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 Table of Contents  
Year : 2022  |  Volume : 37  |  Issue : 3  |  Page : 109

Changing trends: Evolving subspecialties

Department of Orthopaedic Surgery, RALC Building, KGMU, Lucknow, Uttar Pradesh, India

Date of Submission29-Oct-2022
Date of Acceptance03-Nov-2022
Date of Web Publication15-Dec-2022

Correspondence Address:
Ashish Kumar
Department of Orthopaedic Surgery, RALC Building, KGMU, Lucknow, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jbjd.jbjd_36_22

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How to cite this article:
Kumar A. Changing trends: Evolving subspecialties. J Bone Joint Dis 2022;37:109

How to cite this URL:
Kumar A. Changing trends: Evolving subspecialties. J Bone Joint Dis [serial online] 2022 [cited 2023 May 28];37:109. Available from: http://www.jbjd.in/text.asp?2022/37/3/109/363858

Long ago, orthopedics evolved as an offshoot of general surgery. In India, it happened almost 70 years ago. Before that general surgeons used to perform orthopedic trauma surgery. Since long, one had to do Fellow of Royal College of Surgeons (FRCS) in general surgery before going for FRCS in orthopedics.

Starting as an offshoot, orthopedics evolved greatly. Joint replacement, arthroscopy, scoliosis surgery, llizarov techniques, pelviactabular, pediatric surgery, and orthopedic oncology developed as subspecialties over the time and trauma management continued in the background. Introduction of computers further enhanced the joint replacement work, three-dimensional printed fracture models, computed tomography-based patient specific cutting jigs, and trabecular metal wedges along with anatomical contoured locking plates revolutionized the scenario. Allografts and bone banking further added to the revolution. Now the introduction of robotic surgery is making the orthopedic surgery technically more and more demanding.

As the cell grows in size, cell division becomes inevitable; similarly, orthopedic knowledge and skill base has become so huge that the development of subspecialties has become the need of time.

Now basic learning of trauma management along with exposure to various subspecialties such as arthroscopy, arthroplasty, spinal surgery, orthopedic oncology, and pediatric orthopedics while pursuing M.S. Orthopedic Surgery in all good institutions help the young developing orthopedicians to develop and decide their interests in these branches. Various super specialization courses are getting approved by NMC like MCh pediatric orthopedics, MCh Arthroplasty and MCh spine surgery etc. National Board of Examination approved FNB Sports Medicine and Spine Surgery, etc are also offering extra leverage for the carrier of young surgeons. Therefore, great opportunities are awaiting for youngsters to groom them in super specialists in either of these subspecialties of orthopedics.

Moreover, we find more crowd of young orthopedic surgeons in these subspecialty conferences, Continuing Medical Education (CME), and workshops, as compared togeneral orthopedic meetings.

Therefore, we can conclude that era of general orthopedic surgeons is about to pass. Subspecialities are evolving fast and one has to cope up with time to develop himself in one or another besides doing regular trauma which still remains the basic bread and butter of an orthpedician.

Financial support and sponsorship

Not applicable.

Conflicts of interest

There are no conflicts of interest.


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