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SRI LANKAN ORTHOPEDICS - Sri Lanka Orthopaedic Association

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					SRI LANKAN ORTHOPAEDICS




Official News Letter of the Sri Lanka Orthopedic Association

Vol. 1 No. 1 2008
The Sri Lanka Journal of Orthopedic Surgery

Vol. 1 No. 1 June, 2008

Contents:

                                                                           Page Nos.


  1. Message from Founder President Dr. R.B.J.Pieris                          3
  2. Message from the Editor Dr. Upali Banagala                               4
  3. History of Orthopaedics in Sri Lanka - Dr. J.K.S Weerasekera             5
  4. History of Sri Lanka Orthopaedic Association- Dr. Upali Banagala         6-9
  5. AO in Sri Lanka                                                          10
  6. Constitution of Sri Lanka Orthopaedic Association                        11-14
  7. Cadre requirement of Orthopaedic Surgeons for Sri Lanka – MOH            15 -16
  8. Basic facilities for an accepted Orthopaedic Unit - SLOA                 17
  9. Availability of Orthopaedic Services at present in Sri Lanka - SLOA      18
  10. Membership of the Sri Lankan Orthopaedic Association                    19 - 23
  11. Present Council of the Sri Lanka Orthopaedic Association                24
  12. Consultant Orthopaedic Suregons who have served in Sri Lanka            25
  13. Obituaries                                                              26
  14. Acknowledgements                                                        26




                                          2
Message from Founder President
Dr. R.B.J. Pieris, Mch.(Ortho)., FRCS, FRCSE.


I was instrumental in introducing many features to Orthopaedic Surgery in Sri Lanka after
I was appointed as a Consultant Orthopaedic Surgeon to the then General Hospital
Colombo (which is presently the National Hospital of Sri Lanka).

I redeveloped the Orthopaedic clinic, the Orthopaedic workshop and introduced Joint
Replacement Surgery. I took the initial steps to establish the New Accident Service
Building with the assistance from Government of Finland.

I was also involved in Trade Union Activities to get better standards of practice for
doctors.

There was just one thing I could not do and that was to establish an Association for the
Orthopaedic Surgeons. This was fulfilled in 1992 with the formation of Sri Lanka
Orthopaedic Association and I was appointed as the first President. Over the years the
membership of the association has grown in numbers as well as in activities.

With the publication of this journal another need has also been fulfilled.

It is my privilege and pleasure to offer my very best wishes for the success of this new
Journal.




Dr. R.B.J. Pieris, Mch.(Ortho) FRCS, FRCSE.




                                           3
Message from the Editor
Dr. Upali Banagala, MS, FRCS




The need of a Journal for the Sri Lanka Orthopaedic Association was felt for a long
period of time. Due to various reasons this need could not be fulfilled. I, as the editor,
feel that I am partly responsible for this. Even at this late stage I am happy that I have
been able to publish this journal and it is my fervent hope to publish it twice a year.

In this first issue we have published a message from our Founder President Dr. B.R.B.J.
Pieris.

Dr. J.K.S. Weerasekera has written an article on the history of orthopedic surgery in Sri
Lanka.

I have given an overview of the formation of Sri Lanka Orthopaedic Association and AO
in Sri Lnka and a brief description of the activities of both these entities in this inaugural
issue.

The Constitution of Sri Lanka Orthopaedic Association has also been included for the
benefit of the new and future members.

In other articles, I have given the cadre requirements of Orthopaedic Surgeons for the
Ministry of Health. I have also given some information on the basic facilities needed for a
Orthopaedic Unit, the present availability of Orthopaedic Services and the membership of
the Sri Lanka Orthopedic Association.

In further publications I hope to include articles such as “How I do it”, review articles,
MCQ‟s and original articles from members .

Thank you.




Dr. Upali Banagala, MS,FRCS.,
Consultant Orthopedic Surgeons
National Hospital of Sri Lanka.
Editor – Sri Lanka Orthopaedic Association




                                            4
           History of Orthopaedics in Sri Lanka -
               Dr. J.K.S.Weerasekera . MS,FRCS.


                                                                     6th June 2008

                 History of Orthopaedics in Sri Lanka

    A hundred years ago, practice of orthopaedics came within the domain of general
surgeons. This was the state of the art, even in developed western nations. Since then
 It has grown in to the specialty it is today, with even sub-specialization in areas such as
arthroscopy and spinal surgery.
    All along, Sri Lanka has had as its model the British system of medicine and surgery and
we have followed their trends.

Pre-historic times.
Searching for the origins of orthopaedics, we not only have to trace it to Britain, but having
looked thus far, reach out to other centres of development elsewhere in the world.

 Orthopaedics in ancient times had its roots thousands of years ago when „physicians‟ or
practitioners, or merely the bold and enterprising, did this type of therapy. Millennia old
artifacts are evidence of the practice.

 Hippocrates of Greece, in the 4th century B.C., treated fractures and dislocations, his methods
being handed down in remarkable detail to present times. Hippocratic method of reducing a
dislocated shoulder is common knowledge. His methods such as of traction, splintage and
bandaging are available, fascinating us for their scientific basis of practice.

Development in the field did not occur at his pace in the next 1800 years though trauma in
various forms, in war, altercations, falls from trees and carriages, attacks by elephant and
other animals would have been the norm in those troubled times. The reasons for this lack of
progress are complex, a separate story by itself.

In much later times in England, around 700 years ago, barbers were cutting into abscesses
and such like, gradually gaining respectability as the Company of Barbers, which centuries
later was to transform into the Royal College of Surgeons of England.

In our own country an indigenous system of medicine prevailed from ancient times. This had
a large input from nearby India and is known today as the Ayurveda system, Susruta and
Charaka being two well known physicians in ancient times.

In Sri Lanka around the 4th century B.C., there were „hospitals‟ of some sort in Sri Lanka,
during King Pandukhabhaya‟s reign, historical records being scarce.

„Hospitals or halls for every ten villages‟ were said to exist for man and beast in physician-
king Budhadasa‟s reign, circa 4th century A.D. Archeology gives credence to these claims.




                                               5
Ayurveda practice, indigenous to the east, encompasses manipulations and splintage of
fractures and dislocations, application of oils, massages and mobilizations and heat therapy,
as practiced even in present times. A degree of specialization on trauma is seen by the
existence of specialists for fractures - „kadum- bindum‟, or falls from trees- „gus vedakama‟.

Period of foreign rule
Portuguese writings on Ceylon around the 16th century praise certain local practices then
carried out. To comprehend this view we should keep in mind that till the latter part of the
19th century, allopathic methods were not particularly more effective than the indigenous
system. It is the advances in the last couple of centuries as anaesthesia, anti sepsis, Xrays,
blood transfusions and antibiotics that allowed the „western‟ system of medicine forge ahead.

European methods of treatment become evident in this country when the Portuguese occupied
our maritime regions and built a few hospitals within their garrisons. Following them, the
Dutch had a larger number, one built around 1650, existing today in a dilapidated state on
Hospital St. Fort. Treatment was by a few doctors, missionaries and priests and not
necessarily by the qualified. They did not in any way cater to the local people.

 Early British Rule
As the entire country came under British rule from the early 1800‟s, a system of allopathic
hospitals and clinics gradually came up all around. These were primarily to serve the British
and those who worked for them, labour from India being a large sector. Over time, the locals
acquired know how and training in their methods and by the mid 20th century our health
system was in the hands of Sri Lankans.


The era of the basic medical Doctor
Till specialisation into surgery, medicine, gynaecology, obstetrics and other fields began in
the 20th century, a medical doctor was trained in and expected to look after all diseases and
injuries.

Methodical training of the local doctors began from 1839, at the Bangalore Medical School,
Calcutta, though the first batch was all European.

The Mission Medical School in Manipay, Jaffna, managed by Dr. Green, an American,
trained local doctors from 1848 in a three year course in Tamil. The well known surgeon S.C.
Paul, father of Professor Milroy Paul, was a Manipay product.

The Ceylon Medical School was formed in 1870, shifting to the present premises on Kynsey
Road, becoming the Ceylon Medical College in 1880.
The College began awarding the Diploma of Licentiate in Medicine and Surgery- the LMS
(Ceylon), till 1941.

As the Medical College became a faculty of the University of Ceylon in 1942, the LMS was
replaced by the MBBS qualification.

Early specialisation
Specialisation into various fields began in the 20th century. General surgeons went to the
U.K., qualifying in the FRCS on par with British surgeons. They were „head to foot‟ surgeons
looking after all things orthopaedic as well.


                                              6
By the 1920s surgeons Lucian de Zilwa, S.C. Paul and R.L.Spittel were practicing.

In the 1930s, many surgeons headed surgical units in the country. A majority served the
General Hospital Colombo, the biggest in the country. It extended from Kynsey Rd, towards
Town Hall across the Norris Canal Rd.

In these times of British occupation, the Director of Health was Brier Clief, but the surgeons
were Sri Lankan. Many surgeons including DR. MVP Peiris, Professor Paul were in charge
of surgery at the Military Hospitals and even junior doctors assigned to help during the
Second World War. During the war the General Hospital O.P.D. was taken over as a Military
Hospital and so were the premises of St. Peters College, Holy family convent and Nalanda
College.

In the 1940s surgeons of the caliber of J.H.F. Jayasuriya, B.E. Fernando, G.S. Sinnatamby,
V.Gabriel, A.S. Rajasuriya, M.V.P. Peiris and Professor Milroy Paul were in practice.
Children at the Lady Havelock Hospital for Women and Children (later named Lady
Ridgeway hospital) Borella, were looked after by Professor Paul.

Memories- Dr.P.R.Anthonis 1930s

Dr. P.R.Anthonis LMS 1936, FRCS 1947, recalls the 1930s, “ I became a medical student in
1930, undergoing the „rag‟ upstairs at the Mahamodiya Hotel in Pettah in the usual manner
in the usual garb, with the usual discomfiture. Alcohol was forced down me by „senior‟
Gerry Muller”.

He continues, “For old people, fracture femur often meant death, death from pneumonia and
pressure sores. Plenty of splints and slings were used on fracture patients. In
theConvalescence Hospital at Ragama, I was the first honorary House Officer, with one
Apothecary to assist.. Most of the wards had galvanized „takarang‟ roofs. One ward was
reserved for orthopaedic patients under treatment from Colombo. In Colombo many wards
down Regent St. were for private patients and only the chief surgeon had the right to private
surgical patients there. Generals surgeons tackled all problems.” His salary was Rs. 250/ per
month. (A teacher would receive about Rs.30/ at the time)

Two physiotherapists served the whole hospital.
  All nursing care was by European sisters under a mother superior until the 1950s.
  The O.T. „D‟ was the major operating theatre with the new theatre complex A, B, C,
commissioned from the late forties.

Orthopaedic origins in Colombo

 Dr.M.V.P. Peiris, LMS (1925), FRCS (Eng) 1929, was in charge of the surgical department
General Hospital Colombo from 1932 and was entrusted with organising an orthopaedic
service. He set about the task till his retirement in 1949/50.

