilage which deepens the socket can be torn with a dislocation and the ligaments can be torn or stretched. Treatment usually includes physiotherapy but in younger patients an operation is usually necessary. Operations involve repairing the over-stretched or torn ligaments and cartilage deep around the shoulder joint. If suitable, the surgeon may perform Arthroscopic (Keyhole) Stabilisation.
Elbow surgery
In the elbow he offers treatments like arthrocopy of the elbow, elbow replacement and other open surgeries. He treats conditions of elbow pain, elbow stiffness, arthritis and elbow instability.
Where can I get treatment?
Contact details
Spire Elland Hospital
Elland Lane
Elland
West Yorkshire
HX5 9EB
Tel: 01422 324 083
Fax: 0800 1388 804
Email: spire.elland@nhs.net
Website: www.shouldersurgery.org.uk
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