Dr. Ashok S. Gavaskar

Brief Profile

Dr. Ashok S. Gavaskar is currently the Clinical Lead at the Institute of Orthopaedics and Trauma at Rela Hospital, Chennai. He is a distinguished member of the AO Trauma – Technical commission as part of the Asia pacific expert group (ASEG). He is an honourable member of the International Advisory Board for the Journal of the American Academy of Orthopaedic surgeons (JAAOS). He also serves as an associate editor on the editorial board of the Indian Journal of Orthopaedics (IJO) and the European Journal of Orthopaedic Surgery and Traumatology (EJOST).

Educational Qualifications

• MS Orthopaedics, Madurai Medical College, Dr. MGR Medical University, March 2007
• MBBS, Madras medical college, TN. Dr. MGR Medical University, 2003

Fellowships

• Fellow of the Royal College of Surgeons, Glasgow – from 2019
• Fellow of the American College of Surgeons – from 2019

Areas of Interest

• Complex peri-articular trauma and adult joint reconstruction
• Pelviacetabular surgery
• CAOS
• Limb reconstruction

Affiliations and Memberships

• Silver Member – AO trauma
• Active Member – SICOT
• International affiliate member – American Academy of Orthopedic Surgeons (AAOS)
• International Member – Orthopedic Trauma Association (OTA)
• Member – Asia Pacific Orthopaedic Association (APOA)
• Member – Osteosynthesis and Trauma Care Foundation (OTCF)
• Member – Asian Association for Dynamic Osteosynthesis (AADO)
• Life Member – International Society for Knowledge for Surgeons on Arthroscopy and Arthroplasty (ISKSAA)
• Life Member – Association of Periacetabular Surgeons (AOPAS)
• Life Member of the Indian Orthopaedic Association (IOA)
• Life Member of the Tamilnadu Orthopaedic Association (TNOA)
• Life Member of the Orthopaedic Association of South Indian States (OASIS)
• Life Member of the Madras Orthopaedic Society (MOS)

Positions held with professional organisations

• AOTRAUMA: Member: AO – Technical Commission (Asia-Pacific Trauma Expert Group)
• Executive committee member (Research & Innovation) – SICOT: Indian Chapter
• Member – SICOT Research Grants Committee
• Chairman – APOA: Young Surgeons Committee (2018 – 2019)
• Asia Pacific representative – SICOT Young surgeons Committee (2017 – 2019)

Present position

• Clinical lead, Orthopaedics & Spine Surgery, Dr. Rela Hospital, Sep 2018 – Present.

Honors and Awards

• Times of India Service excellence in healthcare – Orthopedics award, 2021
• Honoured Biographical listee – Marquis who’s who in the world, 2018
• Nominated for the Jaques – Duparc award – EFORT -2016 (Top 15 posters of the conference)
• Young ambassador award from the Asia Pacific Orthopedic Association – 2014

Editorial Work and Reviewer

• Member: International advisory board – Journal of American Academy of Orthopedic Surgeons (JAAOS)
• Deputy Editor – European Journal of Orthopedic Surgery and Traumatology (from June 2018 till date)
• Assistant Editor – Indian Journal of Orthopedics (2013 – 2019)
• Associate Editor (trauma section) – Indian Journal of Orthopedics (2019 – till date)

Scientific reviewer for

• Journal of Arthroplasty
• Journal of Orthopedic Surgery and Research
• World Journal of Orthopedics
• BMC – Musculoskeletal disorders
• Indian Journal of orthopaedics
• Musculoskeletal Surgery
• Patient safety and surgery
• BMJ – case reports
• Macedonian journal of medical sciences
• Journal of hand and microsurgery
• HAND (official journal of the American association of hand surgeons)

Research and Publication

• AO trauma research grant for 2016 (7050 Swiss francs) – “Does a second calcar screw offer any biomechanical advantage in a varus 2 part proximal humerus fracture model” – A biomechanical analysis.