Khan Memorial Ward

  The Khan Memorial ward (ward 51), came up in 1939, for care of children. Dr. Lakshman
Rajakaruna, orthopaedic surgeon, recalls attending MVP‟s clinic there in 1943 as a teenager
for a fractured collar bone.


                                              7
Orthopaedic Clinic Building
    The present Orthopaedic Clinic building was a mustard gas air raid shelter from during
the war till 1945. It had a concrete slab for a roof. Dr. Francis Silva, M.O. was in charge of
this shelter, and as assistant to Dr. M.V.P.Peiris, had suggested that it be converted to the
O.C. which was duly carried out by the Public Works Department guided by Dr. Peiris. The
then juniors remember sweating it out, assisting surgery under the hot concrete roof with fans
blowing. The fans kept on blowing for a long time, through to the 1980s.

The Limb Fitting and Surgical Appliances Services.- Francis Road-Ward Place-Regent
Street.

The Colombo work shop for these services was situated early on at the Civil Medical Stores
on Francis Rd. near the anatomy „block‟. It shifted later to the Civil Medical Stores at Ward
Place. The service appears to have existed from early times.
In the 1940s the staff were four or five, trained on the job. A few were trained abroad for
short periods.

  Mr.D.C.S.Dillimuni the first workshop manager trained at the orthotics and prosthetics
company Hangars, in the U.K. returning with the qualification, Fellow of the Institute of
British Surgical Technology, (FIBST). He was the manager from 1947 to around 1969. Mr.
Eddie Assauw, FBIST was an expert technician who stayed by the surgeon at clinics, to make
appropriate appliances with minimal delay.

  The workshop was shifted about 1947 to new buildings at the rear of the O.C.

The orthopaedic physiotherapy Unit

   Two or three physiotherapy-assistants were trained, post- matriculation, on-the-job, with
lectures, clinical discussions and ward rounds. Mr. Bertie Samarasinghe-I met him recently
practicing at „Medicheck‟ Colombo- was one of the earliest, working there from 1947 to
1952.

  Later, in the 1950s, the upstairs was built to accommodate the orthopaedic physiotherapy
unit and nurse‟s rest rooms. The occupational therapy unit came up later. A chiropodist was
employed as were a walking trainer and physical instructor.

In the 1930s and early 40s major surgeries were performed in OT -‟D‟, manipulations and
most plaster applications being done at the O.C. and Khans ward.

  The theatre complex, A, B, and C were functioning from the late forties. These were
modern in design, air-conditioned. The OT „A‟ was used for orthopaedics.
Adult orthopaedic patients were housed in Wards 57 and 58 and 40(check ward numbers
please).

When Dr. MVP Peiris retired in 1949/50 a de facto functioning orthopaedic unit was in
existence.. He will be remembered as the „father of orthopaedic surgery‟. He joined the
Medical Faculty as Professor of Surgery. to serve the hospital for another decade.




                                              8
Dr. M.V. P. Peiris

 Those who knew MVP remember his eminence as an ambidextrous surgeon, recalling many
stories of humour and interest. Mr. Bertie Samarasinghe remembers a soldier admitted with a
paralysed left arm. MVP asked a nurse to keep this arm held up over the patients head. MVP
gripped the other arm securely and suddenly pulled down the patient‟s pyjamas. The patient
made a reflex grab at his trousers with the „paralysed‟ arm resulting in a miraculous cure!
 He had considerable respect for certain ayurvedic practitioners, sending patients to the priest
– kadum bindung haamudurwo-down at Maria Kade for „oils‟.

Lensuwa-Ayurveda Physician

 Dr.Peiris had special respect for another „kadum bindum‟ specialist, known as „Lensuwa‟
who seemed able to speed up recovery after initial fracture setting at the hospital using his
oils on the exposed areas. Interestingly, „Lensuwa‟ himself was in his ward sometime later
with a fracture to get it set properly so that he could follow up with his own oils!

  We have no first hand experience of practicing the ayurveda system but it should be borne
in mind that the majority of fractures are stable and do not need to be set as observed by
Charnley in his monograph on „Closed manipulation of Fractures‟.

In these patients splintage is to reduce pain, and splints of bamboo or strips from coconut
branches, applied and supervised regularly are more effective than plaster of Paris applied
sans supervision as happens often enough even now.

 Dr Peiris on retirement from the university as Professor went on to become our Minster of
Health and Minister of Trade and Commerce in the 1960s.

Geometry theorems at age 70
Born in 1898, Dr. MVP is said to have had a photographic memory and at the age of seventy
in1968 taught his sons geometry theorems! ( Source- son Prith Peiris, U.S.A.)

Professor Milroy Paul
  Professor Milroy Paul working at the General Hospital was also in charge of one ward at the
Children's Hospital. He had worked with Denis Browne and managed club feet in wooden
splints strapped to both feet with elastoplast. This splint was easy to make not requiring any
workshop work and cost nothing. The baby‟s feet were traced on a sheet of paper and the
parents took it to „Waravita‟ the undertakers nearby, who cut out the splint from a left over
piece of plywood. I was his house surgeon in 1963 and later as a specialist adopted the splint,
finding it as effective as serial plasters and more effective than the rigid Denis Browne‟s
night splint. Milroy managed congenital dislocations of hips in frog plasters and did a large
number of osteotomies for bowlegs on preschool kids. In the 1960s he referred special
problems to the orthopaedic clinic.We place on record his invaluable service to orthopaedics.

The early orthopaedic surgeons

As Dr. MVP retired, in 1950, Mr.S.W.R.D Bandaranayake Minister of Health, invited
Mr.Gerard.M. Muller, then an orthopaedic surgeon in London, to Colombo.




                                               9
Mr. Gerard M. Muller

   Mr. Muller LMS, FRCS assumed duties at the General Hospital Colombo as our first
orthopaedic surgeon in 1950.

  Dr. Muller, qualified in the LMS (Ceylon) in 1934, served the dept. of health including a
period at Ratnapura, resigned in 1939 proceeding to the UK for higher studies. Caught up in
the war, he practiced in London, obtaining the FRCS about 1942. He was visiting
orthopaedic surgeon, mainly to the Watley Park Hospital which may no longer be in
existence. He had extensive experience of war casualties during the war.

   Mr. Muller took over the orthopaedic unit, which included the clinic, Khans, orthopaedic
wards and the OT „A‟. Pin and Plate surgery had been initiated at the O.C. theatre in his
time.

  He was an innovative surgeon and had designed some instruments of his own.

 He created a rubber footpiece for Symes amputees, the first time rubber had been used in the
world, publishing the account in the B.M.J. Professor Sethi from Jaipur acknowledged this
pioneering effort when introducing the Jaipur Limb years later.

The Transit Hostel for the Disabled

 Muller was an active member and Vice-President of the Colombo Friend Need Society and
with the help of Mr. Hunter, a European, got the Transit Hostel for Cripples built in their
premises in 1955. The hostel serviced the O.C. patients arriving from afar. They were cared
for at the hostel to be brought to the clinic. This invaluable service continued into the 1970s.

   Dr. Bede, younger brother of Mr. Muller whom I met holidaying in Colombo recently,
confirmed and provided much personal information. The Mullers lived in Kotahena and their
father Dr. Wilfred Michael Muller LMS 1908 owned the „Womens and Childrens Hospital‟
which is now known as the Cooperative Hospital Kotahena.

  On a lighter note, Gerry was particular about his name being pronounced Muller- as in
„fueller‟. He also insisted, British surgeon style, on being addressed as „Mr‟ and not
„doctor‟… This led to many humorous situations. Once he sent back to England a letter
addressed to „doctor‟ G. M. Muller.
  A patient would engage him in dialogue as follows; “Doctor…”, “Mister!”, “Pardon
doctor”, “Mister”, „I am Mrs. …”, “No, me..”. “Oh! Doctor”, “MISTER!”, “Pardon me
Doctor?” …..
. I met Mr. Muller at the Whittington Hospital London in 1972, running the orthopaedic
clinic where I was registrar. Of medium build and complexion he spoke with a Lankan
accent.

Dr. J. Francis Silva

The next orthopaedic surgeon in Colombo was Dr. J.Francis Silva.
  Dr.Silva was house surgeon from 1941 to 1943 at the General Hospital. From 1942 to
1946 he was in charge of the Asiatic Wing of the Naval Hospital at the St. Peters College



                                              10
premises gaining experience on problems of the locomotor system under Commander
Williams FRCS.
  He assisted Dr. MVP Peiris from 1946 to 1948 and with MVP busy on many fronts looked
after adult orthopaedics and children at the Khans Memorial.
  He states that he learnt plaster-of-Paris technique from a Franciscan nun, in the Khan ward,
its pantry then being used for P.O.P. applications.
  Dr. MVP Peiris had promoted him to take to orthopaedics as a career.
Having sat the Primary F.R.C.S. exam held for the first time in Sri Lanka in 1948, Dr. Silva
went to the U.K. on a Nuffield Scholarship, returning in December 1951.

Dr. Francis Silva L.M.S.(Ceylon), FRCS, M Ch.(Liverpool) was the first in the country to
obtain the M.Ch. Liverpool and the country‟s first to have been sent for orthopaedic
specialization.
 On his return, after a year as resident surgeon and additional orthopaedic surgeon, he was
appointed consultant orthopaedic surgeon, to a second unit in the G.H.C. in 1952.

General Surgical Wards 1950s
To recall the 1950s at first hand, the corridors of the general surgical wards were occupied by
patients in plasters, Thomas splints, Steinman Pin traction on Balkan beams and Bohler
frames. Most of them were yet managed by general surgeons as the initial treatment of
trauma was in their hands with special problems referred to the orthopaedic surgeon.
  The long stay patients occupied beds in surgical ward corridors, some having to lie on mats
on the floor.
   The general surgeons of the 1950s were Professor M.V.P.Peiris, Professor Milroy Paul,
R.S.Rajaratnam, Noel Bartholomeuse, P.R.Anthonis, Clifford J.L. Misso, L.D.C.Austin,
D.F.D.S. Gunawardena. They treated all trauma on their casualty, referring some to the
orthopaedic surgeons. Dr.‟Drogo‟ Austin had a special interest in orthopaedics, having
worked at the Park Royal hospital, Central Middlesex.


Orthopaedic surgery in the 1950s

A convalescent centre was established at Talagolla for orthopaedic patients around this time.
 Dr. John R.Wilson MRCP chest physician, placed two wards in Welisara at Dr. Silva‟s
disposal and Francis was able to send patients with bone and joint tuberculosis there for non
operative care.

Potts paraplegics were treated for months in a „Plaster bed cast‟.
 Poliomyelitis was common and so were appliances and braces

Hemi-arthroplasty of the hip for osteo-arthritis, avascular necrosis of the head of the femur
and severe rheumatoid arthritis was introduced. The Judet acrylic prosthesis was used, later
giving way to the Austin Moore and Thompsons prostheses. Knee arthroplasty was carried
out after excision of the lower end of the femur for benign tumours using the Hermon Young
Prosthesis. Short legs due to polio were lengthened by „z‟ plasty of the tibia using the Roger
Anderson apparatus. Scoliosis was treated with split Risser jackets and turn buckles to obtain
maximum correction before fusion. Some elbows were replaced with the Judet acrylic joint..
Fixing fracture femur with Kuntscher nails reduced hospital stay and stiff knee joints
considerably.



