Vol 10 | Issue 2 | July-December 2025 – Journal of Clinical Orthopaedics

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Bombay Orthopaedic Society: The Past, The Present & The Future

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.750

Open Access License: CC BY-NC 4.0

Submitted Date: 17 Sep 2025, Review Date: 12 Oct 2025, Accepted Date: 19 Nov 2025 & Published Date: 10 Dec 2025

Author: Gautam Zaveri [1]

[1] Department of Orthopaedic, Bombay Orthopaedic Society, Mumbai, Maharashtra, India

Address of Correspondence

Dr. Gautam Zaveri1
Department of Orthopaedic, Bombay Orthopaedic Society, Mumbai, Maharashtra, India
Email: gautamzaveri1969@gmail.com

Bombay Orthopaedic Society (BOS): The Past, the Present, and the Future
It is with immense pride that I pen this message on the Diamond Jubilee of the BOS. BOS has been more than just an academic society. It has been an institution that has shaped the lives of scores of orthopedic surgeons across India and beyond. Sixty years is not simply a measure of time but a celebration of an enduring journey built on shared vision, dedication, and fraternity.
As I look back on the journey of BOS, I am filled with admiration for all those who came before us – every President, every Secretary, and every member have contributed to this remarkable story. I am grateful to our past leaders for their wisdom, to my colleagues for their support, and to our younger members for their enthusiasm. The BOS story is not just about the evolution of an organization; it is about the evolution of orthopedic excellence in India.

The Past – “Our Founders Lit the Flame. Our Mentors Nurtured It”
The story of BOS began with a simple yet powerful idea that orthopedic surgeons in Mumbai needed a common platform to share knowledge, exchange ideas, and collectively raise the standards of orthopedic care. In 1965, a handful of visionary orthopedicians came together to form the BOS, the first exclusive and independent orthopedic society in India. Dr R J Katrak was nominated as the first President, Dr LN Vora the Secretary, and Dr (Miss) P K Mullapheroze and Dr K S Masalawalla as Executive Committee members.
In the early years, the BOS meetings were simple, held in hospital auditoriums where cases were discussed with enthusiasm and intellectual honesty. The emphasis was always on sharing knowledge and learning from each other`s experiences. Over time, these meetings evolved into structured academic events, each one contributing to the culture of lifelong learning that defines us even today.
Buoyed by the success of the clinical meetings and the interest they generated, the new society resolved to host an annual conference. Thus, in November 1966 was born – the Western India Regional Orthopaedic Conference (WIROC). What began as a small meeting of regional orthopods soon became a beacon of academic excellence, attracting surgeons from across India and even neighboring nations.
The BOS courses, master series, journal, and clinical fellowships were born out of the same commitment to share and grow together.

The Present- “A Synthesis of Tradition and Transformation”
Six decades later, the BOS stands as a shining symbol of what collaboration, vision, and commitment can achieve. What started as a handful of enthusiasts has grown into a family of over 3700 members, united by a shared commitment to excellence. Our calendar is filled with activities – from Clinical Meetings and Master Series, to Hands-on Courses, Fellowship Programs, and WIROC. Each program is meticulously designed to advance knowledge and skills.
Under the banner of “BOS Worldwide – sharing knowledge, expertise, and experience,” our Society has expanded its horizons beyond geographical boundaries. Through monthly BOS Worldwide webinars, we have forged academic partnerships with orthopedic societies and institutions across the globe. These virtual interactions bring world-renowned experts into the homes and operating rooms of our members, creating a truly global classroom where knowledge knows no borders.
Our commitment to democratizing learning within India is reflected in the BOS Outreach Programs, monthly academic initiatives conducted in tier-2 cities across the country. These programs take the BOS ethos beyond metropolitan boundaries, empowering surgeons in smaller towns with access to the same high-quality education and mentorship that BOS members in Mumbai enjoy. This is BOS’s way of giving back – strengthening orthopedics across India, one city at a time.
The Live Surgery Symposia, broadcast simultaneously to over 20 cities across India, are another milestone in our mission to make advanced surgical education accessible to all. These live telecasts bridge the gap between the operating theater and the classroom, allowing hundreds of orthopedic surgeons to witness techniques and innovations in real time.
Recognizing the evolving needs of modern orthopedic education, we have also restructured the BOS courses into a comprehensive 7-day format. This new structure provides focused, immersive, and hands-on learning in key subspecialties, ensuring participants gain both theoretical insight and practical competence.
The BOS MasterSeries Monographs are a unique initiative by the BOS to bring together focused, evidence-based insights on topics of day-to-day relevance to the practicing orthopedic surgeon. The subjects chosen – giant cell tumors of bone, pediatric elbow fractures, tibial condyle fractures, osteoarthritis of the knee, and failed fracture fixation – represent areas where clinical decisions are often challenging and evolving. Each monograph consolidates current concepts, practical approaches, and recent advances, serving as a ready reference that bridges the gap between theory and practice.
What makes BOS truly special is not just the scale of its activities but the spirit that underlies them – a spirit of mentorship, openness, and fraternity. Our senior members continue to guide with generosity, while the younger generation brings energy and innovation. Together, they create a continuum of learning that keeps BOS alive and relevant.

The Future – “Inspire, Innovate, and Illuminate for the Next Sixty Years and Beyond !!”
As we celebrate 60 glorious years, it is natural to ask, “Where do we go from here?”
In the years to come, BOS must continue to be more than an academic society – it must remain a movement that shapes the future of orthopedics in India and contributes meaningfully to the global orthopedic fraternity.
The world of medicine is evolving at a pace never seen before. Artificial intelligence, robotics, 3D printing, regenerative medicine, and data-driven healthcare are transforming how we diagnose and treat. The future BOS must be ready not only to adapt to these changes but also to lead them with wisdom and responsibility.
Our vision for the coming decades must include:
1. A stronger emphasis on research and innovation – if we are to remain academic leaders, engaging in meaningful research and exploring impactful ideas is vital. Setting up the BOS Research Cell is a step in that direction
2. Strengthening the BOS brand – BOS has gained fame for its excellence in academics. The BOS Master Series Monographs are aimed at further strengthening that reputation. BOS must deliver innovative in-person and virtual academic programs that would be unique to BOS, aided by the excellence within its membership and its legacy of education
3. National collaboration – continuing and strengthening the BOS Outreach Programs and the BOS Live Surgery Symposia through partnerships with city, state, and national orthopedic chapters
4. Global collaboration – expanding the BOS Worldwide Webinars initiative into structured academic alliances, joint research projects, and exchange fellowships with leading orthopedic institutions around the world
5. Community engagement – strengthening our engagement with society by promoting bone and joint health, injury prevention, and rehabilitation awareness among the public
6. A commitment to ethical and evidence-based practice – as technology advances, we must remain anchored in the timeless values of ethical practice, compassion, and patient-centered care.

Reflections- “A Small Idea that Became a Tradition, and a Tradition that Grew to Become a Legacy”
Serving as President during this Diamond Jubilee year is both an honor and a responsibility. I am deeply conscious that we are merely custodians of a legacy – entrusted to preserve its values and pass it on richer and stronger to the next generation.
As we move from Diamond to Platinum and thence to Centenary, technology may change the way we work, but let us remain anchored to the timeless principles that have guided medicine across millennia – to heal, to teach, and to serve. Let BOS continue to shine not merely as an academic society but also as a symbol of excellence and ethical leadership in orthopedics.
To our younger members, I say, “BOS is your platform, your home, and your future. Participate actively, share generously, and uphold the traditions of academic integrity and mutual respect that define our Society. The Society is yours to shape – your ideas, your energy, and your leadership will define its future.”

Acknowledgment
I am grateful to my colleagues on the Executive Committee, our academic coordinators, mentors, and the entire BOS fraternity for their unwavering support and enthusiasm. The strength of BOS lies in its collective spirit – in the energy of its youth, the wisdom of its seniors, and the camaraderie that binds us all.

Long live the Bombay Orthopaedic Society !!

Dr. Gautam Zaveri
President, Bombay Orthopaedic Society
2025–2026.

How to Cite this Article: Zaveri G. Bombay Orthopaedic Society: The Past, The Present & The Future. Journal of Clinical Orthopaedics. July-December 2025;10(2):1-3.