International fellowships & Specialty training

• American Academy of Orthopaedic Surgeons Emerging leaders scholarship – 2017
• AO trauma fellowship – 2017 (Fellowship Chair: Prof. David Hak, Denver Health Medical Center, Denver – USA)
• SICOT meets SICOT fellowship – 2015
• International scholarship from the American Academy of Orthopedic Surgeons (AAOS), 2014
• AO trauma fellowship – 2013(Fellowship Chair: Prof. Christian Krettek, Hannover medical school, Germany)
• IOSUK – Indo –British Fellow arthroplasty travelling fellow – 2013.(Leicester General Hospital, Leicester and King’s College, London)
• SICOT meets SICOT fellow – 2012(Fellowship Chair: Prof. Maximilian Rudert, Konig Ludwig Haus, Wurzburg – Germany)
• Asia pacific orthopaedic association, arthroplasty travelling fellow – 2011
• Foreign fellow of the Tamilnadu orthopaedic association, 2012

Books and Chapters

• Ashok S. Gavaskar, David Rojas Vintimilla. Chapter title: ‘Cups and Diametric considerations in primary total hip arthroplasty. Delta APAS Compendium (3rd edition). (Status: published in February 2019)
• Ashok S. Gavaskar, David Rojas Vintimilla. Chapter title: ‘Valgus osteotomy for proximal femur nonunions – The science, techniques and results. Osteotomies around the hip joint. (Status – in print, Editor – Prof. K.V. Mohan Iyer)
• Contributor and Member of the Editorial Board – Evidence-based Orthopedic Principles: International Edition. ISBN – 10: 9383124660

Reviews and Editorials

• Ashok S. Gavaskar, et al. Primary total hip arthroplasty for acetabular fractures in the elderly. A narrative review. Int Orthop. (in print)
• Ashok S. Gavaskar. Editorial: Indian orthopaedics – past, present and future. Int Orthop. 2020 Apr; 44(4):605-608.
• Ashok S. Gavaskar, et al. Valgus osteotomy for femoral neck nonunions. A simple solution for a complex problem that has stood the test of time. Int Orthop. 2020 Apr; 44(4):635-643. doi: 10.1007/s00264-019-04353-7.
• Gavaskar AS, David R. Editorial: Nanotechnology in orthopaedics. European Journal of Orthopedic Surgery & Traumatology. 2018; 28(7): 1257-60. doi: 10.1007/s00590-018-2193-z.