                                               11
  Fractures of the femoral neck were pinned with Smith Petersen‟s tri-flanged Pin or Mac
Laughlin‟s Pin and Plate at the O.C. theatre. This surgery was done at the O.C. till the
commissioning of the Finland building in 1991.
  The author recollects labourer Jayatissa in the 60s regularly holding the Xray film to obtain
a rush film of the pinning. Over the years he became mentally dulled and was diagnosed to
have leucopaenia due to frequent Xray exposure.
   The author was doing a Pin/ Plate surgery at the O.C. in the 1980s as consultant when the
big theatre lamp fell off the ceiling, miraculously between the patient and surgeon.
 It was dangerous!
  Dr. Silva was a Hunterian lecturer, Royal College of Surgeons about 1957/58 on trauma of
the elbow. He had expectations of joining the Medical Faculty as a Professor in Orthopaedics
but this was not to be.. He had many publications by the time he left Ceylon and published
many more while Professor of Orthopaedics in Malaysia.
  He lectured to medical students. The author was one of them. His four lectures were all on
internal derangement of the knee joint. He exhorted all to read the extensive two volumes of
„Watson Jone‟s Fractures and Joint Injuries‟. Fortunately we also had clinical appointments
and ward classes to learn orthopaedics.
  Dr. Silva left in 1966 to become the first Professor of Orthopaedics at the University of
Malaysia.

Orthopaedic Consolidation
The1950s witnessed many future orthopaedic surgeons being trained in Colombo.
 Dr.Lakshman Rajakaruna, was House Officers to Mr. Muller in 1951/52.
 Dr.Rienzie Peirs worked with Dr. Francis Silva in 1954.
 Dr. V.Rasanayagam worked with Dr. Francis Silva about 1957/58
 Dr. T. Shanmugalingam worked with Dr. Francis Silva in 1957/58
 Dr. Mark Amerasinghe worked with Dr. Rienzie Peiris in 1956/58

Dr.R.B.J.Peiris
Dr. Rienzie Peiris M.B.B.S.(Ceylon) 1948, FRCS (England), FRCS (Edin) M.Ch.
(Liverpool), returned from higher studies in the U.K. in 1957 and was appointed to the
vacancy left by Mr. Muller who resigned to work in Ghana.

 Soon after in 1958, a major upgrading of the orthopaedic unit occurred.


Commissioning the second floor- Bandaranayake Building -1958.
The new 5 storied Bandaranayake Memorial building on Regent St. was commissioned in
1958. It was built after demolishing existing wards such as the Passengers Ward, on the land
between the Merchants and Seamans Wards.
 The whole of the second floor of this building was reserved for orthopaedics, comprising
wards 2, 3 and the O.T.‟E‟.
 Dr. Silva and Dr. Peiris were able to practice in these environs on par with the U.K.
However, work loads were heavy, with many patients all over surgical wards, not conducive
to an even standard of care for all.
  Rienzie Peiris was a charismatic surgeon and teacher, who stimulated many of us to take to
orthopaedics. He is remembered for his skill in surgery and teaching. The Finland Building
construction was made possible due to much effort on his part.
 He should equally be remembered for perseverance against great odds to regain the right to
private practice of medical officers.


                                              12
 He was a generous and frequent host to the juniors, with beer and colourful stories on
politics and prominent personae around in Colombo.
 He retired in May 1984.


Dr. V. Rasanayagam
Dr.V. Rasanayagam M.B.B.S. (Ceylon), FRCS, M.Ch. Liverpool trained with Dr. Francis
Silva and returned from the U.K. around 1960 to be the third orthopaedic surgeon
Colombo.
 He was a skilled surgeon. His ward classes were forceful and interesting, with bursts like,
“What the …..!” and “Your ……!” aimed at the student, A kind man, he visited the Health
Department Sports Club some evenings with Dr. Sandrasagara, paediatric surgeon, sure to
offer a round of drinks to any of us juniors who dropped in, regaling us with tales, medical
and otherwise.
He retired early to migrate to Australia around 1969.

Orthopaedic surgeons in the outstations
Appointment of orthopaedic surgeons to outstation hospitals began with Kandy in 1961
followed by Galle in 1962.
However all these appointments were made with no prior preparation of the infrastructure of
the hospital, in contrast to Colombo.

Dr.D.Mark Amerasinghe
Dr. D.Mark Amerasinghe M.B.B.S. (Ceylon), FRCS(England), M. Ch. (Liverpool), arrived in
Colombo in 1961, and within a month assisting Dr. Silva, was appointed the first orthopaedic
surgeon to the General Hospital Kandy on April 1st 1961.

Kandy General Hospital
   Dr.Amerasinghe had to carve out a functioning unit over the next ten years. He recalls the
help from Dr. Andrew Perera V.O.G. who allowed him some ward beds and operating time
from his list three days a week! His clinic was at the Eye clinic by the grace of Eye Surgeon
Lloyd Weerakoon.
  Much later, with help from the Hope Ship Foundation he improved the workshops. With
great personal effort he managed to do some Pin/Plate surgeries on a modified table bringing
implants from Colombo. Some internal fixations were possible with a few plates and Rush
nails available. Austin Moore prostheses became available ten years after ordering them.
 He did much soft tissue surgery for polio and radical surgery on club feet. Informed and
innovative, he had a trial with bamboo splints on fractured tibiae instead of the long-leg
plaster, getting a lower incidence of non-union of the lower third of the tibia with early
mobility than with the A.K. POP.

Peradeniya Medical Faculty
With the creation of the Medical Faculty Peradeniya, the Kandy Hospital became a teaching
hospital for medical students who did their clinical training with Mark Amerasinghe.

Of aesthetic bent, Mark was an accomplished singer who performed at the highest level.
 He retired prematurely in 1983 to go to Malaysia as Associate Professor and later to lecture
in anatomy at the Peradeniya University.

Dr. M. Laskhman Rajakaruna


                                             13
Dr. M.Lakshman Rajakaruna MBBS (Cey) 1950, FRCS, MCh Liverpool, trained under Mr.
Muller in 1951/52, but resigned from service in 1954 to proceed to the UK. He rejoined the
dept in 1960 as Resident Surgeon Colombo.

General Hospital Jaffna
Dr. Rajakaruna was appointed the first Orthopaedic Surgeon, Jaffna from 1961.
  He too had to carve out a unit over the years with the help of colleagues.
Dr. Rajakaruna transferred in 1966 to Badulla Hospital replacing Dr.T.N. Shanmugalingam.
He transferred to Kurunegala in 1971 following Dr. D.D.Jayawickrema.
 In 1972 he left the service to migrate to the UK.

Dr.D.D.Jayawickrema
Dr. D.D.Jaywickrama MBBS (1951) FRCS 1961 worked with Dr. Francis Silva for a
period before going abroad. He did the Primary and the Final FRCS in the UK.
 Returning in 1961, he was resident surgeon for a few months at the GHC.
  His first appointment was to the General Hospital Galle in 1962, replacing
Dr. Shanmugalingam. He served Galle till December 1968.

General Hospital Kurunegala
 In 1968 Dr. Jayawickrema transferred to the General Hospital Kurunegala as its first
orthopaedic surgeon working there till around 1971.

Orthopaedic Surgeon in Charge Accident Service Colombo
Around 1971 Dr. Jayawickrema came over to Colombo as the first Orthopaedic Surgeon in
Charge of the Accident Service. He was the first to be appointed solely to this post.
He retired about 1977 to work in Oman.
He was re-employed as Orthopaedic Surgeon Kalubowila from 1982 to 1985.

Dr. T.N.Shanmugalingam
Dr. T.N.Shanmugalingam MBBS 1951, FRCS (England), FRCS (Edin), M.Ch. (Liverpool)
trained with Dr. Francis Silva in 1957/58, was in the UK from 1959 to 1961.

General Hospital Galle
 Dr.Shanmugalingam was appointed the first Orthopaedic Surgeon to the General Hospital
Galle in1962.
 However soon he transferred to the General Hospital, Badulla.

General Hospital Badulla 1960s
Dr. T.N.Shanmugalingam came to Badulla in 1963 as its first orthopaedic surgeon.
 In the three years he worked there he set up an excellent unit with the help of Sister Carmen
Tissera coming over from Colombo. Sister Tissera worked in the orthopaedic theatre in
Colombo and trained in New Zealand in 1962-1963 together with Sister Jenny Nanayakkara.
 DR.Shanmugalingam transfered to Colombo in 1966 as Dr. Francis Silva left

Establishment of the Colombo Accident Service 1965/66
1965 was a landmark year at the General Hospital Colombo in trauma management.
  The first Accident Service of the General Hospital was created within the precincts of the
Old Victoria Memorial Eye Hospital in 1965/66. The old Eye Hospital had shifted over to
the new buildings on Deans Road.



                                             14
  All surgical trauma casualties that previously flooded two surgical casualty wards were
easily accommodated at this building. It was ample, well sited, well managed with a theatre,
Xray dept, wards 52, 53 and 54 (ICU) plus a burns ward. The staff had spacious duty rooms.
  Three teams of doctors worked round the clock. One resident surgeon and three post-
Primary FRCS S.H.O.O. made one team. A duty anaesthetist was on site. Prompt attention
was given to out-patients as well. I remember thoracic surgeons Dr. S.J. Stephens and Dr.
Rudra Rasaratnam rushing in at midnight to operate on many occasions. At that time the
knife was the most dangerous weapon in Sri Lanka mostly used on the Sinhalese New Year
night! I was S.H.O. together with .M.N.T.Fonseka, later professor of Surgery, Galle, and
N.A. Karunaratne my batch mate.
The nurses and other staff were keen and a pleasure to work with.
Baila with work- Accident Service
I remember well nurses Sumana, Tilaka, Abey and the baila queen Philomena who was much
sought after at the Accident Service New Year Parties. It was not all work!

Credit must be given to the authorities and staff who made it all possible. As the then health
minister remarked at the opening ceremony with Prime Minister Dudley Senanayake as the
chief guest, “Doctors shall be waiting for you round the clock, night and day”.
 . And so it was till in1991 the service shifted to the new Finland Building.
 These old buildings continue to be under the care of Surgeon in Charge Accident Service.

 Dr.Shanmugalingam took up appointment in Colombo in 1966 as Dr. Francis Silva left.
From this time Rienzie, Rasa and Shan were seen on their marathon ward rounds, clinic or
surgery till „Rasa‟ left in 1969 to be replaced by Dr. T. Parameswaran
As Rienzie retired in 1984, Dr.Shanmugalingam became the senior orthopaedic surgeon,
General Hospital. Shan as we called him was a store house of orthopaedic knowledge
practicing a variety of surgeries.
Dr Shanmugalingam retired in 1988(check date)

Orthopaedic doldrums 1970s
In the 1970s progress in orthopaedics and trauma in the country was static. Pin and Plate
surgery was no longer possible in Colombo by the 1980s. Most fracture neck of femora,
including intra-capsular fractures were dealt with by simple traction and transfer to the local
hospitals. Internal fixations of bones were a challenge with non functioning hand drills, just a
few drill bits available and a shortage of plates and screws.
 This was at a time when orthopaedics was advancing rapidly in other parts of the world.
 In the early eighties, Dr. Peiris however managed to obtain a hundred Total Hip units with
the support of the Prime Minister and this was the only advance in orthopaedics for over a
decade.

