Podiatry

A state-of-the-art facility for comprehensive management of diabetic foot conditions, Aster Podiatry offers specialised treatment methods that help avoid amputation, even in highly complicated cases. One of India’s most advanced centres for complex reconstructive and limb-salvage surgeries in diabetic foot patients, the department offers specialised, first-of-its-kind procedures in the world including the Sling Technique for foot and ankle stabilisation and use of Polymethyl Metacrylate (PMMA) as replacement prosthesis for severely destroyed foot and ankle bones.​

With focus on preventive management, the team of doctors here screen all diabetic patients for possible foot problems, provide detailed advice on foot care and also prescribe diabetic footwear. Multidisciplinary in approach, they ensure optimal,evidence-based treatment to patients with the help of advanced medical technology.

Diabetic Foot Conditions

Diabetes causes neuropathy and decreased circulation of blood in the leg. The ability to feel pain, heat and cold is lost; and hence minor cuts, scrapes, blisters and pressure sores go unnoticed. This may lead to several complications including deep ulceration and sometimes, amputation. Neuropathy can cause deformities that lead to ulcerations and callosities. Bacterial infection of these wounds is a life-threating condition for immune-compromised patients.

Charcot Foot

A very serious after-effect of diabetes that leads to poor bone density, erosionand collapse of the foot, anklebone and planter arches, charcot foot causes severe feet deformities. This in turn leads to raised plantar pressure and formation of ulcers.

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Dr. Ajit Kumar Varma
Senior Consultant
Dr. Ajit Kumar Varma

A veteran in podiatric surgery with almost two and half decades of experience, Dr. Ajit Kumar Varma is an expert in highly advanced and specialised diabetic lower limb and podiatric surgeries including extensive necrotising fasciitis, plantar-space infections, diabetic gangrene of the lower limb, osteomyelitis, and severely destroyed foot and ankle charcot. His areas of special interest include charcot foot and ankle reconstruction, corrective foot surgeries for foot deformities and limb salvage surgeries in diabetic lower limb infections. An innovator, he has devised unique surgical techniques and also designed a special footwear for diabetics.

Trained in some of the best diabetic foot centres in the United States, United Kingdom and India, Dr. Varma is rated among the top podiatric surgeons in the country.

Qualifications

MS in General Surgery (Armed Forces Medical College, Pune) | MBBS (University of New Delhi)

Achievements

Devised a novel surgical technique of foot and ankle stabilisation -The Sling Stabilisation Technique

Devised surgical techniques of using Polymethyl methacrylate, to replace severely destroyed Charcot foot bones

Developed a patented polymer based footwear for diabetic patients

Chief of the unit of Diabetic Lower-Limb And Podiatric Surgery at Amrita Institute of Medical Sciences

Worked in prestigious Diabetic Foot Centres in the United Kingdom and the United States of America

Ex-Lieutenant Colonel, Armed Forces

Surgeon, Army Medical Corps –training in trauma surgery and emergency surgeries

Over 200 research papers published in national and international journals

Guest faculty at many national and international Diabetic Foot conferences, including the World Diabetic Foot Conference to speak on the surgical techniques he devised

Proficient in English, Malayalam and Hindi

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Aster Facilities
Preventive Medical Management
  • Screening of all diabetics for foot problems
  • Ankle Brachial Index to determine the macro vascular status
  • Vibration Perception Test to check diabetic neuropathy
  • Pedopedogram to check high plantar pressures
  • Tcpo2 (Transcutaneous partial pressure of oxygen monitoring) for microcirculatory status assessment
  • Foot care advice & diabetic footwear  Medical management of neuropathic paraesthesia
  • Anodyne Therapy for managing intractable neuropathic discomfort  Endocrinologist advice for managing diabetes
For The First Time In The World

The Sling Technique

A safe, unique, high success rate foot and ankle stabilisation method that avoids complications associated with conventional stabilisation methods like the Ilizarov frames and other types of external fixators that cab cause pin tract
infections, soft tissue and bone infection.

Polymethyl Metacrylate (PMMA)

Non-surgical management: Replacement prosthesis for severely destroyed foot and anklebones.

Surgical Management

  • Extensive necrotising fasciitis
  • Plantar-space infections
  • Toe and foot gangrene
  • Osteomyelitis
  • Re-vascularisation procedures for peripheral vascular obstructive disease

  • Charcot Foot & Reconstructive Surgery
    • Triple arthrodesis
    • Talo-calcaneal arthrodesis
    • Naviculo-calcaneal arthrodesis
    • Plate fixation of Charcot’s fractures of foot: with or without autogenic, iliac crest bone graft
    • ‘Scarf’ and other surgeries for hallux valgus
    • Arthroplasty for Hallux limitus/rigidus
    • Arthroplasty for hammer, mallet and claw toes
    • Neuromas excision
    • Surgical management of plantar fasciitis
    • Tendo-achilles lengthening surgery
    • Tendon transfer surgeries,
    • Repair of ruptured foot and ankle tendons
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