Original Articles

• Ashok S. Gavaskar, et al. What are the factors associated with shoulder function and poor outcome after internal fixation of 3 and 4 part proximal humerus fracture-dislocations? Clin Orthop Relat Res. 2022 (in print)
• Ashok S. Gavaskar, et al. Retrograde entry portal for cephalomedullary nailing in difficult subtrochanteric fractures. Injury (published ahead of print) 2021 Mar 5; S0020-1383(21)00219-9. doi: 10.1016/j.injury.2021.03.004.
• Ashok S. Gavaskar, et al. What is the likelihood of union after coronal limb realignment using revision osteosynthesis and concurrent TKA in patients with advanced arthritis and loss of fixation after distal metaphyseal femur fractures? Clin Orthop Relat Res (published ahead of print) 2021 Jan 28. doi: 10.1097/CORR.0000000000001652.
• Ashok S. Gavaskar, et al. The choice of surgical approach influences the combined anteversion needed for a stable and impingement free total hip arthroplasty. European Journal of Orthopedic Surgery & Traumatology. 2020 Nov 22. doi: 10.1007/s00590-020-02837-6
• Ashok S. Gavaskar, et al. Volar hook plate stabilisation of volar marginal fragments in  intra-articular distal radius fractures. Injury. 2020 – https://doi.org/10.1016/j.injury.2020.10.004
• Ashok S. Gavaskar, et al. Trochanteric flip (Ganz) anterior hip dislocation for fixation of Pipkin fracture dislocations. JBJS Essent Surg Tech. July-September 2020 – Volume 10 – Issue 3 – p e19.00040 doi: 10.2106/JBJS.ST.19.00040
• Ashok S. Gavaskar, et al. Surgical dislocation or the modified Heuter anterior approach for Pipkin I and II femoral head fracture dislocations. J Orthop Trauma. 2020; 34(12):626-631
• Ashok S. Gavaskar, et al. A load sharing nail-cage construct may improve outcome after induced membrane technique for segmental tibial defects. Injury. 2019 Nov 22. pii: S0020-1383(19)30753-3. doi: 10.1016/j.injury.2019.11.031
• Ashok S. Gavaskar, et al. Helical blade or Integrated lag screws? A matched pair analysis of 100 patients with unstable trochanteric fractures. J Orthop Trauma. 2018; 32(6): 274-277. doi: 10.1097/BOT.0000000000001145.
• Ashok S. Gavaskar, et al. A novel MIS technique for PCL avulsion fractures. The KNEE 2017; 24: 890 – 896. DOI: http://dx.doi.org/10.1016/j.knee.2017.03.014
• Ashok S. Gavaskar, et al. Delayed total hip arthroplasty for failed acetabular fractures. The influence of initial fracture management on outcome after arthroplasty. Journal of Arthroplasty 2017; 32(3): 872 – 876.
• Ashok S. Gavaskar, et al. Second generation locked plating of complex proximal humerus fractures in very elderly patients. Injury 2016; Nov; 47(11):2534-2538.
• Ashok S. Gavaskar, Hitesh Gopalan, Naveen Tummala, Parthasarathy Srinivasan. The Extended posterolateral approach for split depression lateral tibial plateau fractures extending into the posterior column. 2 years follow up results of a prospective study. Injury 2016; 47:1497-1500
• Ashok S. Gavaskar, Naveen C Tummala. Ganz surgical dislocation of the hip is a safe technique for operative treatment of Pipkin fractures. Results of a prospective trial. J Orthop Trauma 2015; 29(12): 544 – 8
• Ashok S. Gavaskar, Naveen T, Srinivasan P, et al. Locked Plate Fixation of Proximal Humeral Fractures Through an Extended Deltoid Split Approach with Use of a Shoulder Strap Incision. JBJS Essent Surg Tech, 2015 Sep 09; 5 (3): e17. http://dx.doi.org/10.2106/JBJS.ST.N.00116
• Ashok S. Gavaskar, Naveen C Tummala. Locked plating of humeral head splitting fractures in young adults. Journal of shoulder and elbow surgery. 2015; 24(6): 908 -14
• Ashok S. Gavaskar, Naveen Tummala. Cemented or cementless total hip arthroplasty in patients over 80 years of age with fracture neck of femur – a prospective comparative trial. Musculoskeletal Surg. 2014 Dec; 98(3):205-8.
• Ashok S. Gavaskar, Naveen Chowdary, Samson Abraham. Locked plating of complex proximal humerus fractures utilizing an extended deltoid split with a shoulder strap incision. J Orthop Trauma. 2013; 27(2):73-6
• Ashok S. Gavaskar, Naveen Chowdary T. Valgus sliding subtrochanteric osteotomy for neglected fractures of the proximal femur; surgical technique and a retrospective case series. J Orthop Surg Res. 2013; 8(1): 4.
• Ashok S. Gavaskar, Naveen Tummala, Muthukumar. S. Outcome and complications following locked plating for periprosthetic distal femur fractures after total knee arthroplasty. Clinics in orthopedic surgery. 2013; 5(2):124-8
• Ashok S. Gavaskar, Muthukumar S, Vijayraj K. Intraoperative CT navigation for glenoid component fixation in reverse shoulder arthroplasty – a case report. Indian J Orthop. 2013; 47(1):104-6.
• Ashok S. Gavaskar, Naveen Chowdary Tummala. Blocking screws: A novel adjunct to retrograde nailing in metaphyseal fractures of the distal femur. J Orthop Surg (Hong Kong). 2013; 21(2):158-62.
• Author’s reply. Gavaskar AS. J Orthop Surg (Hong Kong). 2013;21(3):401-2.
• Ashok S. Gavaskar, Naveen Tummala. Delayed cementless total hip arthroplasty for neglected dislocation of the hip combined with complex acetabular fracture and deficient bone stock. A case report. Chinese Journal of traumatology. 2012 Dec 1; 15(6): 370-2
• Ashok S. Gavaskar, Naveen Chowdary, Muthukumar. S. Management of low-velocity trochanteric fractures in the elderly with the proximal femur nail – antirotation {PFNA}: Results of a prospective trial. Indian J Orthop. 2012; 46(5): 556 – 560
• Ashok S. Gavaskar, Muthukumar S, Naveen Chowdary T. Fragment specific fixation for complex intra-articular fractures of the distal radius; results of a prospective single-centre trial. J Hand Surg Eur. 2012; 37(8): 761 – 767
• Ashok S. Gavaskar, Naveen Chowdary, Mukunth Krishnamurthy. Operative management of Hoffa fractures – A prospective review of 18 patients. Injury. 2011; 42(12):1495-8.
• Ashok S. Gavaskar, Naveen Chowdary. Pedicle subtraction osteotomy for rigid kyphosis of the dorsolumbar spine. Arch Orthop Trauma Surg. 2011; 131(6): 803 – 808.
• Ashok S. Gavaskar. Posterior interosseous artery flap for resurfacing post-traumatic soft tissue defects of the hand. HAND. 2010; 5(4): 397 – 402.
• Ashok S. Gavaskar, Rajamani. Transfacetal fusion for low-grade degenerative spondylolisthesis of the lumbar spine. Results of a single centre study. Journal of spinal disorders and techniques. 2010; 23(3): 162 – 165
• Ashok S. Gavaskar, Rameshkumar Periyasamy. Neglected femoral diaphyseal fractures; Results and outcome after open interlocked nailing and autologous bone grafting. J Orthop Surg. 2010; 18(1): 45-9
• Ashok S. Gavaskar, Muthukumar S, Naveen Chowdary. Biological osteosynthesis of complex proximal humerus fractures; surgical technique and results from a prospective single-centre trial. Arch Orthop Trauma Surg. 2010; 130: 667-72
• Ashok S. Gavaskar, Naveen Chowdary. Surgical correction of windblown hand: case series, results and review of the literature. Journal of children’s orthopaedics. 2009; 3 (2): 109-114
• Ashok S. Gavaskar, Naveen Chowdary. Tibiotalocalcaneal arthrodesis using the supracondylar femur nail for advanced tuberculosis of the ankle. J Orthop Surg. 2009; 17(3): 321-4

