Advanced Microsurgical Reconstruction
We perform free tissue transfers (free flaps) including anterolateral thigh flaps, latissimus dorsi flaps, and fibula flaps for complex defect coverage. Our microsurgical success rates exceed 95% through meticulous technique, intraoperative monitoring (Doppler, ICG angiography), and postoperative surveillance protocols. We specialize in functional reconstruction including nerve transfers and tendon reconstructions when appropriate.
Prosthetic Prescription & Custom Fabrication
We collaborate with certified prosthetists to prescribe and fabricate custom prosthetic devices based on residual limb characteristics, functional goals, and lifestyle requirements. Options include microprocessor-controlled knees (C-Leg, Genium), myoelectric upper extremity prostheses, osseointegrated implants, and advanced socket designs utilizing CAD/CAM technology and dynamic interface materials.
Pre-prosthetic Surgical Optimization
We perform surgical procedures to optimize the residual limb for prosthetic fitting including myodesis/myoplasty for muscle stabilization, nerve management to prevent neuroma pain, bone contouring for pressure distribution, and soft tissue revisions for optimal socket interface. Our goal is creating a durable, comfortable, and functional residual limb maximizing prosthetic success.
Comprehensive Rehabilitation Integration
We coordinate with physical medicine and rehabilitation specialists to develop individualized therapy programs including pre-prosthetic conditioning, prosthetic training, gait training, occupational therapy for upper extremity prostheses, and long-term functional maintenance. Our rehabilitation protocols emphasize functional independence and return to valued activities.
- Comprehensive pre-operative assessment including vascular and functional evaluation
- Multidisciplinary surgical planning with plastic, orthopedic, and vascular specialists
- Advanced microsurgical techniques with intraoperative monitoring
- Custom prosthetic prescription based on individual goals and residual limb characteristics
- Pre-prosthetic surgical optimization when indicated
- Integrated rehabilitation program with physical and occupational therapy
- Long-term follow-up for prosthetic maintenance and functional assessment
- Psychological support and peer mentoring programs
Common indications include traumatic amputations, diabetic limb salvage failures, oncological resections (sarcoma, melanoma), severe burns, congenital limb deficiencies, vascular disease complications, and infection-related tissue loss. Our team evaluates each case individually to determine optimal reconstruction versus amputation with prosthetic rehabilitation.
Initial prosthetic fitting generally begins 4-8 weeks post-amputation once wound healing is complete and edema has stabilized. Temporary/test sockets allow early gait training while the residual limb matures. Definitive prosthetic fitting typically occurs 3-6 months post-amputation when limb volume has stabilized sufficiently for custom socket fabrication.
Recent innovations include microprocessor-controlled joints with adaptive response, osseointegration for direct skeletal attachment, targeted muscle reinnervation for improved myoelectric control, advanced socket materials with dynamic response, powered exoskeletons for paraplegic patients, and brain-computer interface development for intuitive control systems.
Yes, with appropriate prosthetic prescription and training, patients can return to running, swimming, cycling, weight training, and many sports. Specialized athletic prostheses include running blades, swimming limbs, and adaptive equipment. Our sports medicine collaboration helps athletes maximize performance with their prosthetic devices.
Decision factors include likelihood of functional salvage, required reconstruction complexity, patient comorbidities, rehabilitation potential, expected functional outcomes, and patient preferences. Our multidisciplinary team conducts comprehensive assessments using validated scoring systems to recommend the approach offering best long-term quality of life.
Our Team
Meet the Experts Behind Your Care
Dr. Viswanath Atreyapurapu
Consultant Vascular & Endovascular Surgeon
Dr. Manikanth Karumuri
Consultant Plastic, Reconstructive & Cosmetic SurgeonTestimonials
What Our Patients Are Saying
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“My daughter was born with cleft palate and was advised to get operated after she turns 1 year old. We have lost all our hopes and were very worried about her. Dr K. Manikanth garu has done palatoplasty for my daughter last year. Since then he has taken very good care of my daughter even after the surgery and during reviews also, and now my daughter is perfectly alright. Thanks alot for Dr. Manikanth garu for the treatment.”
“Ikigai clinics is offering expert surgical care for all vascular and plastic surgery related conditions. It offers a serene ambience, world class infrastructure and highly skilled surgeons with personalized treatment plan for every patient. Highly recommended👍”
“I recently underwent vein laser treatment at IKIGAI under the care of Dr. Vishvanath Atreyapuram, and I am incredibly impressed with the experience and results. From the moment I stepped into the clinic, the staff made me feel welcome and at ease. Dr. Vishvanath is not only highly skilled and professional but also took the time to explain the procedure in detail, addressing all my concerns patiently.”
“I had a great experince with Dr viswanath Atreya and Dr manikanth karumuri for my varicose veins and venous ulcers treatment at ikigai clinics. From the very first consultation ,the doctor was kind ,through and extremely knowledgeable .iam so greatful for the care i recived and would highly recommend Dr viswanath and Dr manikanth to anyone dealing with varicose veins and venous ulcers Thank you ikigai clinics”
“⭐⭐⭐⭐⭐ Highly Recommend Ikigai Clinic for Nose Plastic Surgery! I recently had a nose plastic surgery at Ikigai Clinic, The entire experience, from consultation to post-surgery care, was handled with utmost professionalism and expertise. I'm truly satisfied with my results, and I highly recommend Ikigai Clinic to anyone considering cosmetic procedures. Thank you so much (Dr.Manikanth Karumuri)”
“I recently underwent AVF surgery with Dr. Viswanath Atreyapurapu at Ikigai Clinics, and I couldn’t be more satisfied with the care I received. Dr. Viswanath was incredibly professional, patient, and knowledgeable. He took the time to explain the procedure thoroughly and made me feel at ease every step of the way. The surgery went smoothly, and the post-operative care was excellent. Highly recommend Dr. Viswanath and Ikigai Clinics to anyone in need of vascular care.”