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IOACON 2005

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.760

Open Access License: CC BY-NC 4.0

Submitted Date: 6 Oct 2025, Review Date: 2 Nov 2025, Accepted Date: 11 Nov 2025 & Published Date: 10 Dec 2025

Author: Ram Prabhoo [1]

[1] Department of Orthopaedics, Mukund Hospital, Andheri East, Mumbai, Maharashtra, India

Address of Correspondence

Dr. Ram Prabhoo
Department of Orthopaedics, Mukund Hospital, Andheri East, Mumbai, Maharashtra, India
Email: aprabhoo@gmail.com

I had a dream!
Ignited by none other than Dr. LN Vora and his team. They were conducting the Silver Jubilee meeting of the Indian Orthopedic Association (IOA), way back in 1980. I was a resident. All of Bombay Orthopedic Society (BOS) was spurred into action. They came together as one. Dr. NS Laud and Dr. AJ Thakur among many others who were a part of that team inspired me. That conference was mesmerizing. It was difficult and laborious in those days to pull off such a huge meeting. Mail was sent by India Post. Phones were landlines and it was difficult to get trunk calls across states and more so, across countries. Since the term event manager was unknown, we, the juniors, did all the grunt work. Physically writing everything, packing bags, sticking envelopes, typing addresses on trusted old Brother typewriters. It was consuming. Finally, the Silver Jubilee conference unfolded in the Ballroom of the Taj Mahal Hotel. It was grand and none before was as glittering and informative.
When all the excitement settled, I mentioned to my boss (LNV) that I would also like to conduct the IOACON someday. His reply planted my dream. He asked me why do you want to do a simple annual meeting? Do the Golden Jubilee meeting! He had foreseen the future. He advised me to start my planning 5 years before the actual event.
The rules of the IOA changed over time. BOS no longer could hold the meeting on its own. IOA had state chapters and only these Chapters could bid to conduct the meeting. Our first step was to liaise with Maharashtra Orthopedic Association (MOA) and request them to bid for the meeting to be conducted in Mumbai, which city, at that time, was the only one capable of handling such a large meeting. The bidding was done at the Chennai Conference. Dr. NS Laud pitched our bid from the stage. One of our supporters had a flight to catch. He was on his way to the airport when someone called him and pleaded for him to return and vote. He did. We won! By one vote!
The Golden Jubilee meeting was ours. We now had to accommodate not only the WIROC, but also the MOA Conference of that year within the golden Jubilee meeting. That had been decided by the two associations and agreed upon. Imagine handling three associations needs all at once!
Every position in the organizing team would have one member from the BOS and one from MOA. Joint meetings were held- halfway to Pune. We car-pooled and drove to the outskirts of Pune. Café Sadanand on the Highway afforded us the venue. Dr. KH Sancheti came with the MOA team. A game of intense chess unfolded. Pawns were forwarded, backed by rooks and horses. Kings were paraded and knights were initiated, while the Queens ruled! Willing teams were created and the two forces retreated to their pavilions! Fourteen such meetings were conducted. Many of these at the Prabhoo residence which conveniently had the large living room divided into three comfortable exclusive areas and left the dining table for the planners of the women’s program. It was usual to see Meena Prabhoo in deep discussions with Dr. Meera Joshi, Dr. Noella Antao, Dr. Ela Shah, Dr. Bindu Chaddha, and Dr. Sujatha Warrier at the dinning table. In one of the three alcoves, the scientific team headed by Dr. NS Laud ably assisted by Dr. Tanna, Dr. MN Shahane, CJ Thakkar, GS Kulkarni, and SS Babhulkar were headbanging while in the other Rajesh Gandhi, NR Rathod and PD Shah discussed the gastronomic details. In the third, there would be a heated discussion about security and volunteers headed by PD Samant… and so on. Over 200 senior and prominent members from BOS and MOA were roped in to form a never before team of 26 committees, to put together this magnum opus.
The venue had to be large. The Renaissance Hotel (now Westin, Powai) was the only place capable of handling anything of that magnitude. And even that was falling short. Across from it, behind the vendors entrance to the Renaissance was the modest Residence Hotel. Together now, we had the space to host almost 10000 guests. We also had eight halls. But the problem was the distance. By road, it would be a kilometer between the two venues. After discussions and parleying, it was decided to approach the Municipal Commissioner, Johny Joseph to allow a temporary bridge across the two main overland water supply pipes that separated our venues. Despite 20 permissions being sought, it did not seem to be happening. Dr. Laud’s good offices and the intervention of Mr. Josephs brother-in-law, PS John, an orthopedic surgeon from Kerala, saw this otherwise impossible bridge materialize! Now, the walking distance between the two venues was less than two minutes!
The response from the IOA members was fantastic, the industry began reciprocating this response with the same enthusiasm. We were in a good place, until the skies opened up and it rained. Our nerve center was an office in the basement of the compound of Mukund Hospital. On July 26th, it began raining. And, it did not stop until the whole of Mumbai was flooded. The water got into our office and we watched helplessly as the computers and all they contained remained submerged, as did the city, for 3 full days. Our event manager, Makarand Desai and his right hand man, Sachin, were very thorough. I had insisted that they keep back-ups for everything on the computers. It was this meticulousness that saved us from the wrath of the clouds. Today, cloud computing has taken on a new meaning!
We re-grouped with renewed vigor. Sudhir Warrier and Sangeet Gawhale “volunteered” to help. They came to Mukund Hospital after their days work. Byte by byte, each bit of information was restored onto new computers. They toiled until 3 am each day. The final program began taking shape. They weeded out duplicates and overlapping sessions. We were back on track.
Organizing a conference was instinctive. We had all done it over the years. This one was different! There were 2000 spouses and 800 children to be catered too! That was much larger than the garden variety of entire conferences that we used to conduct! Vehicles were scrambled, venues organized. Even Mr. Amitabh Bachchan pitched in. He agreed to my request to have the audience and participants from our group for 7 days in Kaun Banega Crorepati. It’s unfortunate that this did not materialize as he fell ill and the shooting had to be postponed. The response to everything planned was overwhelming. We had to make 12 trips to Elephanta Caves, innumerable trips to famous retail outlets and malls, including Amarsons, thanks to Taral Nagda. Sanjeev Kapoor, the celebrity chef and a dear friend, was planning every meal with our team and the hotel chef. He also conducted a houseful, live cooking program. A make-over program for women, children’s programs for over 800 children, and many more activities were very well received. Closer to the date, the venue preparations began. Ram Chaddha and Manhar Shah oversaw this aspect. They teamed up with the contractor’s managers whom we nicknamed Bunty and Bubbly!
Come Christmas Day 2005, we ran 13 Pre-conference Workshops. This was followed on the 26 December, by 30 Instructional Course Lectures, spread out in 8 halls. The Continuing Medical Education (CME) program, presently named the KT Dholakia CME, followed the next day. The theme chosen was “The Impact of Recent Advances in Orthopedic Technology in the Indian Context”.
The festive mood of the welcome ceremony was captured by the Police band, replete with tutari’s and the traditional Lezhim dance. A Postal 1st Day Cover was released to commemorate the occasion. The sessions began and continued in full swing over the next 3 days. No hitches. Over 200 medical students and interns volunteered to ensure that each hall was well looked after. The Reliance CDMA phones with 30 of the core organizers ensured perfect co-ordination. A brief computer shut down was easily countered by a smooth transition to the old paper-and-chart fall back prepared by Sangeet and Sudhir. Thakur Complex, as we fondly called the audio-visual preview room was strictly monitored by AJ Thakur and his team. The Women’s Wing of the IOA was inaugurated by Margareta Berg-Perrier from Sweden and Dr. KV Chaubal. Cleverly woven into the framework of scientific deliberations were important and educative non-orthopedic sessions by well-known celebrities including Baman Irani, Harsha Bhogle, Shiv Khera, and others.
To balance the intense scientific interaction and knowledge transfer within the halls, we had planned a fantastic entertainment program. There were on-site and off-site programs. We organized the first Orthopedic Indian Idol program which was headed by DD Shah and his team. Eight Marathi plays and a Kishore Kumar Nite were staged at a nearby auditorium. An excellent performance by children from the Spastic Society highlighted one evening. One night, there was minor issue of some delegates objecting to Night Club style rubber stamping on the wrist for controlling entry into the night program. This was effectively handled by NS Laud. The final blockbuster was the Sonu Nigam Bollywood Night. Tight security and tense anxious and eager waiting suddenly exploded with Sonu’s band breaking into a popular number… Sonu delighted the swaying crowds late into the night. PD Samant and his team kept a strict vigil on gate crashers and trouble makers. Some young delegates made color xerox copies of the invitations and tried to enter. They were stopped effectively by Samir Dalvie, Sangeet Gawhale, and Anant Joshi. Bollywood Night was an unqualified success!
Usually, on the last day, less than a third of the delegates remain for lunch. Most would travel back home. This is the trend we noted from previous organizers of IOACON. Accordingly, we had organized lesser food on the 30th. To our utter surprise, only a third of our delegates had returned home. We had more delegates than there was food! Anant Joshi and Rajesh Gandhi stemmed the restless crowds while Sudhir Warrier and Gagan, the banquet manager, rushed to the kitchen to rustle up simple but abundant fare from whatever was available. The shelves of the confectionary were swept onto trolleys and rushed out as sweet-dishes! Some delegates were transported to Hotel Residence where Manhar Shah had espied large reserves of food, ready to be served. The day was saved.
The IOA Anthem was penned and directed by VT Ingalhalikar. A clutch of members had auditioned and practiced to join him on stage. It was warmly appreciated. During the course of the meeting, over 60000 dishes were eventually served to the satisfaction of all. Alcohol worth 48 lakhs were consumed. This aspect had to be under the charge of Rajvir Chinoy. Gifts and Crystal mementoes worth 25 lakhs were organized by Lakshman Kamath. Over 50,000 photographs were taken and archived. Despite all the seeming extravagance, we were proud to present the IOA a profit of a crore of rupees. Partnering with the industry and involving them in our mission has strengthened our ties.
It was a conference like none before. It needed for all of us to come together with a united purpose and a strong will to make it a special one. I am extremely happy to report that the combined and unstinted efforts of every member of the Bombay Orthopedic Society, this meeting is still recalled as a landmark one. Just like my mind was ignited in 1980, I do hope we managed to stimulate some young orthopod to dream. The Platinum Jubilee is just around the bend!

