Distal femoral fracture in a 80 CRF patient on dialysis and major cardiac issues

A distal femoral replacement was decided by the team to mobilse the patient immediately though with difficulty. The risks were explaned and a 5 cm poly distal femur replacement and a link RHK knee was done

Rising numbers of elderly parents living alone need an aggreesive metabolic management of osteoporosis. we are seeing an epidemic of insufficiency and periprosthetic fractures thsi fortnight. Better methods other than BMD measurements are needed to control bone and muscle loss. Do we need to routinely use bone resorption markers as the BMDs dont match the porosis when do the Bone cuts in TKR. Quick stable fixations as seen above are needed in these patients to get them back on there feet soon div class="separator" style="clear: both;">

Meniscal Transplant -Post menisectomy medial in a 24 yr old

Dislocation in a post stroke patient one montg postop

posterior impingement and anterior disloccation wad the cause. as he was a post strone one month, a constained luner or dual mobikty was the choice. A constrained option was chosen after discussion with the family. was pleasant surprised to see ingrowth in cup at 6 weeks. /a>