Dr.T.Parameswaran
Dr. T.Parameswaran MBBS (Ceylon), FRCS, M.Ch (Liverpool), worked with Dr. Rienzie
Peiris in the 1960s.
  As he arrived in Sri Lanka after post graduate studies, he was posted to Jaffna as
orthopaedic surgeon about 1966. Dr.Rajakaruna had just left Jaffna for Badulla.
 Around 1969 he transferred to Colombo replacing Dr. Rasanayagam who migrated to
Australia.
 Dr. Parameswaran was conscientious and caring, an excellent colleague ever willing to
 help the juniors. He migrated to Australia in 1986.



                                              15
Dr. Sydney. A. Ediriweera
Dr. Sydney A. Ediriweera MBBS (Ceylon) 1961, FRCS 1968 was trained by Dr. V.
Rasanayagam in 1965 and was abroad from 1966 to 1968. On his return in 1968 he was R.S.
Colombo.

General Hospital Galle 1970s
 Dr. Ediriweera was appointed to Galle in January 1969 where he worked till 1975.
 He published a book on Orthopaedics and Trauma in Sinhalese which was of great use to
many. He transferred to Kurunegala in 1976 but transferred to Kalubowila in 1977.

General Hospital Kalubowila
Dr.Ediriweera was appointed the first orthopaedic surgeon to the hospital in 1977. He
worked there for two years till 1979.
Dr. Ediriweera came to Colombo in 1979 as the surgeon in charge of the Accident Service
and retired prematurely in 1991.



No-pay leave era-doldrums 1970
Going back to the 1970s, these were difficult times for post-graduates waiting to go abroad.
Scholarships were drying up. The few available for finer specialties were granted to already
practicing general surgeons by the Deputy Director Medical Services. Those who came back
after orthopaedic training did not fill any orthopaedic posts.
 As a post Primary-FRCS S.H.O, I recall the tension, trying to go abroad for higher studies.
. Much lobbying was done by all of us before the problem was solved by allowing those
eligible, no-pay leave. The health minister responsible was the W.P.G. Ariyadasa. The
decision to grant no-pay leave was wise, allowing aspirants and even reluctant aspirants from
other specialties sans qualifying exams too the same chance.



Are surgeons brainier?
 At this stage I would comment on why so many doctors took to surgery in those days. The
Primary FRCS was the only exam readily available for those who wished to pursue higher
studies. Medicine was as attractive but one had to do 1 ½ years of recognised apprenticeship
or wait five years after the MBBS before one was eligible to sit the M.D.(Ceylon). Often only
about one candidate out of fifty passed the M.D. exam. In the Primary FRCS, the pass rate
was about 15-20 percent.
 .

Dr.V.Sivagnanavel
Dr. V. Sivagnanavel MBBS (Ceylon) 1961, FRCS, FRCS(Orth) went on no-pay leave in
1971. He returned around 1972/73.

General Hospital Jaffna 1970s-1980s
 Dr.Sivagnanavel was appointed Orthopaedic Surgeon Jaffna in 1975.
He went abroad in 1977 for a year‟s training in Orthopaedics. He overstayed but returned
sometime after 1980 with the qualification FRCS (Orth). The FRCS Orthopaedics
examination in the U.K. was held for the first time in 1980.



                                             16
 On his return, Dr.Sivagnanavel was re-employed at the General Hospital Jaffna and held the
post till he resigned in 1987 to migrate to the U.K.

Dr.J.K.S.Weerasekera
Dr. J.K.S Weerasekera MBBS (Cey) 1963, FRCS (Eng) 1971, went abroad on no-pay leave,
worked in the U.K for three years.
He came back in 1973, and was for 1 ½ years resident surgeon Accident Service Colombo.

Badulla General Hospital-1970s with Dr. Weerasekera
Dr. Weerasekera was appointed orthopaedic surgeon, Badulla in May 1975 where Dr.
Shanmugalingam and Dr. Rajakaruna had created a well ordered orthopaedic unit.
One house officer assisted him.
. Sister Carmen Tissera was in overall charge of wards, clinic and orthopaedic theatre work.
A two-storied building had been constructed and two wards on the ground floor were
commissioned for orthopaedic patients. Though soft tissue surgery was possible, few
implants were available for internal fixation. As a consequence clubfooted babies and soft
tissue problems received good attention with most fractures managed in plasters or traction.
No Pin/Plate surgery was possible nor implants available for hip surgery. Steinman Pin
traction in Thomas splints with Balkan beams was used for fracture femur giving excellent
results.
  Club feet deformities were corrected using Milroy Paul‟s plywood splints or plasters.
Radical surgery was performed when babies were about 3-6 months of age, Dr. Dawood
anaesthetizing them with great care.
Dr. F.A.Dawood was a stimulating colleague to work with and gave epidurals to my patients
with low back pain with promising results.. These were very early days for epidurals for this
type of problems. But I went on transfer soon.
The workshop under the care of Mr. Lekamge was adequate and housed in new buildings
opposite the hospital.


Dr. J.K.S.Weerasekera went to the U.K. on a year‟s orthopaedic training in 1977 working at
the Birmingham Accident Hospital and the Spinal Injuries Centre, Stoke Mandeville
Hospital.
On his return in July 1988 assumed duties at the General Hospital, Galle.
  The hospital was then sited at Mahamodera by the sea.
. The orthopaedic wards were functioning under the general surgeons since Sydney
Ediriweera left in 1975.
 Facilities however were poor. Fractures of shaft of femur were managed with skeletal
traction in Thomas splints. A few Kuntcher nails were kept in reserve. No Pin/Plate surgery
was possible. No proper drills or implants for internal fixations were available. Some of the
stuff was obtained from the Civil Medical Stores in Colombo with personal visits.
The Galle Teaching Hospital
The Galle Clinical Society formed in the 1950s was the forum for academic exchange had
few in the audience early on but overflowed when the medical students came in 1980.
  Dr. D.V.J. Harishchandra‟s clinical demonstration, hypnotising patients on the podium who
would carry out his orders in a trance, kept the house wide awake so that I could follow up
with a discussion of Colles fractures before audience recovery!
  The Hospital became a Teaching Hospital with the first batch of medical students arriving in
1980 after their second MB done elsewhere. All facilities at the hospital were shared with the
faculty with no new buildings being available at that time.


                                             17
   The new Karapitiya Hospital was being constructed at a pedestrian pace and not
completed for a decade or more.
  Dr.M.N.T.Fonseka was Professor of Surgery. Clinical appointments in orthopaedics were
begun within a year.
  In this formative era I was visiting lecturer to the Faculty in Physiology as well as clinical
teacher.
Social interaction so vital in a small community was frequent with get-togethers, some
memorable free dinners at the new „five star‟ hotels at Koggala, walks on the imposing Dutch
Ramparts and sea baths at the famous Unawatuna Beach beset with the ever present danger
of some tourists skinny dipping.
The annual cricket match with the lawyers topped the list, „no quarters given nor asked‟
during the day followed by a close encounter of the other kind by night at the Galle Sports
Club in the Fort.

Dr.J.K.S.Weerasekera came on transfer to General Hospital Colombo in May 1984.
 At this time, facilities at the G.H.C. were far better than in the Galle, but dwindling rapidly.

The Finland Project Colombo
However from 1986 hospital life was exciting.
  The hospital had come under the Ministry of Teaching Hospitals allowing for a greater
degree of development. The Secretary Dr. Daya Samarasinghe and Director Dr. Lucian
Jayasuriya were prime movers in finalizing an agreement with the Government of Finland to
construct a new Orthopaedic and Accident Service at the General Hospital Colombo. Dr.
Oliver Fernando Director ran the hospital efficiently giving whole hearted support to the
building project. As mentioned earlier, Dr. Rienzie Peiris had initiated action on this project
 The project began well before construction of the building..
 From 1986 the Finland medical team initiated the Pilot Project in the Wards 2, 3 and theatre
O.T. „E‟ so as to upgrade methods and skills of all categories of staff before the new building
came up.. Dr. Salaspuro was the leader of the Finnish team with Dr. Weerasekera in charge of
the Project in its execution.
 Teams of specialists came over to train the staff. Doctors and nurses were sent to Finland to
assimilate methods practiced in their best hospitals. All aspects of orthopaedic care were
upgraded in the next five years.
  Weekly orthopedic clinical conferences were organised with Dr. Abeysinghe as
administrative assistant to Dr Weerasekera.
  Use of computers was introduced to the hospital for the first time with the pilot project in
1987.
New Accident and Orthopaedic Building 1991 G.H.C.
  The Finland building was commissioned on 15th March1991 with Dr. Hector Weerasinghe
appointed medical superintendent of the unit.
  This seven storied building served trauma patients on the ground floor with a lecture hall
and administrator‟s offices on the first floor. Wards were on the upper floors. The two storied
large theatre complex was to the rear, the upper floor designated for orthopaedic surgery and
the CSSD while the ground floor had an intensive care unit managed by anaesthetists, with
adjoining theatres for trauma surgery including neuro-surgery.

Orthopaedic upgrade in Colombo 1991- Finland style
    Within five years the standards of practice of orthopaedics had upgraded to international
levels. The A-O system and principles of fracture treatment, Dynamic Hip Screw fixation
utilizing Image Intensifier, internal fixation of joint fractures, total-knee replacements,


                                               18
arthroscopy, antibiotic policy based on clinical auditing, external fixators and flap grafting
compound fractures were introduced.
  The dedication of Finnish surgeons Soini and Antti Latvala, bacteriologist Ojajarvi, will be
remembered as well as the nursing staff headed by Anika Pohto and Brigitta Rantakkari.
 Dr.S.D.Atukorale our clinical bacteriologist and Dr.Ojajarvi succeeded in bringing down
post operative infection rates to international levels with a clear antibiotic policy.
 The plastic surgeons Dr. N.Y Wijemanne and Lalantha Amerasinghe were ever ready to
help.
 Sri Lankans will remember the people of Finland in gratitude for a long time.



Dr.J.K.S. Weerasekera was the orthopaedic surgeon in charge from 1988 to June 1997.

The 1980s were trying times. Bomb blasts were occurring around Colombo. A Disaster
Management plan was adopted for the hospital.
 About the 1990s, there was a pressing need for artificial limbs for the injured forces
personnel. The waiting list was long. However the Workshop Manager Mr. M. D. G. B.
Basnayake managed to supply 280 limbs within 1 ½ years when the Army supplied the raw
material.

