6 MONTH OLD ACL/PCL AND OPEN MCL INJURY IN A 28 YEAR

ALLEGED RTA WITH THE ABOVE INJURY ONLY THE OPEN MCL WAS REPAIRED IN THIS YOUNG PERSON WHO PRESENTED WITH A STIFF KNEE ROM 0 TO 30. COMPLETE ACL, MCL GRADE 3 ABD PCL GRADE 3. THE MCL COULD HAVE FAILED AS THE PCL WS NOT RECONSTRUCTED.

Keinbocks disease (Begg and Bains grade 1). lunate chondral damage by intact radio-lunate fossa

OPTION S OF LIMITED FUSION VS PRC DISCUSSED. IN VIEW OF LT HAND AND BEING A CASHIER PRC WAS OPTED FOR BY THE PATIENT,. 5 MONTHS POST OP not happy with the result inspite of good rom and improved grip from preop.

8 months old patellar tendon avulsion . Use of neoligament to by pass quads to tibia to obtain active extension

The patella could be mobilised only by 1. 6 cm. use of synthetic mesh helped in immediate mobilisation effecting a Quads to tibia bypass.

ACL reconstruction 5 years failure

Anterio-superior femoral tunnel leading to failure. Tibial tunnel was 18 mm so 2 stage revision with 1st stage grafting

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20 years post acetabular fracture

Only interfering screws were removed. Intraop frozen sections and cultures were negative. Global and acetabular offset increased by 5 mm. Will this help in abductor efficiency or lurch/ pain time will tell. Usually they take an year to be happy if offset is increased

Recurrant dislocation of Rt THR in a 55 year old lady- one year post thr for secondary osteoarthritis due to AVN

the poly (Bubble) is sen on the lateral aspect of the ilium as a ring. Even a dual mobility cannot salvage this vertical cup

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