This is joint compilation of
Dr. Ram Prabhoo and Dr. Sudhir Warrior

How to Cite this Article: Prabhoo R. IOACON 2005. Journal of Clinical Orthopaedics. July-December 2025;10(2):18-20

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Bombay Orthopaedic Society Hosts the Silver Jubilee Conference of IOA September 1980

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.758

Open Access License: CC BY-NC 4.0

Submitted Date: 25 July 2025, Review Date: 19 Aug 2025, Accepted Date: 21 Sep 2025 & Published Date: 10 Dec 2025

Author: Anand Thakur [1, 2]

[1] Irla Nursing Home, 189 S V road, Irla, Vile Parle West, Mumbai, Maharashtra, India.
[2] Formerly Hon. Orthopaedic surgeon, Cooper Hospital, Juhu, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Anand Thakur,
Formerly Hon. Orthopaedic surgeon, Cooper Hospital, Juhu.Mumbai
Irla Nursing Home, 189 S V road, Irla, Vile Parle West, Mumbai, Maharashtra, India.
Email: thakurajt@gmail.com

The annual meeting of the Indian Orthopedic Association used to be a low-key affair. At the AGM, a few wise heads would come together and select a venue and a person to conduct the conference. There were only a handful of regional associations, and there was no clamour for or competition to hold the meeting. The chosen person would arrange the meeting more as a duty towards the association. Although 7 Bombay Orthopedic Society (BOS) members had been presidents of the association, no one initiated holding a meeting in Mumbai. During their 24th AGM, it was L V Vora who engineered an invitation to hold the meeting in Mumbai and he and only he was entrusted with the responsibility
L N Vora was a planner par excellence. Within days of given the responsibility, he had everything on the paper — venu, delegate accommodation, transport, academics, entertainment and plan for winding up as well. He decided to have a committee of 6 only to help him. Down the line, mainly as friendly democratic gesture, he invited suggestions from the BOS members; he received only one detailed, well-drafted suggestion to raise the standards of audiovisual presentations. In orthopedic conferences before the Silver Jubilee, the audio-visual aspect of the presentation was an abysmal affair. The majority of the presenters were aware that there were seven incorrect ways of projecting a photographic slide; they experimented with each one before arriving at the correct one (Fig.1).

Figure 1: Only 1 correct way to project a cardboard-mount photographic lantern slide.

The slide backgrounds were a meaningless selection of colors, the text appeared in all sorts of confusing fonts and layouts, and the hapless audience was driven to somnolence sheerly because of the inability to correlate the talk with the screen view. The lone suggestion detailed a plan to make smart slides for the delegates at the committee’s expense inducing excellence in the meeting, detailed a blueprint on how to create professional looking slides for the delegates, how to store them before and after the conference, how to load the slides in carousels, preview them with the speaker standing by, transporting the carrousels to the two halls, and ensure that the slides appeared accurately during the entire proceedings (Fig.2). The plan was so novel, so scientifically organized, and effective that the committee decided to include the proposer in the committee, bringing number of the members to a magical 7 (Fig.3).

Figure 2: Four pillars of a successful projection plan. (a) A red dot over each slide indicates the correct placement of the slide in the carousel tray. (b) Specially designed plastic wallets to store each speaker’s slides during the conference and securely return all their slides. (c) Carrousel-type photographic slide projectors, a bulwark of the projection plan. (d) One tray for one talk, loaded, tested in the preview room, transported to the meeting hall and returned to the preview room to be loaded in the special plastic folder and kept ready to hand over to the speaker, within minutes. One tray could hold up to 80 lantern slides.

Figure 3: M7 organizing committee for Silver Jubilee Conference of Indian Orthopedic Association. From left to right: Anand J Thakur, K V Chaubal, N S Laud, L N Vora, J C N Joshipura, M N Shahane, C G Pradhan.

The BOS held the IOA silver jubilee conference at the iconic Taj Mahal Palace Hotel, Apollo Bundar, near the Gateway of India. The hotel features two major halls and several side rooms. The anticipated number of participants was an all-time high of 900. The Taj had never handled anything on this scale before. The establishment took the matter in the proper perspective, and the entire top management provided the committee in-depth help at every stage to ensure its success. The inauguration was held at the TIFR auditorium, which has a capacity of 1,200 seats. G D. Birla was the chief guest and inaugurated the proceedings. The entire conference ran like clockwork. The CME featured speakers such as Morris Muller of AO, Merle D’ Aubine, the French colossus, and Wroblesky, from Writington, W J W Sharrad, pediatric orthopedician from UK, and C S Ranawat from New York, to name a few.
Each session started and finished on time. Those who overshot found that the slides would not work beyond the slotted hour. The conference featured 140 presentations, each with on an average, 10 slides. As mentioned earlier, there were seven opportunities to project a slide incorrectly, that is, 1400 × 7 opportunities to bungle the show; however, there was not a single mistake in projection because each speaker loaded his slides correctly and checked the projection in the preview room. Each chairperson of the session received tips on how to conduct a session with full details of hall arrangement including slide projection, time maintenance and light dimming controls. Each hall had reporters and hall in-charges to handle questions and address issues. After a hard day’s work, the delegates enjoyed a Bombay harbor cruise accompanied by a band, along with high-quality food and beverages (Fig. 4, Fig. 5 and Fig.6).

Figure 4: Harbor cruise. Delegates seated to enjoy a song and dance show.

Figure 5: Revellers on board. From left to right: K V Chaubal, N S Laud, Manda Chaubal, Anand J Thakur, Ashok Maniar.

Figure 6: W J W Sharrad, pediatric orthopedic surgeon and Edourad van der Elst, treasurer of SICOT in deep conversation on the cruise. Far right, in profile, P H Vora.