Artificial Limb Production
At the Colombo O.C. workshop temporary prostheses were fitted to all amputees readily
enough.
However few permanent limbs were supplied due to lack of funds for raw material. These
were of the SACH foot type, and not quite suitable for the manual labour classes.
This led to long waiting lists so that patients were not able to obtain one even after ten years.
The Colombo Friend In Need Society.
The Colombo Friend In Need Society in 1985 took on the task of manufacturing the low cost
Jaipur Limb introduced by Professor P.K. Sethi from 1985.
Soon branches were opened up in Jaffna, Kandy and Galle. Collectively they were able to
cope with the demand. Today these societies continue to give service to the country..
The Ranaviru Sevana Workshop
This Limb Fitting Centre came up later on to serve the serves the forces.


The Sri Lanka Orthopaedic Association
In 1992 (CHECK?) the Sri Lanka Orthopaedic Association (SLOA) was formed with Dr.
R.B.J.Peiris as the Founder President. Created with a small number of members at the time
(10?) it has continued to grow in numbers and influence. Dr. Antti Latvala of Finland was
present as a distinguished founder member/guest.


Dr. Chanaka. G.B. Wijesekera MBBS 1967, FRCS, M Ch. Liverpool trained with Dr. Rienzie
Peiris went abroad in ….and returned in …..
He was appointed orthopaedic surgeon Kurunegala in…….. and transferred to Kandy in
1983 on the retirement of Dr. Mark.Amerasinghe. He transferred to General Hospital
Ragama in ? 1996 and subsequently to the General Hospital Kalubowila in ……. and
retired in ………



                                               19
In 1983 Dr. Milton Solangarachchi MBBS (Colombo) FRCS who had qualified on his own
was appointed orthopaedic surgeon, General Hospital, Ratnapura. He was the first
orthopaedic at Ratnapura and did well to carve out a new unit. He came on transfer as
Surgeon in Charge Accident Service Colombo in 1991. He met with his demise in October
1993.

Dr. D.H.C.Sunil Hendalage MBBS 1972 FRCS, worked with Dr. Rienzie Peiris in the 1970s,
and resigned, went abroad to obtain the FRCS, joining Galle as orthopaedic surgeon from
1987 to June 1996. The hospital had by this time been shifted to Karapitiya. He also worked
for a time as relief orthopaedic surgeon Colombo, in the vacancy created by Dr.
Parameswaran‟s resignation in 1985. He left Galle in 1996 to go abroad.

Dr. S. Sritharan MBBS 1971 (Colombo), FRCS (1978), M.Ch. Liverpool, FRCS (Orth) 1981
trained with Dr. Parameswaran, went abroad on his own to qualify, training in orthopaedics.
He sat for the FRCS orth. in 1981, the second year of its inception.
  He arrived in Sri Lanka in 1986 to go into private practice in Colombo. He introduced A-
O instrumentation in the private sector bringing his own set of instruments. Practicing at
Ratnams Hospital, Navaloka Hospital and later at Apollo Hospital he brought with him a high
level of experience from the U.K. with a special interest in knee ligament surgery.
  He was senior lecturer in orthopaedics at the private Medical college Ragama from1986
to1996 and is the first orthopaedic surgeon to have practiced at the General Hospital Ragama.
  He continues in private practice to date, taking part in all academic activities of the Sri
Lanka Orthopaedic Association, having been its president once.


Dr. J. Randunna Corea MBBS (Peradeniya) FRCS, M.Ch.Liverpool, FRCS (Orth) 1980.
A graduate of Peradeniya he went to the U.K.on his own to train in Orthopaedics. He
obtained the FRCS Orth as it was held for the first time in 1980. He was registrar to Mr.
Harry Platt at Selly Oak Hospital , Brimingham who was a foremost surgeon on Scoliosis
surgery using Harrington‟s Rods. Randunna brought his experience to Sri Lanka in the 1980s
as a private orthopaedic surgeon working in Colombo annually for short periods while
holding a Professorial post at King Faizal Hospital, Saudi Arabia. He operated on a large
number of scoliosis patients at the Sri Jyawardena Hospital Kotte.This type of surgery was
not performed routinely in the country at that time. He met with his demise in 2008.

Dr.S.D.Karunaratne MBBS 1970 FRCS 1977 worked in the department of health leaving fit
in 1976 to go to the U.K. He returned to the country to be appointed orthopaedic surgeon
Kurunegla from 1986 to 1989.
He joined the Army Military Hospital in 1989 and works there to date.
……………………………………………………………………………………….
Dr. Banagala, upto this line I have been checking up well. Not below it.


Dr Gamini. S. Edirisinghe MBBS 1980(Peradeniya) FRCS trained with Dr. Chanaka
Wijesekera in….He went abroad for higher studies; came back in …. and was appointed
orthopaedic surgeon Kurunegala in …….. He transferred to Kandy in ? 1996………

Dr. M.Vasantha Perera MBBS, MS, FRCS, was appointed orthopaedic surgeon Colombo in
place of Dr Shanmugalingam on his retirement in 1988. He continues in the post to date.



                                             20
Dr.K.U.R.A Banagala MBBS, MS, FRCS, assumed duties as orthopaedic surgeon Colombo
in ….. filling the post left vacant by the retirement of Dr. Parameswaran. He holds the post to
date. ( You need to fill in more detail here with some comments as you are the man in
charge since 1997)

Dr. K.P.M.B. Wijesirwardena MBBS1980, FRCS 1987 worked with Dr.Parameswaran ,left
the department in 1983 to train abroad. He joined the Army Military Hospital as orthopaedic
surgeon in 1991 and worked there till resigning in 2001.

Dr. M.N. Pinto MBBS (1981), MS, FRCS (1993) was in the U.K. from 1991 to 1993 and his
first appointment was to Badulla in January 1994 but transferred to Colombo But transferred
to Colombo as orthopaedic surgeon in charge Accident Service in March 1994. He holds the
post to date.

Dr. Haniffa MBBS, MS, FRCS, was orthopaedic surgeon Ratnapura……                           and
Kalubowila Hospital from……. to ….. He resigned and went abroad in……

Dr. G. L.Punchihewa MBBS, MS, FRCS
He was appointed orthopaedic Surgeon General Hospital Ragama in 1996. He was the first
orthopaedic surgeon of the department of health to assume duties at this hospital.

Dr. Punchihewa came on transfer to Colombo in July 1997 in place of Dr. Weerasekera who
had retired.

Dr. Pradeep Fernando MBBS, MS, FRCS, assumed duties at Ragama Hospital as orthopaedic
surgeon in 1996 as Dr.Punchihewa left for Colombo.
Pradeep works at Ragama to date.

Dr. Ananda Ellawala MBBS 1979, FRCS 1991 had left the department to go abroad.
He was appointed orthopaedic surgeon Galle from 1997 to March 2000 after Dr. Handalage
left. He resigned in 2000 to come to Colombo to practice privately from 2001 to date.

Dr. P.D.G.M.C. Almeida MBBS 1983, MS 1994, FRCS 1997
He was appointed orthopaedic surgeon Kurunegla from 1998-2003
He was at Ratnapura from 2003 -2005
He worked at the LRH from 2005-2007
He has worked at the Kalubowila hospital from 2007-todate.

Dr. H.J.Suraweera MBBS1982, MS 1995, FRCS 1998 trained with Dr.J.K.S.Weerasekera.
He was appointed orthopaedic surgeon Badulla from 1999 to 2000.
He transferred to the Peradeniya Hospital as its first orthopaedic surgeon in 2000 and works
there todate.

Dr. S.S.Ranamukarachchi MBBS, FRCS, was orthopaedic surgeon Galle, from 2000 to 2002.
He left Galle in 2002 to assume duties at Kalubowila where he was orthopaedic surgeon
from 2002 to …….. He resigned and went abroad in …..


Dr.Dhanajith Jayasuriya MBBS (1983), MS ( 1994), FRCS (1996). On his return from abroad
he was appointed as Orthopaedic Surgeon Ratnapura from 1999 to 2002.


                                              21
He resigned to join the Appollo Hospitals from 2002.


Dr.V. Swarnakumar MBBS, MS 1999, FRCS 2003 was appointed to the General Hospital
Batticaloa as its first orthopaedic surgeon from 1.3.2004. He is working there to date.

Dr. Ananda B.S.A. Perera MBBS(Galle) MS, FRCS was orthopaedic surgeon
Ratnapura from…… to ……
He resigned from the department in …. to become the first orthopaedic surgeon at the
Sri Jayawardena Hospital, Kotte from …. He is working there to date.



Orthopaedic Surgeons who worked at Ratnapura
Milton Solangarachchi 1983 to 1991
Dr. Haniffa
Dr. Ananda Perera
Dr. D. Jayasuriya 199-2002
Dr. Almeida 2003 to 2005
DR.Sunil Wijesinghe

Orthopaedic surgeons who worked at Kalubowila
Dr. Ediriweera
Dr. D.D.Jayawickrama
Dr. Chanaka Wijesekera
Dr. Haniffa
Dr Ranamukarachchi
Dr.Sunil Wijesinghe.
Dr. Almeida

Orthopaedic surgeons who worked at Badulla
Dr. Shanmugalingam1963-1965
Dr. M.L.Rajakaruna1965 – 1971
Dr. J K S Weerasekera 1975-1977
Dr. M.N.Pinto 2 months in 1991
Dr.Suraweera 1999 to 2000
Dr. N. Dassanayake 2000 to 2002
Dr Udai Silva 2005 to date.

Orthopaedic surgeons who worked at Galle
Dr. T.N. Shanmugalingam
Dr. D.D. Jayawickrema
Dr. S.A. Ediriweera
Dr.J.K.S.Weerasekera
Dr. Sunil Handalage
Dr. Ananda Ellawala
Dr. Nandana Dassanayake
Dr. Sooriyarchchi
others



                                             22
Orthopaedic surgeons who worked at L.R.H.
Dr. N.C.Udai Silva First orthopaedic surgeon 2004- 2005
Dr.P.D.G.M.C. Almeida from 2005 to 2007
Dr. N. Dasanayake from 2007 to date

Doctors who worked at Anuradhapura
Dr. Sunil Wijeyasinghe
…………
………………

Doctors at Kalutara
Sunil Wijayasinghe
Bandujeewa Piyasena

Doctors who worked in Chilaw
Dr. Priyantha Ukwatta MBBS, MS, FRCS
Dr. Banagala, Please correct the dates and names.

Kegalle

Amparai

Polonnaruwa
Trincomalee
Some of the names to fill in are;
Sunanda Udagedera
Douglas Jayasekera
Dilshan Munidasa
Harsha Mendis
Rukshan Sooriyarachchi
K.Umapathy
Bandujeewa Piyasena
Udai de Silva
K..Arulkumaran Kegalle
Priyantha Ukwatte, Chilaw

J.K.S.Weerasekera




   History of the Sri Lanka Orthopaedic Association

   The need to form an Association among the Orthopaedic Surgeons of Sri Lanka had been
   felt for some time.




                                           23
Having recognized this need, in 1992 Dr. J.K.S. Weerasekara and Dr. Upali Banagala
together with other Orthopaedic Surgeons convened a meeting in Colombo. As a result
Sri Lanka orthopedic Association was formed on 9th May 1992.