Indexed publications (co-author)

• Mauffrey C, Oh JK, Gavaskar AS, et al. Treatment of infection after intramedullary nailing of tibial shaft fractures. Results of the ORS/ IFSR expert group survey. Int Orthop. 2018. doi: 10.1007/s00264-018-3964-1. [Epub ahead of print]
• Chandraprakasam T, Ashok S Gavaskar, Prabhakaran T. Modified Jones transfer for radial nerve palsy using a single incision; surgical technique. Techniques in hand and upper extremity surgery. 2009; 13(1): 16-18
• Rohini Prasad, Ashok S Gavaskar, Subbiah Shanmugam. Global reconstruction of the flexor apparatus after wide local excision of a recurrent diffuse giant cell tumor of the hand: a case report and literature review. J Hand Microsurg. 2014 Jun; 6(1):37-9.
• Prasad Soraganvi, Ramakanth Rajagopalan, Ashok S Gavaskar. Irreducible, incarcerated vertical dislocation of the patella into a Hoffa fracture. Indian J Orthop. 2014 Sep; 48(5):525-8.
• Author’s reply. Soraganvi P, Gowda BS, Ramakanth R, Gavaskar AS. Irreducible, incarcerated vertical dislocation of the patella into a Hoffa fracture. Indian J Orthop. 2015 May-Jun;49(3):369-70.

Published international abstracts

• Ipsilateral neck and shaft fractures of femur: results of cephalomedullary nailing with an improved protocol for diagnosis: Ashok S Gavaskar, Naveen Chowdary. Journal of bone and joint surgery (Br) 2010: 92-B; 548
• Late-onset Pott’s paraplegia with kyphosis: single-stage decompression and deformity correction with PSO: Ashok S Gavaskar, Naveen Chowdary, Rajamani A. Journal of bone and joint surgery (Br) 2010: 92-B; 564
• Prasad C, Gowda N, Ramakanth R, Gavaskar AS. (2016). Effectiveness of platelet-rich plasma injections compared with steroid injection in the treatment of lateral epicondylitis (TENNIS ELBOW). Bone Joint J, 98-B (SUPP 13), 6
• Safe Surgical Dislocation for femoral head fractures. Ashok S Gavaskar. et al. Journal of the American Academy of Orthopaedic Surgeons: September 2017. doi: 10.5435/JAAOS-D-17-00521