The silver jubilee conference dinner was a sit-down, full-service affair (Fig. 7, Fig, 8 and Fig. 9). Most of the guests were immaculately dressed and were served by a team of liveried waiters in the legendary Taj style. On a separate day, BOS hosted a sit-down dinner for the SICOT executive committee. On the last evening at the venue, after the conference was over, there was special soiree to recognize efforts put in by the spouses of the managing committee members (Fig.10 and Fig. 11)

Figure 7: High table at IOA Silver Jubilee Dinner. From left to right: Dr. K P Shrivastav, IOA president, K T Dholakia SICOT president, Mrs Shrivastav, Robert Merle d’Aubigné making a post-dinner speech.

Figure 8: IOA Silver jubilee celebratory dinner. From left to right: Shubha Laud, N S Laud, Urmila Thakur, Anand J Thakur, Tara RamaRao, W G Rama Rao.

Figure 9: The other row: From left to right: L N Vora, Mrs Mehta, M T Mehta, Bindu Vora, M N Shahane; opposite row, left to right: JCN Joshipura, Mrs Desai, P M Desai, Manda Chaubal, K V Chaubal.

Figure 10: Post conference relaxation for organizing families. The wife’s of the committee members participated full-time in running the silver jubilee conference by supervising several important social functions with a gentle touch that male orthopedic surgeons do not have. Left to right: L N Vora, Bindu Vora, JCN Joshipura, Urmila Thakur, K T Dholakia

Figure 11: From Left to right: Mrs Joshipura, Mrs Shahane, Dr. Mrs. Manik Pradhan, Shubha Laud, Manda Chaubal, Bindu Vora, Urmila Thakur

Each delegate received a silver coin specially struck for the occasion (Fig.12). The valedictory function was one to remember as free beer was served (Fig.13).

Figure 12: Limited edition IOA Silver Jubilee commemorative gold coin awarded to the members of M-7 organizing team for 25th annual conference of IOA, held at Mumbai from 25 to 28 September 1980.

Figure 13: Valedictory function was a happy occasion. From left to right: Sushil K Sabnis, C T Shah, R M Bhansali, Ashit Rao.

The impact of the conference on scientific presentation standards and organizing a large conference was enormous. It raised the standard of Indian orthopedic meetings to an International standard, which has continued to date. The management of Taj Hotel was so pleased with the conduct of the conference that after a couple of weeks, they hosted the organizing committee of 7.

How to Cite this Article: Thakur Anand J. Bombay Orthopaedic Society Hosts the Silver Jubilee Conference of IOA September 1980. Journal of Clinical Orthopaedics. July-December 2025;10(2):14-17.

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WIROC Grande 2015: A Landmark in Orthopedic Academic Tradition

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.762

Open Access License: CC BY-NC 4.0

Submitted Date: 22 Aug 2025, Review Date: 29 Aug 2025, Accepted Date: 5 Sep 2025 & Published Date: 10 Dec 2025

Author: Swapnil M Keny [1], Sandeep Sonone [2], Ram Chaddha [3]

[1] Department of Orthopaedics, Reliance Foundation Sir H.N.Hospital, Mumbai, Maharashtra, India,
[2] Department of Orthopaedics, King Edward Memorial Hospital & Seth G.S.Medical College, Mumbai, Maharashtra, India,
[3] Department of Orthopaedics, Lilavati Hospital & Research Centre, Mumbai, Maharashtra, India.

Address of Correspondence

Dr. Swapnil M Keny,
Department of Orthopaedics, Reliance Foundation Sir H.N.Hospital, Mumbai, Maharashtra, India
E-mail: peadortho@gmail.com

Abstract
WIROC Grande 2015, celebrating the Golden Jubilee of the Bombay Orthopaedic Society, transformed adversity into distinction. With academic excellence as its compass and heritage as its soul, the conference blended tradition with innovation, discipline with imagination, and scholarship with celebration;emerging as a defining moment in Indian orthopaedics and a beacon for future generations.
Keywords: WIROC Grande 2015, Bombay Orthopaedic Society, Orthopaedic conference, Academic leadership, Professional society, Innovation in medical education, Conference planning, Institutional legacy

Figure 1: “Photograph of the century.”

Figure 2: Legends of Indian orthopedics.

Introduction
The year 2015 was a defining milestone for the Bombay orthopedic society (BOS). Celebrating its Golden Jubilee, the Society found itself at a crossroads between honoring a rich heritage and laying the foundation for future growth. What emerged was Western India Regional Orthopedic Conference (WIROC) Grande 2015, a conference that sought to be more than an annual gathering – it was conceived as a commemorative event blending academic rigor, organizational innovation, and cultural reflection.
This editorial reflects on the planning, execution, and impact of WIROC Grande 2015. While the details are anchored in one particular event, the underlying principles resonate with broader lessons for professional societies engaged in academic pursuits.

From Setback to Vision
The BOS had initially aspired to host IOACON 2015, aligning its Golden Jubilee with the Diamond Jubilee of the Indian Orthopedic Association. A well-prepared bid was presented at IOACON 2013 in Agra. Despite strong advocacy from the Maharashtra Orthopedic Association and BOS, the hosting rights went to Jaipur, under the leadership of Prof. R.C. Meena. The Jaipur IOACON was a success in its own right, but for BOS, this moment of disappointment became a catalyst.
Rather than retreat, the leadership resolved to transform WIROC 2015 into an event of national significance – one that would not only commemorate 50 years of BOS but also assert the strength of Indian orthopedics on its own terms.

Strategic Planning and Logistical Choices
The decision-making process that followed reflected both pragmatism and vision. Key features included:
• Duration and Format: A 3-day program, breaking from the convention of two-and-a-half days, allowed for greater depth and balance between subspecialties.
• Dates: Choosing the Christmas weekend was deliberate, despite concerns about limited international participation. The organizers believed that Indian faculty possessed not only the expertise but also the contextual relevance to address the challenges most pertinent to Indian orthopedic practice.
• Venue: After extensive deliberation, the JW Marriott, Sahar, Mumbai, was chosen. Its ability to combine academic facilities with state-of-the-art hospitality made it suitable for a large and diverse delegate pool.
• Industry engagement: A dedicated trade area with integrated catering facilities ensured that academic sessions remained undisturbed while still allowing strong interaction between delegates and trade partners.
Technological advances were also central. The audience response system (ARS) was deployed on an unprecedented scale, enhancing interactivity. In addition, a live, continuously updatable conference app provided delegates with schedules, menus, session alerts, and the possibility of engaging directly with faculty, a leap forward from static HTML-based platforms.

The Academic Core
The hallmark of WIROC Grande 2015 was its academic program. The Scientific Committee was committed to offering breadth, depth, and balance:
• While trauma was the central theme, equitable representation was given to arthroplasty, arthroscopy, spine, pediatrics, oncology, and hand surgery.
• Three parallel non-plenary sessions each afternoon allowed delegates to pursue areas of personal interest without diluting the collective quality.
• A deliberate effort was made to ensure that senior faculty led early morning symposia, beginning at 8 a.m., on clinically pressing issues. The enthusiastic response, with halls filled even before the sessions began, underscored that high-quality content delivered with discipline could engage both young trainees and senior practitioners.
Timekeeping was treated with utmost seriousness. A strict cutoff policy was put in place for speakers exceeding allotted time, a measure rarely enforced in Indian meetings but vital for maintaining the integrity of the scientific program.

Blending Heritage with Innovation
Beyond academics, WIROC Grande 2015 celebrated the traditions of BOS:
• The inauguration avoided symbolic rituals and instead placed all living Past Presidents on stage alongside the 2015–2016 Executive Council. This visual statement honored the continuum of leadership
• The release of “Legends and Legacies,” a meticulously compiled coffee-table book chronicling the lives of past presidents, ensured that the society’s institutional memory was preserved for posterity
• A group photograph of past presidents, described as the “Photograph of the Century,” visually captured five decades of commitment.
Complementing this heritage was innovative academic formats:
• The Master’s Cut showcased edited surgical videos by leading BOS surgeons, requiring months of preparation but offering delegates an unparalleled educational resource
• Mind over Matter, an impromptu dialog between radiologists and orthopedic surgeons, highlighted the power of interdisciplinary exchange
• Prudence and Jurisprudence addressed medico-legal responsibilities in orthopedics, enriched by ARS-driven interactive case scenarios
• Rise and Shine, an unconventional session on grooming, fitness, and communication skills, demonstrated that professional success extends beyond surgical skill
• Art, Science and Commerce of a Successful Surgical Practice explored self-marketing, legacy building, and clinical management – themes rarely addressed in traditional conferences.
The Presidential Guest Lecture, spiritual in tone and profound in delivery, stood apart as a moment of reflection that transcended the usual academic discourse.

