modified hardinge approach

Modified hardinge Approach maintaing 2/3rds of the medius  and releasing towards the lesser trochanter and not vertically downwards maintain the medius- lateralis tension band as well as exposes the acetabulum and the femoral shaft necessarsary for standard THR. Why violate tissue when you dont need to?

Revision ACL

5 months after ACL reconstruction Rom 15 to 90. why should this happen. What  to do now

On Scopy a "cyclops" lesion was seen. this was shaved of and a wide notch plasty was done to prevent further impingement. Full extension was acheieved however flexion was still limited. The suprapatellar pouch and the medial and lateral gutters were leared of the scar. Patellar mobility and full rom was achieved with medial and lateral patellar release which was the next stage of the plan.

Patellar impingement with femoral condylar plate

28 year old Salesman 8 month post orif of Intercondyalr fracture femur. Presented with ROM 10 to 80 degrees ans pain on extension.

O/E. decreased patellar mobility, Clicking band(Plica) lateral to patella at 20 to 10 degrees of extension. Cruciates and collateral stable.  views please