The inaugural meeting was held at the auditorium of Sri Lanka Medical Association, The
following members were present at this meeting.

Dr. R.B.J. Peiris                         Dr. T.N. Shanmugalingam
Dr. J.K.S Weerasekara                     Dr. S.D. Karunaratne
Dr. S. Sritharan                          Dr. Sunil Handalage
Dr. Upali Banagala                        Dr. M. Vasantha Perera
Dr. Pradeep Wijesiriwardana

At this inaugural meeting Dr. R.B.J. Peiris was elected founder President and Dr. Upali
Banagala was founder Secretary. The constitution of the Association was adopted at this
meeting. The Meeting was followed by a lecture by Dr. Anant Joshi from Bombay, India
and a dinner at Galle Face Hotel.

The Association remained dormant for some time and was reactivated on 7th March 2000
at a meeting held at Trans Asia Hotel. Dr. Jean Louis Briard from France delivered a
lecture at this meeting.

The Association which started with 10 members has now grown to about 50 members
spread all over the country.

It has also been recognized as a sister association by many regional associations and by
the American Academy of Orthopaedic Surgeons.

We as an Association have been very active academically and socially. Regular meetings
have been held and we have always had a good turn over for these meetings.

Presidents and Secretaries over the years are:-

Period                 President                                 Secretary

1992 – 1999        Dr.R.B.J.Pieris                           Dr. Upali Banagala
2000 – 2001        Dr. J.K.S.Weerasekera                     Dr. Pradeep Fernando
2002 – 2003        Dr. S. Sritharan                          Dr. Pradeep Fernando
2004 – 2005        Dr. Upali Banagala                        Dr. Sunil Wijayasinghe
2006 – 2007        Dr. M Vasantha Perera                     Dr. Marius de Almeida
2008 – 2009               Dr. M.N.Pinto - President Elect.
Over the years several guest speakers have given lectures to members of our
association. The names of some of these speakers are given below:-


1. Dr. Anant Joshi, MD.                   Arthroplasty Surgery               May 1992
                                          Of the Knee


                                           24
2. Dr. Jean-Louis Briard, MD.         Knee Replacement                 March 2000
                                      Present & Future

3. Dr. Anant Joshi, MD.               Arthroscopy and                  May 2000
                                      ACL Reconstruction

4. Mr. Jonathan Johnson, FRCS.        Management of Degenerated        2000
                                      Disc Disease

5. Mr. Nicholas Goddard, FRCS.        Total Knee Replacement           2001
                                      Back to the future

6. Dr. Ken Samuelson, MD.             Total Knee Replacemnt            July 2001

7. Dr. David Young, FARCS             ACL Reconstruction               February 2005

8. Dr. David Young, FARCS.            Patella Stabilisation            May 2005

9. Dr. Greg Hogg, FARCS.              Management of Wrist Injuries     February 2005

10. Dr. David Young,FARCS             Hip Arthroplasty                 July 2005

11. Dr. Ram Mohan,MD.                 Imaging in Body Pain             January 2005

12. Dr. Oelofsc, MD                                                    2003

13. Prof. Henry Halm                  Scoliosis Surgery                2003

14. Dr. Noel Somasunderam             Osteoporosis                     2003

15. Mr. Joe Permiann                  Metal on Metal Resurfacing       2004
    (Corin Product Specialist)




Some of your own members too have contributed by giving lectures to our
Associaiton :-


1. Dr. Sunil Wijeyasinghe– Infections in Orthopedic Implants - Theory and Practice -
   February 2001

2. Dr. Sunanda Udagedara – Bone Densitometry in clinical practice - August 2003

3. Dr. Dilshan Munidasa – Chondrocyte Transplantation - October 2003

4. Dr. K. Umapathy – Cerebral Palsy – February 2004


                                       25
   5. Dr. Harsha Mendis – Bone Graft Material - June 2004

   6. Dr. V. Swarnakumara – Percutaneous Procedure for Herniated Lumber Disc –
      September 2004

   7. Dr. Bandujeewa Piyasena – Shoulder Instability – January 2005

   8. Dr. M.V. Perera – Osteoporosis - March 2005

   9. Dr. Hiran Amarasekara – Common Shoulder Problems – October 2005

   10. Dr. Pradeep Fernando – External Fixation – Jan. 2005

   11. Dr. Asela Karunanayake – My Journey to Ampara – 2006

   12. Dr. Udai de Silva – Past, Present and Future of UKR.   - October 2006




Workshop / Seminar Organised by our Association

   1. International Seminar in Sports Injuries 2001
          1. Dr. David Young.
          2. Dr. Wavwick Brau
          3. Prof. Hans Vander Wall
          4. Dr. Siri Kannangara.

   2. Paediatric Orthopedic 2001
         1. Dr. J.K.S. Weerasekara
         2. Dr. Chanaka Wijesekara
         3. Dr. S. Sritharan
         4. Dr. Upali Banagala

   3. ACC/DCC Reconstruction – 2005\
      Prof. Canlas.

   4. Repair of Recurrent Dislocation of Shoulder
         Dr. Chan Beng Kuen - November 2005

   5. Arithrscopy of knee and shoulder
          Dr. S. Jegappan – 2006

   6. Basic and Revision Knee Anthroplasty
         1. Prof., Lo Nagi Nug
         2. Dr. A Ruslan

   7. Spinal Surgery – Feb. 2008


                                            26
Orations:-

Prof. Francis Silva Memorial Oration
Presented by Dr. Paul Harris, President – Australian Orthopaedic Association – August 2007




AO in Sri Lanka
Almost all Orthopaedic Surgeons practicing in Sri Lanka are AO trained and all of them have
attended some course conducted by the AO Foundation (AO Education) at some time in their
carriers.




                                            27
AO Sri Lanka Chapter / Alumni was formed in the year 2000. The President of the
Orthopaedic Association of Sri Lanka is the Chapter/Alumni President while the Synthes
Representative functions as the Secretary.

Since then many AO Seminars and Workshops have been conducted in Sri Lanka.

The First AO “Principles of Fracture Management “ course was conducted on 19th and 20th
June 2000 at the Colombo North teaching Hospital, Ragama. This event was organized by
Dr. Pradeep Fernando on behalf of the Sri Lanka Orthopaedic Association with the
participation of local faculty.

The second AO Principle course was conducted from 12th and 13th May 2007 at the National
Hospital of Sri Lanka Principle organized by the AOAA Sri Lanka Chapter. Professor Desai
from India attended this meeting.

The third AO Principle course was conducted from 3rd – 4th May 2008 at the College of
Surgeons of Sri Lanka organized by the AOAA Sri Lanka Chapter.

In addition mini AO workshops were held in Teaching Hospital Ragama, Karapitiya,
Peradeniya and also in the Ratnapura and Anuradhapura provincial hospitals.

The first AO Nurses course was held in 2000 at the National Hospital of Sri Lanka in the year
2000. In addition many informal nurses courses were held in different parts of the country.

In addition to the AO Principle Courses two major AO Seminars were held in Sri Lanka.

1. 1st AO Symposium on Simplified Universal Nail               19th – 20th February 1998.
    Resource Person – Dr. B Suthora from Thailand

2. 2nd AO Seminar / Symposium on Diaphyseal Fractures          9th – 11th October 2004.
    Resource Persons – Dr. Wong      Singapore
                       Dr. Leung     Hong Kong
                       Dr. Kwok      Hong Kong
                       Dr. Suthora Thailand.




Constitution of the Sri Lanka Orthopaedic Association

SRI LANKA ORTHOPAEDIC ASSOCIATION

CONSTITUTION




                                             28
01. NAME : The association shall be known as the
           SRI LANKA ORTHOPAEDIC ASSOCIATION



02. REGISTERED OFFICE :

           - C/o The College of Surgeons of Sri Lanka.
             6, Wijerama Mawatha, Colombo 07, Sri Lanka.



03. AIMS AND OBJECTIVES :

           1. To achieve and maintain the highest standards in the clinical practice
               of Orthopaedics and in Orthopaedic trauma care in Sri Lanka.
           2. To foster education, training and research in Orthopaedics.
           3. To promote co-operation and co-ordination with other related
              disciplines.
           4. To promote fellowship and good relations among Orthopaedic Surgeons in
               Sri Lanka.



04. TO ACHIEVE THE ABOVE OBJECTIVES :

   THE ASSOCIATION SHALL
         1. Hold clinical meetings, seminars, symposia and workshops.
         2. Hold an annual congress.
         3. Bring about collaboration and co-ordination with other Orthopaedic and
            related organizations worldwide.
         4. Bring about co-ordination with other related associations in Sri Lanka,
            especially the College of Surgeons of Sri Lanka.
         5. Publish a journal, and papers related to the specialty.
         6. Encourage the development of sub-specialties in the field of
            Orthopaedics.
         7. Sponsor study tours and training courses.



05. MEMBERSHIP OF THE ASSOCIATION SHALL BE :


          1. -   ORDINARY MEMBERS



                                      29
                      2. -   ASSOCIATE MEMBERS
                      3. -   FELLOWS
                      4. -   POSTGRADUATE STUDENTS

                      All members should have a postgraduate qualification in surgery and/or
                      Orhopaedics.


      5.1         ORDINARY MEMBERS
                     Shall be medical practitioners who apply for membership and are accepted
                     by the Council after payment of the prescribed fee


                       AND

                       (a). hold the MS (General Surgery) and Board Certification in Orthopaedics
                            or have opted to train in Orthopaedics after the MS.


                        OR

                      (b). holds or has held a post of Consultant Orthopaedic Surgeon in the
                           Government of Sri Lanka or in the Armed Forces.



                         OR

                       (c). actively practices Orthopaedic surgery as a specialty as accepted by
                            the Council.


            5.2          ASSOCIATE MEMBERS
                         Any Surgeon with MS or FRCS or equivalent and accepted by the
                         Council and who does Orthopaedics and / or Orthopaedic trauma as part
                         of their specialty.
                         Eg : 1. General Surgeons.
                              2. Neurosurgeons
                              3. Plastic Surgeons
                              4. Rheumatologists.


            5.3          POST GRADUATE STUDENTS
                         Any medical practitioner with MS Part 2 with some interest in
                         Orthopaedics and Orthopaedic trauma.

06.           SUBSCRIPTIONS :




                                                    30
         1. The membership fee shall be and amount decided by the Council
         2. Any member who is in arrears for 12 months shall not be entitled to vote at
            any meeting.
         3. Any member who is in arrears for 24 months shall cease to be a member.
         4. A member thus disqualified may rejoin after paying a penalty decided by
            the Council in addition to the subscription in arrears.
         5. A member may become a life member after payment of a sum decided by
            the Council



07.   FINANCES :

         1. The financial year for the purpose of accounts shall end on 31st March.
         2. The funds of the association will be deposited in a Bank account.
         3. Any donations to the Association shall be deposited in the Bank Account.
         4. Council should approve all expenditure.
         5. Funds shall be audited by an Auditor appointed by the Council
         6. Cheques drawn on behalf of the Association shall be signed by the
            Treasurer and by the President or Secretary.
         7. Audited accounts should be approved by the Council at an Annual General
            meeting.