Figure 3: Bombay orthopedic society past presidents dinner –December 9th, 2015.

Figure 4: Western India Regional Orthopedic Conference Grande – The Team.

Lessons in Teamwork and Leadership
Behind the scenes, WIROC Grande 2015 was as much about process as product. Three categories of contributors were crucial:
1. Young volunteers – energetic, innovative, and willing to experiment
2. Experienced organizers – familiar with the mechanics of conferences and able to anticipate challenges
3. Senior mentors – whose wisdom and steady guidance anchored the event.
The collaboration of these groups created a “chain reaction” that propelled the event forward. This blend of energy, experience, and mentorship remains a valuable model for future conferences.

Reflections and Broader Implications
It is tempting for organizers to measure success in numbers – of delegates, faculty, or trade partners. While WIROC Grande 2015 scored highly on all these metrics, its deeper achievement was more qualitative:
• It demonstrated that Indian orthopedic faculty is capable of delivering academic excellence without over-reliance on international presence
• It proved that discipline in time and structure enhances scientific credibility
• It reaffirmed that conferences are not just platforms for knowledge transfer but also occasions to celebrate institutional identity and collective history

Conclusion
WIROC Grande 2015 was more than a conference; it was a statement of intent. It showed that the BOS could simultaneously honor its heritage, embrace modernity, and innovate for the future.
In retrospect, three pillars underpinned its success:
1. Youthful enthusiasm,
2. Experienced stewardship, and
3. Guiding mentorship.
These attributes, when combined, transform an event into a movement. As BOS steps beyond its Golden Jubilee, WIROC Grande 2015 will be remembered not only for its academic content but also as a symbol of what professional societies can achieve when vision and teamwork align.

How to Cite this Article: Keny SM, Sonone S, Chaddha R. WIROC Grande 2015: A landmark in Orthopedic Academic Tradition. Journal of Clinical Orthopaedics. July-December 2025;10(2):21-23.

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BOS @ 60: Where Do We Stand Today?

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.264

Open Access License: CC BY-NC 4.0

Submitted Date: 24 Sep 2025, Review Date: 16 Oct 2025, Accepted Date: 20 OCt 2025 & Published Date: 10 Dec 2025

Author: Ashish Phadnis [1]

[1] Department of Orthopaedics, Jupiter Hospital, Thane, Maharashtra, India

Address of Correspondence

Dr. Ashish Phadnis
Department of Orthopaedics, Jupiter Hospital, Thane, Maharashtra, India
Email: aaphadnis@gmail.com

The Bombay Orthopaedic Society (BOS), founded on Makar Sankranti in 1965, rests on the legacy and ethos laid down by our visionary founding fathers. The values they championed – academic excellence, discipline, camaraderie, and service – have not only endured but have strengthened with each passing decade. Over 60 years, BOS became synonymous with high-quality orthopedic education and set new benchmarks in training surgeons for the service of their patients.
This unwavering commitment ensured that our flagship activities continued to evolve while retaining the same intensity and dedication that defined our early years. Today, BOS remains as democratic and inclusive as it was at inception. From a small group of passionate orthopedic surgeons, we have grown into a vibrant community of over 3,000 members across Mumbai, Navi Mumbai, Thane, Kalyan-Dombivli, Palghar, and beyond. Few city-based medical bodies in the country can claim such numbers or this level of sustained participation. Importantly, BOS continues to be professionally run by its own members – a tradition that has preserved our identity and integrity.

A Changing Academic Landscape
In earlier decades, academic hunger was met through monthly physical meetings and a few flagship courses. Today, however, the learning landscape has transformed. Surgeons consume knowledge through multiple formats; attention spans are shorter; and the need for concise, relevant, clinically applicable content is greater than ever. In this era of information overload, the challenge is no longer access to knowledge – it is filtering what is authentic and useful.
This is where BOS stands tall. We have become a *“filter of truth”* for our members – sifting through noise, curating unbiased, peer-reviewed academic content, and presenting it in formats surgeons can directly apply to practice.

Our Academic Activities Today
Our bimonthly clinical meetings continue to attract both senior surgeons and trainees. The Master Series has matured into a focused, no-holds-barred platform for discussing contentious problems, differing viewpoints, and real-world dilemmas.
During the pandemic, our Video Journal Club gained tremendous traction. Today, the BOS YouTube channel hosts a rich repository of surgical techniques, debates, and clinical pearls. With over 3,500 subscribers, it has become a valuable academic resource, especially for younger surgeons. Our Instagram handle is also gaining popularity and helps us reach out to the next generation in a language and format they relate to.
Subspecialty affiliate programs in different suburbs of Mumbai, Navi Mumbai, Thane, Mira-Bhayander, Vasai-Virar, and Kalyan-Dombivli have strengthened regional engagement.
The BOS Courses have blossomed into comprehensive teaching experiences – with pre-course and post-course material, cadaver dissections, surgical videos, live surgeries, opportunities to scrub in with mentors, and mandatory case discussions. These courses are routinely oversubscribed, reflecting their academic depth and practicality.

At the Cusp of Sixty: The Challenge of Relevance
As the BOS steps into its 16th year, we stand at an important cusp – where the weight of past glory meets the challenge of future uncertainty. Learning habits have changed, and member expectations have evolved. To stay relevant, we must reimagine how we teach, engage, and support our members.
Simon Sinek reminds us that people don’t buy *what* we do; they buy *why* we do it. BOS’s deeper purpose – to serve as a trusted academic home built on mentorship, authentic dialogue, and unbiased knowledge – must remain our guiding force in the years ahead.
Meaningful progress, as Morgan Housel writes, is the result of small, consistent actions that compound over time. BOS itself is proof of this: sixty years of disciplined academic activity, generous faculty involvement, and a culture of camaraderie have collectively built an institution of substance and credibility.

How to Cite this Article: Phadnis A. BOS @ 60: Where Do We Stand Today? Journal of Clinical Orthopaedics. July-December 2025;10(2):28-29.

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Roadmap to a Future-Ready Orthopedic Community – Bombay Orthopedic Society – Beacon Futuristic Leadership

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.766

Open Access License: CC BY-NC 4.0

Submitted Date: 2 Aug 2025, Review Date: 18 Aug 2025, Accepted Date: 1 Sep 2025 & Published Date: 10 Dec 2025

Author: Vishal Kundnani [1]

[1] Center of Excellence in Spine Surgery, Bombay Hospital and Lilavati Hospital, Mumbai, Maharashtra, India.

Address of Correspondence

Dr.Vishal Kundnani,
Director, Center of Excellence in Spine Surgery, Bombay Hospital and Lilavati Hospital, Mumbai, Maharashtra, India.
E-mail: kundnanivishal@yahoo.co.in

Introduction
For over 55 years, the Bombay Orthopaedic Society (BOS) has stood as a cornerstone of orthopedic practice, professional growth, and academic excellence in India. Rooted in the rich heritage of Mumbai, BOS has fostered camaraderie among surgeons, promoted innovative learning, and nurtured a spirit of social responsibility. Its journey reflects the evolution of orthopedics in India – from the early days of managing childhood diseases, such as tuberculosis, poliomyelitis, and osteomyelitis, to trauma, joint reconstruction, and cutting-edge surgical interventions today.
As medicine evolves rapidly – with emerging technologies, changing patient expectations, and new societal challenges – BOS must envision a future-ready, innovative, inclusive, and socially responsible organization. The Society’s vision goes beyond academic excellence: It encompasses mentoring young surgeons, embracing technology safely, promoting research, delivering premium patient care, fostering happiness among members, and giving back to society.
This article outlines BOS’s strategic roadmap for the future, blending its rich history with forward-looking initiatives that will define its journey in the coming decades.

