Geriatric Orthopaedics in Wakad, Pune

As we age, our musculoskeletal system undergoes significant changes — cartilage thins, bone density decreases, and muscle mass declines. Geriatric orthopaedics is a specialised approach that recognizes the unique physiological, medical, and social needs of elderly patients. Treatment decisions for seniors must account for co-existing medical conditions (like diabetes or heart disease), medication interactions, and functional goals. At Star Ortho & Women Care, Dr. Rahul Kalekar provides compassionate, patient-centred care for the elderly, focusing on maintaining independence, relieving pain, and improving quality of life.

Osteoarthritis is the most common cause of disability in older adults. While joint replacement is an excellent option for many, some elderly patients may be medically unfit for surgery or prefer to avoid it. We offer robust conservative management plans tailored for seniors. This includes the judicious use of pain medications (avoiding NSAIDs where kidney or cardiac risks exist), intra-articular steroid or hyaluronic acid injections, prescription of appropriate mobility aids (canes, walkers), and gentle physiotherapy. When joint replacement is indicated and safe, Dr. Kalekar provides comprehensive pre-operative medical optimisation and surgical management.

Osteoporosis severely weakens bones, leading to 'fragility fractures' — broken bones resulting from minor falls or routine activities. The hip, spine (vertebral compression fractures), and wrist are most commonly affected. A fragility fracture is a sentinel event indicating a high risk for future fractures. Our approach involves treating the immediate fracture (surgically or conservatively) and aggressively treating the underlying osteoporosis with medications, calcium, and vitamin D to prevent secondary fractures. We view every fragility fracture as an opportunity to intervene and protect the patient's future mobility.

A hip fracture in an elderly patient is a medical emergency that requires prompt surgical treatment to allow early mobilisation and prevent life-threatening complications like pneumonia or deep vein thrombosis. Depending on the fracture type, treatment may involve fixing the bone with screws or a plate, or performing a partial or total hip replacement. Dr. Kalekar coordinates closely with physicians and anaesthetists to medically optimise the patient for early surgery. Post-operative rehabilitation is commenced immediately, with the goal of returning the patient to their pre-injury level of independence as safely and quickly as possible.

Falls are the leading cause of fatal and non-fatal injuries among older adults. Preventing falls is a cornerstone of geriatric orthopaedics. Dr. Kalekar conducts basic balance assessments and identifies risk factors. We provide guidance on home safety modifications, recommend appropriate footwear, and prescribe balance and strengthening exercises. We also review medications to identify any that might cause dizziness or postural hypotension, referring back to the primary physician when necessary. A proactive approach to fall prevention is essential for maintaining the health and independence of our elderly patients.

Common queries regarding elderly orthopaedic care.

• What is a fragility fracture? A fracture resulting from a minor fall, indicating underlying osteoporosis.
• Is surgery safe for seniors? Yes, with thorough pre-operative medical optimisation; age alone is not a barrier.
• How to prevent falls? Vision checks, medication review, home safety modifications, and balance exercises.
• Conservative options for severe arthritis? Joint injections, tailored pain management, mobility aids, and gentle physiotherapy.
• Do you treat spine fractures? Yes, we manage osteoporotic vertebral fractures with bracing, medications, and sometimes minimally invasive procedures.