08.   COUNCIL :

          The Council shall consist of
               1. President
               2. Vice President
               3. Secretary
               4. Treasurer
               5. Editor
                6. Council Members


          Term of office of the Council shall be 1-2 years. Members of the Council
          shall be elected by the members of the Association at the Annual General
          Meeting.
          Posts 1-5 shall be Orthopaedic Surgeons. Not more than 1/3 of the Council
          members should be Non – Orthopaedic Surgeons.



                                         31
08.1. PRESIDENT
          1. Shall be an Orhopaedic Surgeon.
          2. There will be no election to the post of President and the Vice President
             shall succeed to the post of President on expiry of the term of office of
             the president.
          3. No member shall hold the office of the President for more than 2
             consecutive terms (years).
          4. The President shall preside at all meetings of the Council



08.2. VICE PRESIDENT
          1. The Vice president shall be elected annually by the members of the
             association.
          2. No member shall hold office for more than two consecutive years.
          3. The Vice president shall preside at meetings of the Council in the absence
             of the President.



08.3. SECRETARY
           1. Shall be elected by the members annually.
           2. No member shall hold office for more than three (03) consecutive years.
           3. Duties of the Secretary shall be
              - General administration of the Association.
              - Convene meetings of the Council
              - To keep minutes of the meetings.
              - To maintain the records of the Association.
             - To maintain an inventory of the property of the association.

08.4. TREASURER
            1. Shall be elected by the members annually.
            2. No member shall hold office for more than five consecutive years.
            3. Shall present an audited statement of accounts of the association at the
               Annual General Meeting.
 08.5. EDITOR
            1. Shall be elected annually by the members.
            2. Responsible for all publications of the Association.


      08.6. COUNCIL MEMBERS


                                         32
            1. Shall be elected annually.
            2. Are eligible for re – election.
            3. Up to one third the council members maybe Associate members.

09. POWERS AND DUTIES OF THE COUNCIL :
         1. Shall be responsible for the General administration of the affairs
            and the finances of the Association.
         2. Shall be responsible for scientific programmes.
         3. Shall have the power of accepting or rejecting application for
            membership.

            4. Shall have the power to accept donations or grants.
            5. Shall have the power to nominate members for scholarships after
               calling for applications among members.
            6. Shall recommend amendments to the constitution of the
               Association.

10. MEETINGS :

             1.   Council meetings
             2.   General meetings
             3.   Annual General meetings
             4.   Clinical meetings
             5.   Annual Scientific sessions.



             10.1. COUNCIL MEETINGS
                    1. Will meet at least once in three months.
                    2. Notice and agenda will be circulated at least 07 working
                       days before the proposed meeting.
                    3. The quorum for such meeting shall be fixed.




                    10.2. GENERAL MEETING
                    1. Will meet at least once in six months.
                    2. Notice and agenda will be circulated 06 working
                       days before the meeting.
                    3. The quorum for such meeting shall be fixed.



                                  33
                           10.3. ANNUAL GENERAL MEETING

                                1. Shall be held once a year.
                                2. Agenda for such meeting shall include
                          A. Election of Vice president.
                     B. Election of Secretary.
                    C. Election of Treasurer
                 D. Election of Editor
                                           E. Election of Council members.
                                           F. Presentation of Annual Report.
                                           G. Presentation of Statement of Accounts.
            H. Resolutions



                                10.4. CLINICAL MEETINGS
                          1. Shall be held once a month.
                                           2. Notice shall be given one week before such
                                              meeting.



                                  10.5. ANNUAL SCIENTIFIC SESSION
                                         1. Shall be held annually.
                                         2. Contents shall b
                                         A. Inauguration.
                                         B. College Lecture
                                         C. Clinical sessions
                                         D. Annual Dinner and other Social activities.

11. NOMINATIONS :

     1. Nominations for the election of members shall be called one month before
          the Annual General Meeting.
     2. Nominations should reach the secretary two weeks before such meeting.
            3. No members shall be nominated for more than one post.
            4. Nominations should be in writing and should be proposed and seconded by
               two members of the Association and should have the consent of the
              candidate.
                5. If a vacancy occurs in the Council, nominations shall be called for
           giving     two weeks notice. If no nominations are received or more than two
               nominations are received, the vacancy will be filled at a General meeting.



                                          34
12. VOTING :

                  1. The right to vote at all meetings shall be restricted to those members
                     who are not in default of their membership fee.

                  2. Voting will be by ballot among members who are resident in Sri Lanka.




Cadre requirements of Orthopaedic Surgeons for Sri Lanka
The Ministry of Health has categorized hospitals into different categories as follows:-

   1. National Hospital of Sri Lanka
   2. Teaching Hospitals
   3. Provincial Hospitals


                                              35
   4.   District General Hospitals.
   5.   Base Hospitals A
   6.   Base Hospitals B
   7.   Specialized Hospitals.

Following are the hospitals coming under the above categories.

   A. National Hospital of Sri Lanka

   B. Teaching Hospitals (7)

             1.   Kandy
             2.   Jaffna
             3.   Colombo North, - Ragma
             4.   Colombo South – Kalubowila
             5.   Galle – Karapitiya
             6.   Anuradhapura
             7.   Batticoloa

   C. Provicial Genaral Hospitals (3)
         1. Kurunegala
         2. Ratnapura
         3. Badulla

   7. District General Hospitals (18)

        1.   Gampaha                           10. Ampara
        2.   Negombo                           11. Trincomalee
        3.   Kalutara                          12. Chilaw
        4.   Matara                            13. Monaragala
        5.   Hambantota                        14. Polonnaruwa
        6.   Kegalle                           15. Vavunya
        7.   Nawalapitiya                      16. Mannar
        8.   Matale                            17. Kilinochchi
        9.   Nuwara-Eliya                      18. Mullathivu




   Base Hospitals “A”(21)             Base Hospitals “B” (45)

   1.   Avissawella                   1.   Mulleriyawa           24. Kebithigollewa
   2.   Homagama                      2.   Kiribathogda          25. Thambuttegama
   3.   Wathupitiwala                 3.   Mathugama /Pimbura    26. Padaviya
   4.   Horana                        4.   Hiniduma              27. Welikanda


                                               36
    5. Panadura                     5. Kamburupitiya             28. Medirigiriya
    6. Balapitiya                   6. Morawaka                  29. Hingurakgoda
    7. Elpitiya                     7. Deniyaya                  30 Welimada
    8. Tangalle                     8. Walasmulla                31. Siyamblanduwa/
    9. Embilipitiya                 9. Tissamaharama                 Thanamalwila
    10. Gampola                     10. Warakapola               32. Bibile
    11. Dambulla                    11. Karawanella              33. Kinniya
    12. Dickoya                     12. Mawanella                34. Muttur
    13. Kuliyapitiya                13. Balangoda                35. Valachchenai
    14. Puttalam                    14. Kahawatta                36. Kalawanchikudi
    15. Mahiyanganaya               15. Kalawana                 37. Dehiattakandiya
    16. Diayatalawa                 16. Teldeniya                38. Mahaoya
    17. Kantale                     17. Hettipola                39. Akkaraipattu
    18. Kalmunai North              18. Rikillagaskada           40. Potuwil
    19. Kalmunai South              19. Polpitigama              41. Kytes
    20. Point Pedro                 21. Nikaweratiya             42. Chavakachcheri
    21. Tellipalai                  22. Dambadeiya               43. Palaly
                                    23. Marawila                 44. Chhettikulam
                                                                 45. Mankulam

    The Cadre requirements of Orthopaedic Surgeons

    1. National Hospital of Sri Lanka   -   04       = 4+     2 Spinal Surgeons
    2. Teaching Hospitals               -   7x2      = 14
    3. Provincial Hospitals             -   3x2      = 6
    4. District General Hospitals       -   18 x 2   = 36
    5. Lady Redgway Hospital            -   1x 2     = 2
    6. Srimao Bandaranayake
       Childrens Hospital               -   1x 2     =    2
    7. Peradeniya Teaching Hospital     -   1x2      =    2
    8. SJGH                             -   1x2      =    2
    9. Defence                          -   1x2      =    2

         Total                                           70




Basic facilities for an acceptable Orthopaedic Unit / Department
1   Beds       27 (15 Rooms and 3 wards x 4 beds each)
    (Should include at least 3 Traction Beds)
               Minimum of 3 recovery (ICU) Beds



                                            37
2   Theatre       a. Three sessions for routine cases
                  b. when needed for emergencies.

3. Orthopaedic / Fracture Clinic (Dressing and POP Room)
(Channel Consultation facilities for at least 6 Consultant Orthopaedic Surgeons of at least 1
or 2 to be “Resident” / “On Call”).

4. Orthopaedic Workshop         a. 1 Orthotic & Prosthetic Technician.

5. Medical Officers:   3 to 4

6. Equipment: -   a. Operating Table with Orthopaedic Attachments
                  b. “C” arm X Ray Machine
                  c. Air Drill with all attachments
                  d. Battery operated drill with all attachments
                  e. Video Arthroscopy system with all attachments and Instruments

7. Instruments    a. Basic Instrument Set
                  b. Small Fragment Set / Mini Fragment Set
                  c. DHS/DCS Set
                  e. Universal Intramedullary Nailing System
                  f. Wiring Set
                  g. Angle Blade Instrument Set.
                  h. Spinal Stabilization Instrument Set.
                  i. External Fixation Set.
                  j. Hip Prosthesis Instrument Set.(Hemi Arthroplasty)
                  k. Laminectomy Instrument Set
                  l. Total Hip Replacement Instruments
                  m. Total Knee replacement Instruments
                  n. All general Instruments.
                  o. Automatic Tourniquet

8. Implants       All Implants should be available for the above Instrument Sets.




THE PRESENT AVAILABILITY OF                                              ORTHOPAEDIC
SERVICES / SURGEONS IN SRI LANKA .

1. National Hospital of Sri Lanka                            04


                                               38
2. Teaching Hospital Kandy                       02

3. Teaching Hospital Galle / Karapitiya          01

4. Teaching Hospital Colombo South/ Kalubowila   02

5. Teaching Hospital Colombo North / Ragama      01

6. Teaching Hospital Jaffna                      01

7. Teaching Hospital Peradeniya                  01

8. Teaching Hospital Anuradhapura                01

9. Provincial Hospital Kurunegala                01

10. Provincial Hospital Ratnapura                01

11. Provincial Hospital Badulla                  01

12. Teaching Hospital Batticaloa                 01

13. DGH Kalutara                                 01

14. DGH Matara                                   01

15. DGH Kegalle                                  01

16. DGH Ampara                                   01(Absent)

17. DGH Chillaw                                  01

18. Sri Jayewardenepura General Hospital         01

19. Sri Lanka Army Hospital                      01

20. Sri Lanka Navy Hospital                      01

21. Private Sector                               08


Total                                            32




Membership of the Sri Lanka Orthopaedic Association


                                           39
                                        LIST OF CONSULTANT ORTHOPAEDIC SURGEONS
                                        AND ORTHOPAEDIC SENIOR REGISTRARS AS AT 31.8.2007
Sr.No.   Name                              Hospital        Mobile     Office         Home

1        Dr. Rienze Peiris                RTD / Colombo                                  2694881
                                                          96, D. S. Senanayake Mawatha, Col. 08


2        Dr. Mark. Amerasinghe            RTD / Kandy     O812223838
         markam@kandy.ccom-lk                             107, Anniwatte Road, kandy


3        Dr. S. A. Ediriweera             RTD / Colombo                                    2714044
                                                          7, Annie Avenue, Dehiwela


4        Dr. J. K. S. Weerasekera         RTD/PVT                                          2854817
         oghrpp@sltnet.lk                                 84, Devale Road, Nugegoda


5        Dr. Chanaka Wijesekera           RTD             O777300994                       O814470110
                                          Kandy


6        Dr. S. Sritharan                 PVT/N'loka      O777306083                       2692333
                                          Apollo          25/3, Horton Place, Colombo 07


7        Dr. S. D. Karunaratne            SL Army         O777684744
         sdkaru@yahoo.com                                 215/5A, Nawala Road,Nugegoda


                                                                                         (011)
8        Dr. K.U.R.A.Banagala             NHSL            O714758323 (011)2691111        2583903
         banagall@sltnet.lk               Colombo         No. 46 Dickman's Road, Colombo 5.