A Brief History of BOS: Foundations of Excellence
Mumbai, formerly Bombay, was among the first Indian cities to establish an independent orthopedic department within a general hospital. Dr. R.J. Katrak, a pioneering orthopedic surgeon, restricted his practice solely to orthopedics and established the first dedicated department at Bai Jerbai Wadia Hospital for Children, Parel, Mumbai. He later launched another department at King Edward Memorial Hospital, attached to a medical college, marking the beginning of structured orthopedic education and practice in India.
During those early years, childhood osteo-articular tuberculosis, poliomyelitis, osteomyelitis, and nutritional deficiency disorders dominated the clinical landscape. Trauma, although significant, remained secondary due to limited management strategies.
International influence shaped the evolution of Mumbai orthopedics. In 1953, the World Health Organization sent a medical team to India, including Sir Henry Osmond-Clarke, a distinguished orthopedic surgeon. Later, Sir Harry Platt visited Mumbai in 1958 for the Association of Surgeons of India conference, inspiring local surgeons to elevate their academic pursuits. Mumbai was home to stalwarts, such as Drs. Katrak, MG Kini, AK Talwalkar, KT Dholakia, KS Masalawala, PK Mullaferoze, and MV Sant, who shaped clinical care, rehabilitation, and academic rigor in the city.
The 1960s saw younger surgeons, including Drs. Vali, Chawra, Bhansali, Joshipura, Bulchandani, Gaitonde, Chaubal, and others, bring energy, innovation, and academic zeal. Monthly evening meetings began, sparking rich discussions, mentorship, and collaboration. The Johnson and Johnson Traveling Fellowship in 1961 and visits by global experts, such as Sir Herbert J. Seddon in 1962 further fueled academic excellence.
By 1965, BOS was formally established, with Dr. Katrak as its first president. Meetings were held every alternate month, combining clinical discussions with camaraderie. Over the years, BOS expanded its activities to include the Western India Regional Orthopedic Conference, Katrak Oration, KT Dholakia Lecture, Young Surgeon’s Forum, quizzes, awards, and advanced courses. Today, BOS is a mature, respected society committed to academic rigor, mentorship, innovation, and social responsibility.

The Imperative for a Future-Ready BOS
The healthcare ecosystem today is vastly different from when BOS was founded. Surgeons face rapid technological advancements, digital disruption, increasing specialization, global collaborations, and societal inequities. The future of BOS must address these challenges while staying true to its founding principles: Academic excellence, innovation, camaraderie, social responsibility, and ethical practice.
The strategic vision of BOS is built around eight pillars, each representing a core area of focus to guide the Society toward being futuristic, inclusive, and socially impactful.

Strengthening education and training: A modern, structured pathway
Today’s orthopedic landscape demands a balance between generalist knowledge and sub-specialty expertise. BOS can provide structure, guidance, and modern tools to ensure that young surgeons are not overwhelmed by fragmented training pathways.
Strategic goals:
• Develop standardized fellowship pathways, ensuring exposure to trauma, general orthopedics, and super-specialties
• Launch a centralized BOS-accredited fellowship match program for transparency, accountability, and quality control
• Introduce self-paced digital learning archives, including recorded lectures, surgical videos, case discussions, and CME modules, accessible to all members
• Incorporate modern teaching tools, such as simulation labs, virtual reality, AI-assisted tutorials, and interactive digital modules
• Foster mentorship, pairing experienced surgeons with trainees for guidance in both clinical and research domains
• Collaborate with government teaching hospitals and institutes to harmonize curricula, standardize training, and ensure uniform quality of teaching across regions.
By creating a flexible, modern, and structured learning ecosystem, BOS ensures that its members are well-equipped to meet both today’s challenges and tomorrow’s innovations.

Bridging access gaps: Social responsibility and equitable care
Healthcare inequity remains a pressing concern. BOS has the opportunity to lead by example; ensuring advanced orthopedic care reaches underserved populations while strengthening social accountability.
Strategic goals:
• Organize rotational free surgical camps across underserved districts in Maharashtra, Gujarat, Karnataka, and Madhya Pradesh
• Partner with NGOs, government hospitals, insurance companies, and local health missions to provide implants, logistics, follow-up care, and subsidized treatment
• Launch the BOS Social Responsibility Pledge, encouraging members to dedicate time annually to community service
• Collaborate with CAR and other charitable organizations to enhance social outreach and community health initiatives
• Promote public awareness campaigns on orthopedic health, injury prevention, and rehabilitation through both traditional and digital channels.
Across structured outreach and collaborations, BOS not only reduces disparities but also reinforces the ethical and societal role of orthopedic surgeons.

Embracing technology and innovation safely
Technology – from robotics and navigation to AI-assisted decision-making – offers transformative opportunities. Yet, adoption can be hindered by cost, lack of training, and medicolegal concerns. BOS can guide its members in embracing these innovations safely, effectively, and responsibly.
Strategic Goals:
• Develop BOS Technology Adoption Guidelines for safe, ethical, and standardized use of robotics, navigation, artificial intelligence, and tele-orthopedics
• Offer medico-legal advisory panels to support members adopting new technologies
• Conduct hands-on workshops, simulation labs, and digital tutorials for advanced techniques
• Facilitate digital collaboration platforms connecting surgeons, mentors, and researchers nationwide
• Partner with government and insurance bodies to streamline adoption of telemedicine, digital health records, and equitable access to care.
Across a balanced approach to technology, BOS can ensure its members are well-prepared to integrate innovations into practice safely and effectively.

Supporting young surgeons: From training to independent practice
Transitioning from fellowship to independent practice can be daunting. BOS seeks to act as a mentor, guide, and support system for young surgeons.
Strategic goals:
• Launch Mentorship-on-Demand, enabling real-time guidance from senior members
• Establish a Job Board and Placement Cell, connecting trained surgeons with hospitals nationwide
• Conduct workshops on financial literacy, medicolegal awareness, and entrepreneurial skills, equipping young professionals for ethical and sustainable careers
• Facilitate networking, leadership development, and collaborative research opportunities.
By providing mentorship, career support, and professional development, BOS ensures that young surgeons thrive in both clinical and personal spheres.

Fostering well-being of members and preventing burnout
The demands of orthopedic surgery – long training, high patient expectations, and financial pressures – can lead to burnout. BOS prioritizes holistic well-being for its members.
Strategic goals:
• Introduce BOS Wellness Programs, focusing on mental health, resilience, and work-life balance
• Organize “Beyond the Scalpel” retreats, emphasizing family, fitness, hobbies, and personal growth
• Establish peer-support groups for confidential sharing of challenges and solutions
• Promote mindfulness, stress management, and wellness education across all BOS programs.
A focus on well-being ensures surgeons remain passionate, productive, and fulfilled throughout their careers.

Driving innovation and research leadership
BOS aims to be a hub of innovation, research, and knowledge creation. Encouraging members to explore new ideas, publish findings, and collaborate globally will shape the future of orthopedics.
Strategic goals:
• Establish a BOS Innovation Lab to incubate ideas in surgical techniques, implants, digital solutions, and patient care
• Provide research funding and grant opportunities for multicentre trials and collaborative studies
• Maintain an online repository of BOS-generated clinical guidelines, protocols, and best practices
• Encourage members to publish, present at conferences, and participate in international forums
• Recognize innovation through awards, scholarships, and orations
• By fostering a research-driven culture, BOS will maintain global relevance and influence.

Expanding global collaboration and digital reach
Digital tools enable BOS to transcend geographic boundaries, bringing knowledge and mentorship to all corners of India and the world.
Strategic goals:
• Launch the BOS Global Virtual University, offering structured online diplomas, masterclasses, CME programs, and digital archives
• Collaborate with government teaching hospitals and institutes to standardize curricula and reduce regional disparities
• Partner with international and national societies for joint research, webinars, and collaborative programs
• Leverage digital archives and self-paced learning modules to democratize education and ensure equitable access to training.
Across digital expansion and global collaboration, BOS can strengthen its reach, impact, and influence.

Promoting camaraderie, happiness, and social inclusiveness
BOS thrives on relationships, mentorship, and shared purpose. Beyond academics, fostering personal satisfaction and social engagement is central to its vision.
Strategic goals:
• Organize social and cultural events, retreats, and family-inclusive programs to strengthen bonds among members
• Promote inclusivity across gender, geography, and sub-specialties, creating a supportive and collaborative environment
• Encourage members to join hands with CAR and other charitable organizations, integrating “give back to society” initiatives into BOS activities
• Recognize contributions in clinical excellence, research, social responsibility, and innovation, fostering pride and fulfillment.
By cultivating community, happiness, and purpose, BOS ensures its members thrive personally as well as professionally.

