meniscal repair augmented with synovial to improve the healing in a complex degenerate tear

Menisectomy have been clearly shown to give poor long term results. Hence methods to augment and enchance repair by multiple sutures, BMAC, VGF's have been tried. we seemed to have some early good results so far with synovialaugmented repair. it is too early to be sure so we are following up the consented patients for the same.

 

2 MONTH OLD DISLOCATED KNEE WITH CELLULITIS IN THE SHIN

fell 2 months after TKR and dislocated the knee. pt (BmI 35) with recurrant cellulitis on the ipsilateral tibial shin shin which is asymptomatic. esr was 110 with a crp of 20. Repeated knee aspiration was negative. incidently a gram negative UTI and large supraclavicular LN was found on admission planned for a supraclavicular biopsy, frozen section , HPE, cultures and Rotating hinge knee with arthrodesis back up. frozen section as per fieldmans criterioa showed too many PMNL in more than 5 power field, A modular titanium fusion nail and stimulan with antibiotic polymyxcin and vancomycin was inserted . Pt made to wt bear the same day evening and mobilised b haemolytic strep grew for which minimum 4 weeeks IV antibiotics is planned.