Scientific Abstracts (International)

• Ashok S. Gavaskar, Naveen C Tummala, Parthasarathy S. Graft impacted titanium mesh cage improves outcome and healing with Induced membrane technique for long bone defects, Annual meeting of the American Academy of the Orthopedic Surgeons. New Orleans – 2018
• Ashok S. Gavaskar, Naveen C Tummala, Parthasarathy S. The choice of surgical approach determines the combined anteversion needed for stable total hip arthroplasty. Annual meeting of the American Academy of the Orthopedic Surgeons. New Orleans – 2018
• Ashok S. Gavaskar, et al. Second generation locked plating for complex proximal humerus fractures in very elderly patients. SICOT world congress, Rome – 2016
• Ashok S. Gavaskar, Srinivasan P, Tummala N. Delayed THA for failed acetabular fractures. SICOT world congress, Rome – 2016
• Ashok S. Gavaskar, et al. A novel MIS technique for fixation of PCL avulsion fractures. SICOT world congress, Rome – 2016
• Ashok S. Gavaskar. Winner of the best poster award – A novel mini-invasive dorsal approach for treating isolated tibial avulsions of the posterior cruciate ligament. AOTAP congress and TK experts research forum, Chengdu – 2016
• Ashok S. Gavaskar. Ganz surgical dislocation is a safe technique for treating Pipkin fractures. AOTAP congress and TK experts research forum, Chengdu – 2016
• Ashok S. Gavaskar. Delayed total hip arthroplasty for failed acetabular fractures: The influence of initial fracture management on outcome after arthroplasty – A prospective comparative analysis. (nominated for the Jaques – Duparc award, EFORT world congress, Geneva – 2016)
• Ashok S. Gavaskar, et al. Ganz safe surgical dislocation is safe for treatment of Pipkin fracture-dislocations. Results of a prospective trial (selected as one of the 10 best papers of the world congress. SICOT triennial world congress, Rio de Janeiro – 2014)
• Ashok S. Gavaskar. Total hip arthroplasty for failed acetabular fractures (presentation for Young ambassador award. APOA world congress, Pattaya – 2014)
• Ashok S. Gavaskar. A new dorsal minimal access approach for internal fixation of PCL tibial avulsions. APOA world congress, Pattaya – 2014.
• Ashok S. Gavaskar, Muthukumar S. Headless screw fixation for complex Hoffa fractures. (e-poster). SICOT world congress, Hyderabad – 2013
• Ashok S. Gavaskar, Naveen Tummala, Parthasarathy S, Ramakanth R. Humeral head splitting fractures in young patients. (e-poster). SICOT world congress, Hyderabad – 2013
• Ashok S. Gavaskar, Naveen Tummala, Parthasarathy S. Total hip arthroplasty for failed acetabular fractures.(e –poster). SICOT world congress, Hyderabad – 2013
• Ashok S. Gavaskar, Naveen Tummala, Muthukumar.S. Intramedullary fixation for unstable trochanteric fractures; 2 screws or helical blade? a prospective trial. (Original paper). SICOT world congress, Dubai – 2012
• Ashok S. Gavaskar. Computer navigation improves component positioning and mechanical alignment in TKA in the hands of a beginner arthroplasty surgeon. (E – poster). SICOT world congress, Dubai – 2012
• Ashok S. Gavaskar. Total hip arthroplasty for failed hemiarthroplasty in fracture neck of femur in an octogenarian population; results with a minimum follow up of 2 years. Annual conference of the Singapore orthopaedic association, Singapore – 2011
• Ashok S. Gavaskar, Rajamani. Lumbar hemivertebra excision through single-stage posterior approach with transpedicular instrumentation in congenital scoliosis. SICOT triennial congress, Hongkong – 2008
• Ashok S. Gavaskar, Naveen Chowdary. Surgical correction of windblown hand: case series, results and review of the literature. SICOT triennial congress, Hongkong – 2008
• Ashok S. Gavaskar, Rajamani A. Transfacetal screw fixation and fusion for degenerative Spondylolisthesis: results, and literature review. SICOT triennial congress, Hongkong – 2008
• Ashok S. Gavaskar, Chandraprakasam T. Modified Jones transfer using a single incision: surgical technique, case series and literature review. SICOT triennial congress, Hongkong – 2008
• Ashok S. Gavaskar, Naveen Chowdary. Ipsilateral neck and shaft fractures of femur: results of cephalomedullary nailing with an improved protocol for diagnosis: (oral presentation). EFORT world congress, Vienna – 2009
• Ashok S. Gavaskar, Ramesh kumar, Naveen chowdary. Neglected diaphyseal fractures of the femur; Results and outcome after open reduction and interlocked nailing: (E-poster). EFORT world congress, Vienna – 2009
• Ashok S. Gavaskar, Naveen Chowdary, Rajamani A. Late onset Pott’s paraplegia with kyphosis: single-stage decompression and deformity correction with PSO:(oral presentation).EFORT world congress, Vienna – 2009
• Ashok S. Gavaskar, Naveen Chowdary. Comprehensive soft tissue release for severe clubfoot using Caroll’s two-incision technique; long term results.(E-poster). EFORT world congress, Vienna – 2009
• Ashok S. Gavaskar, Vivek, Muthukumar S. Staged management of high energy proximal tibial fractures; results using the reverse sliding technique. SICOT world congress, Pattaya – 2009
• Ashok S. Gavaskar, Muthukumar S. Geriatric osteoporotic pertrochanteric fractures; Early results with PFNA-II. SICOT world congress, Pattaya – 2009