Conclusion: A Future-Ready BOS
The BOS has a legacy of academic excellence, mentorship, camaraderie, and social responsibility. Its future vision is bold yet grounded:
• Futuristic: Embracing technology, digital learning, and innovation
• Inclusive: Providing opportunities for surgeons at all stages, locations, and sub-specialties
• Research-driven: Cultivating inquiry, collaboration, and publication
• Socially responsible: Bridging healthcare inequities and giving back to society
• Human-centered: Prioritizing well-being, happiness, and camaraderie.
Across strategic planning, actionable initiatives, and unwavering dedication, BOS is poised to remain a beacon of orthopedic excellence, mentorship, innovation, and societal contribution. It will continue to inspire surgeons, enrich patient care, and cultivate a thriving community – ensuring that the next generation of orthopedic surgeons thrives in a world that is ever-evolving yet grounded in tradition and values.

How to Cite this Article: Kundnani V. Roadmap to a Future-Ready Orthopedic Community – Bombay Orthopedic Society – Beacon Futuristic Leadership. Journal of Clinical Orthopaedics. July-December 2025;10(2):30-33.

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Suprapatellar Nailing in Segmental Fractures of the Tibia: A Contemporary Surgical Perspective

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.806

Submitted Date: 19 July 2025, Review Date: 27 Aug 2025, Accepted Date: 12 Oct 2025 & Published Date: 10 Dec 2025

Author: Sachin Kale [1], Abhilash Srivastava [1], Sandeep Deore [1], Ashmit Verma [1], Atul Yadav [1], R Kushdeep [1], Maj Shivesh Datta [1]

[1] Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Abhilash Srivastava,
Department of Orthopaedics, D.Y. Patil Hospital, Navi Mumbai, Maharashtra, India.
E-mail: charlie.srivastava009@gmail.com

Abstract

Introduction: Segmental tibial fractures, defined by two distinct fracture lines creating an intermediate cortical segment, represent high-energy injuries with significant management challenges. Traditional infrapatellar nailing often falls short due to difficulties in maintaining alignment and a high incidence of anterior knee pain.
Technique: This article outlines the suprapatellar approach for intramedullary nailing in segmental tibial fractures, highlighting surgical nuances, anatomical rationale, and advantages in challenging fracture configurations.
Conclusion: Suprapatellar nailing offers improved alignment control, reduced anterior knee morbidity, and superior intraoperative ergonomics, making it a preferred technique in segmental tibial injuries.
Keywords: Suprapatellar nailing, High energy trauma, Segmental tibia fracture

References

1. Study to Prospectively Evaluate Reamed Intramedullary Nails in Patients with Tibial Fractures Investigators; Bhandari M, Guyatt G, Tornetta P 3rd, Schemitsch EH, Swiontkowski M, Sanders D, Walter SD. Randomized trial of reamed and unreamed intramedullary nailing of tibial shaft fractures. J Bone Joint Surg Am. 2008 Dec;90(12):2567-78. doi: 10.2106/JBJS.G.01694. PMID: 19047701; PMCID: PMC2663330.
2. Wang Z, Xiong X, Lu Z, Gao Y. A systematic review and meta-analysis comparing suprapatellar versus infrapatellar approach intramedullary nailing for tibal shaft fractures. Eur J Trauma Emerg Surg. 2024 Apr;50(2):383-394. doi: 10.1007/s00068-023-02384-9. Epub 2023 Nov 21. PMID: 37989960; PMCID: PMC11035435.
3. Chen‑Yuan Yang1,2, Soon‑Tzeh Tay3 and Liang‑Tseng Kuo3,4. The suprapatellar approach to intramedullary nailing of the tibia: A review of the literature. J Orthop Trauma 2016;30:572-77.
4. Gadegone W, Gadegone P, Lokhande V. Suprapatellar nailing in complex Tibial Fractures. SICOT J. 2023;9:37. doi: 10.1051/sicotj/2023025. Epub 2023 Dec 20. PMID: 38133637; PMCID: PMC10741379.
5. Yang L, Sun Y, Li G. Comparison of suprapatellar and infrapatellar intramedullary nailing for tibial shaft fractures: a systematic review and meta-analysis. J Orthop Surg Res. 2018 Jun 14;13(1):146. doi: 10.1186/s13018-018-0846-6. PMID: 29898758; PMCID: PMC6001044.

How to Cite this Article: Kale S, Srivastava A, Deore S, Verma A, Yadav A, Kushdeep R, Datta MS. Suprapatellar Nailing in Segmental Fractures of the Tibia: A Contemporary Surgical Perspective.. Journal of Clinical Orthopaedics. July-December 2025;10(2):139-143.

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Bent Nail, Broken Mechanics: Effective Surgical Management of Femoral Non-union in Post-Polio Residual Paralysis – A Case Report

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.804

Submitted Date: 05 Aug 2025, Review Date: 02 Sep 2025, Accepted Date: 21 Nov 2025 & Published Date: 10 Dec 2025

Author: J S R G Saran [1], Varun Devdass [1], N Vivek [1], S P Hemanth [1], G Goutham [2], C Abhilash [3]

[1] Department of Orthopaedics, M S Ramaiah University of Applied Sciences, Bengaluru, Karnataka, India,
[2] Department of Orthopaedics, Sanjay Gandhi Institute of Orthopaedics and Trauma, Bengaluru, Karnataka, India,
[3] Department of Orthopaedics, Dr. NTR University of Health Sciences, Vijayawada, Andhra Pradesh, India.

Address of Correspondence
Dr. J S R G Saran,
Department of Orthopaedics, M S Ramaiah University of Applied Sciences, MSR Nagar, Bengaluru – 560094, Karnataka, India.
E-mail: jsaran868@gmail.com

Abstract

Background: Femoral shaft fractures in limbs affected by post-polio residual paralysis (PPRP) are prone to non-union and implant failure due to altered biomechanics, deformities and compromised bone quality.
Case Report: A 36-year-old male with PPRP presented with painful inability to bear weight following implant failure of a previously nailed femoral fracture. Radiographs showed hypertrophic non-union with a bent retrograde nail and screw back-out. Exchange nailing was performed using modified positioning to accommodate severe PPRP-related deformities.
Results: The distorted nail was successfully removed, deformity corrected gently, and a larger, longer nail implanted. At 1-year follow-up, radiographs confirmed complete union. The patient achieved pain-free full weight-bearing and functional knee motion with tailored rehabilitation.
Conclusion: Exchange nailing is an effective solution for hypertrophic non-union with implant failure, even in complex PPRP-affected limbs, when individualized surgical planning and rehabilitation are employed.
Keywords: Post-polio residual paralysis, Femoral non-union, Bent intra-medullary nail, Implant failure, Exchange nailing, Deformity correction.