                                                                                           (011)
9        Dr. M. V. Perera                 NHSL            O712782202 (011)2691111          2699838
         mvperera@slt.lk                  Colombo         47/10 Ward Pl., Colombo 7.


10       Dr. Sunil Handalage              Abroad / UK


11       Dr. C.A. Ellawela                PVT / Asiri     O777781477                      2884313
         anae@celltelnet.lk               Asha            16/14A, Maligawa Road, Ethul-Kotte


12       Dr. K.P.M.A. Wijesiriwardena     PVT             O722264079                      2804011
         pradeep490@sltnet.lk             Durdans         20, School Lane, Gangodawila, Nugegoda




                                              40
13   Dr. G.S Edirisinghe          Kandy                O777804770 O812218125           O812222788
     gamed77@hmail.com                                 Richmond Hill Lane, Heerasagala Road,
                                                       Kandy.




14   Dr. A.B.S.Ananda Perera      SJGH                 O777484348                      2791217
     ananda_doctor@yahoo.com      Nugegoda             700 A, Kaduwela Rd., Talahena, Battaramulla


15   Dr. .A.T.N. Haniffa          Abroad / UK


                                                                                        (011)
16   Dr. M. N. Pinto              NHSL                 O777382355 (011) 2691111         2676281
     narenpinto@sltnet.lk         Colombo              No. 74 Rodney Street, Colombo 8.


                                                                                       (011)
17   Dr. G.L.Punchihewa           NHSL                 O71413506       (011) 2691111   2813232
     punchi@dynaweb.lk            Colombo              26/2 Albert Perera Mawatha, Nugegoda


                                                                                       (011)
18   Dr. W.Pradeep A. Fernando    TH                   O712776255                      2868305
     wpafernando@yahoo.co.uk      Ragama               14, Obeysekerapura Road, Rajagiriya.


19   Dr. M De Almeida             C'bo South           O773052995                   2856073
                                                       32/5, Raymond Road, Nugegoda


20   Dr. N. D. Jayasuriya         PVT                  O777808108                    2504344
     dhanajit@yahoo.com           Apollo               36A, Amarasekera Mw, Colombo 05


21   Dr. H. J. Suraweera          Peradeniya           O777384824
     hilary_suraweera@yahoo.com                        47/2B, Wickremaratne Avenue, Kohuwela


22   Dr. S.S.Ranamukaarachchi     Abroad / Australia


23   Dr. M. B. N. Dissanayake     LRH                  O777710282                      2583942
     nandanad@slt.lk              Borella              7, Maurice Place, Colombo 05


24   Dr. Sunil R Wijayasinghe     GH                   O773051678                       2875031
     sunilan@slt.lk               Ratnapura            954/5A4 Royal Gardens, Rajagiriya.


25   Dr. B.M.S. Udagedera         Kandy                O777395040                       8122167175
     sunandaudagedera@yahoo.com                        7/14, 1st Lane, Rosamond Place, Kandy



                                      41
26   Dr. N.C.U. De Silva           Badulla              O773170492 O572232417            O602575307
     udatarin@gmail.com            (transferred to      8, Nuwarawatte Place,Nawala
                                    Ratnapura)

27   Dr.A.D.M. Jayasekera          Matara               O777355190
     krishmo@sltnet.lk




28   Dr. V. Swarnakumar            B'caloa              O777356131
     swarnakuar@@hotmail.com                            538 A1/2, Aluthmawatha Road,
                                                        Colombo 15

29   Dr. W.H. Mendis               Kurunegala           O777268610
     harshamendis@gmail. Com                            6, Karagampitiya Cross Road, Dehiwela


30   Dr. K. Umapathy               Jaffna               O777607223
     umapathy@dialogsl.net                              28, Vandervert Place, Dehiwela
     umapathy81@gmail.com


31   Dr.P. Bandulasena             Abroad / Australia


32   Dr. H.D.P.B. Piyasena         Kalutara             O773054865                     2842301
     bandujeewa.piyasena@gmail.com                      91, Wasanawatta Road, Mattegoga


33   Dr. T.G.J.D. Munidasa         Anu'pura             O777759740                       2728107
     dilmuni@hotmail.com                                114, Somarathana Mw, Bellanwila,
                                                        Boralesgamuwa


34   Dr. R. Sooriyarachchi         Karapitiya           O777254374 O773252120         2670552
     rukshans@sltnet.lk                                 1/4, Mahindarama Road, Colombo 10


35   Dr. Hiran Amarasekara         Abroad / UK


36   Dr. A. Priyantha Ukwatte      Chilaw               O714348444     O322222273        5751798
                                                                                         2725633
     ajithua@yahoo.com                                  18/1, Kawdana Road,              NOK
                                                        Attidiya, Dehiwela


37   Dr. Saliya Illangasinghe      Abroad / New Zealand


38   Dr.R.Arulkumaran              Kegalle



                                       42
39   Dr. Asela Karunanayake         Abroad / New Zealand


40   Dr. S. Jayamanoharan           C'bo South TH                                             4904364
                                                         15, 55TH Lane, Colombo 06


41   Dr. Sumeda Amarasekara         Abroad / Australia




42   Dr. Thushara De Almeida        SR                   O777330662
     jltalmeida@yahoo.com


43   Dr. M. B. P. C. Wijedasa     SR / Navy              O714317898                       2774304
     chinthaka_wijedasa@yahoo.com                        540/7, Pitakotte Road, Thalawathugoda


44   Dr. Dimuthu Tennakoon          SR                   O714214835                    2745741
     dimuthtenna@yahoo.com                               98, Nagahawatte Road, Maharagama


45   Dr. Shivantha Fernandopulle    SR                   O773055953                    2697702
     bernadene@gmail.com                                 91/2, Sridhamma Mawatha, Colombo 10


46   Dr. K.B.P.K. Gomez             SR/NHSL              O777623167                    2665108
     kbpkgomes@yahoo.com                                 139, Ananda Rajakaruna Mawatha,
                                                         Colombo 10


47   Dr. D. M. C. L. B. Bopitiya    SR                   O777840567                           O812236583
     chevindra_bopitiya@yahoo.com   Peradeniya           40/9B, Ampitiya Road, Kandy


48   Dr. Thisara C. Weerasuriya     SR / NHSL            O722935150 O722132326
     drthisara@yahoo.co.uk.                              148/1D, Poorwarama Road, Kirillapone,
                                                         Colombo O5


49   Dr. R. Gnanasekeram            SR/NHSL              O714724039                     2171301
     rgnanasekeram@yahoo.com                             44/19B, Templer Road, Mount-Lavinia


50   Dr. K. G. Karunarathna         SR/SJGH              O723575446
     kaushalkaru@yahoo.com                               10, St. Rita's Road, Mount-Lavinia


51   Dr. R. A. K. K. Ranasinghe     SR / Kandy           O773468134                           O602816134



                                         43
                                                  "Keerthi" Shanthipura, Kuruwita


52   Dr. W. U. Perera           SR / NHSL         O777412901 2441967               2541914
     udeniwup2006@yahoo.com                       70/2, Sri Dharmakeerthiyarama road, Col. O3


53   Dr. T. Gobishanker         SR / NHSL


54   Dr. N.C. Amarasinghe       SR / NHSL


55   Dr. T.G.W. Gamanayake      SR / NHSL




56   Dr. H.M.C. Herath          SR / Peradeniya


57   Dr. J.A.L.A. Jayasinghe    SR / Kandy


58   Dr. Y.B. Jayasinghe        SR / NHSL




                                Deceased



     Dr.Francis Silva


     Dr. T. N. Shanmugalingam




     Prof. J. R. Corea


     Dr.D.D.Jayawickarama




     Dr.Solongaarachchi




                                   44
       Dr.T.Parameswaran




Present Council of the Sri Lanka Orthopaedic Association


President
Dr. M.V.Perera


                               45
Vice President
Dr. M.N.Pinto

Secretary
Dr. M. De Almeida

Treasurer
Dr. G.L.Punchihewa

Editor
Dr. K.U.R.A.Banagala


Council

Dr. P. Wijesiriwardena

Dr. H.J.Suraweera

Dr. Pradeep Fernando

Dr. Dilshan Munidasa

Dr. Harsha Mendis

Dr. Nandana Dassanayake




Consultant Orthopaedic Surgeons who have served in Sri Lanka.


   1. Late Prof. M.V.P.Peiris (Father of Orthopaedics in Sri Lanka.)


                                      46
   2. Late Mr.Gerard Muller

   3. Late Prof. Francis Silva

   4. Dr. R.B.J.(Rienzie) Peiris

   5. Late Dr. V. Rasanayagam

   6. Late Dr. Mark Amarasinghe

   7. Late Dr. Lakshman Rajakaruna

   8. Late Dr. T.N.Shanmugalingam

   9. Late Dr. T Parameswaran

   10. Late Dr. D.D.Jayawickrema

   11. Late Dr. Sivagnanavel




                                  OBITUARIES

 Obituaries:-
It is with deep regret that we announce the sad demise of the following
members:-
It is with deep regret that we announce the sad demise of the following members:-

  1. Professor Francis Silva
   1. Professor Francis Silva
  2. Dr. T.N.Shanmugalingam.
   2. Dr. T.N.Shanmugalingam.
  3. Dr. D.D.Jayawickrema
   3. Dr. D.D.Jayawickrema
  4. Dr. T. Parameswaran
   4. Dr. T. Parameswaran
  5. Dr. J.R. Corea
J.R. Corea




                                             47
                               *****

ACKNOWLEDGEMENTS

 1. Dr. J.K.S.Weerasekera

 2. Dr. Akalanka Jayasinghe

 3. Dr. Pradeep Fernando

 4. Mr. Vijaya M B Ratnayake

 5. All our Advertisers.

 6. All those who directly or indirectly helped in making this inaugural
    Journal a reality.

 7. Our Printers.




                                  48

				
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