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

This young man presented with pain i yr post meniscetomy and acl recon and could not climb stairs as a part of his job as a civil engineer. options of MAT meniscal allograft transplant/ osteotomy ansd a compo was discussed. During bthe same time a vicious campagn against the hospital about organ donation dominated the press and his mind. He chose to do the transpalnt from the graft procured from Ramaya and 3 months later he is back at his job. the mri at i tear shows no degeneration of the graft or knee and is on yearly review Wasn't meniscal repair a better option unless he had tp play professional in weeks

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>