References

1. Bäcker HC, Heyland M, Wu CH, Perka C, Stöckle U, Braun KF. Breakage of intramedullary femoral nailing or femoral plating: How to prevent implant failure. Eur J Med Res 2022;27:7.
2. Singh G, Chawla HK, Sandhu HS, Sandhu H, Sahni G, Rehncy JS, et al. Study of causes of implant failure in orthopaedics. Res J Med Sci 2024;18:108‐17.
3. Sharma JC, Gupta SP, Sankhala SS, Mehta N. Residual poliomyelitis of lower limb-pattern and deformities. Indian J Pediatr 1991;58:233-8.
4. Wagh A, Shetty V, Wagh Y, Shekhar S, Tandel J. Femur shaft fracture in a polio patient. J Orthop Case Rep 2022;12:9-12.
5. Prevot LB, Nannini A, Mangiavini L, Bobba A, Buzzi S, Sinigaglia F, et al. What is the best treatment of the femoral shaft nonunion after intramedullary nailing? A systematic review. Life (Basel) 2023;13:1508.
6. Mimata H, Matsuura Y, Yano S, Ohtori S, Todo M. Mechanical evaluation of revision surgery for femoral shaft nonunion initially treated with intramedullary nailing: Exchange nailing versus augmentation plating. Injury 2023;54:111163.
7. Rengerla SB, Lohkare AH, Warade NR, Roy S, Wankhede AK. Management of aseptic non-union of shaft femur using intramedullary nailing combined with bone grafting: A case report. Int J Res Orthop 2022;9:173-7.
8. Bayraktar MK, Tekin AÇ, Ayaz MB, Saygili MS, Tekin EA, Kir MÇ. Management of hypertrophic femoral diaphyseal nonunion due to sclerotic bone formation (corticalization) at the intramedullary nail tip after dynamization. Acta Orthop Belg 2024;90:485-91.
9. Mencia MM, Moonsie R. Removing a bent femoral nail – man versus metal: A case report. Int J Surg Case Rep 2022;99:107679.
10. Jo S, Lee GC, Lee SH, Lee JY, Kim DH, Park SH, et al. Results of exchange nailing in hypertrophic nonunion of femoral shaft fracture treated with nailing. J Korean Fract Soc 2019;32:83.
11. Gao KD, Huang JH, Tao J, Li F, Gao W, Li HQ, et al. Management of femoral diaphyseal nonunion after nailing with augmentative locked plating and bone graft. Orthop Surg 2011;3:83-7.
12. Amorosa LF, Buirs LD, Bexkens R, Wellman DS, Kloen P, Lorich DG, et al. Single-stage treatment protocol for presumed aseptic diaphyseal nonunion. JBJS Essent Surg Tech 2015;5:e8.

How to Cite this Article: Saran JSRG, Devdass V, Vivek N, Hemanth SP, Goutham G, Abhilash C. Bent Nail, Broken Mechanics: Effective Surgical Management of Femoral Nonunion in Post-Polio Residual Paralysis – A Case Report. Journal of Clinical Orthopaedics. July-December 2025;10(2):133-138.

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Solitary Osteochondroma of the Iliac Blade: A Rare Flat Bone Presentation Managed with Complete Surgical Excision

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.802

Open Access License: CC BY-NC 4.0

Submitted Date: 28 Aug 2025, Review Date: 10 Sep 2025, Accepted Date: 18 Sep 2025 & Published Date: 10 Dec 2025

Author: Aibin B Michael [1], Arvind B Goregaonkar [1], Suyog Wagh [1]

[1] Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Address of Correspondence
Dr. Aibin B Michael,
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, Maharashtra, India.
E-mail: aibinmichael357@gmail.com

Abstract

Introduction: Osteochondroma is the most common benign bone tumor, accounting for 20–50% of all benign bone tumors and typically arising from the metaphyses of long bones. Osteochondromas arising from flat bones such as the ilium are exceedingly rare, representing <5% of all osteochondromas. We report a rare case of a large solitary osteochondroma originating from the posterior-inferior part of the left iliac bone in a young female.
Case Report: We report a 21-year-old female with a solitary osteochondroma arising from the posteroinferior part of the left iliac bone. The lesion measured 4.3 × 2.7 × 2.5 cm with a cartilage cap thickness of 2.2 mm. Two magnetic resonance imaging (MRI) scans performed 1 year apart demonstrated an increase in lesion size, while the thickness of the cartilage cap remained unchanged. Surgical subperiosteal excision was performed using a vertical incision. The mass was removed with an osteotome, and bone wax was applied to the raw bone surface for hemostasis. Histopathological examination confirmed a benign osteochondroma without atypical features. At follow-up, the patient reports complete satisfaction with the resolution of deformity and no recurrences.
Discussion: Pelvic osteochondromas are rare and often present late due to their deep location. This case highlights a symptomatic flat-bone osteochondroma presenting with mechanical and cosmetic complaints. MRI findings supported a benign nature. Complete marginal excision, including the cartilage cap, is curative and minimizes recurrence risk.
Conclusion: This case emphasizes the rare location of osteochondroma in the iliac bone and demonstrates that timely surgical management can lead to excellent cosmetic and functional outcomes without recurrence. Early recognition and complete excision are key to successful treatment of flat-bone osteochondromas and prevention of complications.
Keywords: Osteochondroma, Iliac bone, Flat bone tumor, Pelvic osteochondroma, Surgical excision, Cartilage cap.

References

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How to Cite this Article: Michael AB, Goregaonkar AB, Wagh S. Solitary Osteochondroma of the Iliac Blade: A Rare Flat Bone Presentation Managed with Complete Surgical Excision. Journal of Clinical Orthopaedics. July-December 2025;10(2):129-132.

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Pathological Femoral Shaft Fracture from Follicular Thyroid Carcinoma Managed with Cemented Spacer and Nailing: A Rare Case with 2-Year Follow-Up

December 10, 2025/in Vol 10 | Issue 2 | July-December 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10.i02.800

Submitted Date: 17 Aug 2025, Review Date: 12 Sep 2025, Accepted Date: 28 Nov 2025 & Published Date: 10 Dec 2025

Author: Suyog Wagh [1], Pradeep Nair [1], Shaligram Purohit [1], Arvind Goregaonkar [1], Aibin B Michael [1], Tushar Ramteke [1]

[1] Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India

Address of Correspondence
Dr. Suyog Wagh,
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
E-mail: suyogwagh6159@gmail.com

Abstract

Differentiated thyroid carcinoma (DTC) accounts for a small proportion of all malignancies but is among the cancers most frequently associated with bone metastasis, especially in the axial skeleton. Metastatic involvement of the appendicular skeleton is rare, and pathological fractures of the femoral shaft are even more uncommon. Follicular thyroid carcinoma (FTC), due to its angioinvasive nature, shows a markedly higher propensity for hematogenous spread to bone than papillary thyroid carcinoma. These lesions significantly impair mobility and quality of life, often necessitating surgical intervention when life expectancy is reasonable. We describe a rare case of a 45-year-old male with metastatic FTC who presented with a pathological fracture of the femoral shaft. After multidisciplinary evaluation, the patient underwent wide segmental resection of the diseased femur, followed by intramedullary interlocking nailing with polymethylmethacrylate (PMMA) cement augmentation. This strategy provided immediate structural stability, allowed early weight-bearing, and offered potential cytoreductive benefit from PMMA-induced thermal effects. Postoperative recovery was uneventful, with significant pain relief and restoration of full function within 6 weeks. At 2-year follow-up, the patient remained ambulatory without limitations, with stable local control and ongoing oncological management. This case highlights that aggressive surgical management with stable reconstruction can yield excellent functional outcomes in selected patients with metastatic FTC, particularly when presenting with pathological fractures of weight-bearing bones. Durable fixation, early mobilization, and individualized multidisciplinary planning are crucial in optimizing quality of life in advanced thyroid carcinoma with skeletal metastases.
Keywords: Follicular Thyroid Carcinoma, Bone Metastasis, Pathological Fracture, Intramedullary Nailing, Cement Augmentation

References

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How to Cite this Article: Wagh S, Nair P, Purohit S, Goregaonkar A, Michael AB, Ramteke T. Pathological Femoral Shaft Fracture from Follicular Thyroid Carcinoma Managed with Cemented Spacer and Nailing: A Rare Case with 2-Year Follow-UpJournal of Clinical Orthopaedics. July-December 2025;10(2):125-128.

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Author: Gautam Zaveri [1]

Author: Ram Prabhoo [1]

Author: Anand Thakur [1, 2]

Author: Swapnil M Keny [1], Sandeep Sonone [2], Ram Chaddha [3]

Author: Ashish Phadnis [1]

Author: Vishal Kundnani [1]

Author: Sachin Kale [1], Abhilash Srivastava [1], Sandeep Deore [1], Ashmit Verma [1], Atul Yadav [1], R Kushdeep [1], Maj Shivesh Datta [1]

Author: J S R G Saran [1], Varun Devdass [1], N Vivek [1], S P Hemanth [1], G Goutham [2], C Abhilash [3]

Author: Aibin B Michael [1], Arvind B Goregaonkar [1], Suyog Wagh [1]

Author: Suyog Wagh [1], Pradeep Nair [1], Shaligram Purohit [1], Arvind Goregaonkar [1], Aibin B Michael [1], Tushar Ramteke [1]

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