Peer reviewed case publications (AO Trauma Case library)

• Delayed presentation of knee fracture dislocation complicated by late femoral shaft fracture. AO case library (case number: 947)
• Augmented total hip arthroplasty for failed posterior wall wall ORIF (case number: 954)
• Open C3 distal femur fracture with bone loss – Use of Induced membrane technique (case number – 960)
• Anterior bridge plating for a C3 humeral shaft fracture – surgical technique (case number – 961)

Scientific Abstracts (National)

• Ashok S. Gavaskar. Role of Compression-Distraction osteogenesis in infected non-union of the lower limb: was presented for the M.Natarajan gold medal at the annual conference of the Tamilnadu orthopedic association 2005.
• Ashok S. Gavaskar, Karthi MN. Flexible intramedullary nailing in pediatric femoral shaft fractures was presented at the NAILS annual conference at Pune 2005.
• Ashok S. Gavaskar, Chandraprakasam M. Role of posterior interosseous artery flap in resurfacing hand defects was presented for the P. Tejeshwara Rao gold medal in the annual conference of the Indian orthopedic association 2005.
• Ashok S. Gavaskar. Unstable pertrochanteric fractures treated by proximal femoral nail: a report of 25 cases and literature review was presented at the annual conference of the orthopedic association of south Indian states 2005.
• Ashok S. Gavaskar. Role of Cephalomedullary nailing in ipsilateral neck and shaft fractures of femur: A prospective study of 25 cases was presented at the annual conference of the orthopedic association of south Indian states 2006.
• Ashok S. Gavaskar. Antibiotic coated interlocking nail for infected nonunion of femur; analysis of results in 20 cases was presented at the annual conference of Indian orthopedic association 2006.
• Ashok S. Gavaskar. Role of internal fixation in tibial pilon fractures; a study of 28 cases was presented as a poster at the annual conference of the Indian orthopedic association 2006.

Clinical Expertise

• Computer assisted and robotic joint replacement surgery
• Minimal access total joint replacement
• Out – patient hip replacement (Direct anterior hip replacement)
• Out – patient knee replacement (Uni-condylar replacement)
• Patient specific (customized) knee replacement
• Shoulder, Elbow and Ankle replacement surgery
• Revision (failed) joint replacement surgery
• Pelvi-acetabular surgery
• Failed fracture fixations

Experience

• Senior Consultant in Arthroplasty and Trauma, Gleneagles Global Health City, May 2017 – August 2017, Chennai.
• Consultant in Arthroplasty and Trauma, Parvathy Hospital, Jan 2009 – April 2017, Chennai.
• Assistant Professor in Orthopedics and Traumatology, Mahatma Gandhi Medical College and Research Institute, April 2007 – Oct 2008, Pondicherry.