A collection of complex joint preservation and replacement case studies and random thoughts of a orthopedic surgeon essentially aimed at knowledge dissemination.
Tuesday, 14 November 2023
10 yrs post latarjet asymptomatic and played badminton
the bonegraft broke off while sleeping after 10 yrs post op. Did the grqft ever incorporate or did it break off being avascular.
increasing attempts at latarjet and its modifications will definitely raise similar complications and osteoarthritic even after ? healing. we migth reduce dislocation rates at best , rest time will tell.
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Intraop fracture in a prior fixed and healed distal femoral fracture
salvage of a porotic intraop fracture ina RA pt thru the cyst poorly stabilised by the plate, revised by the rotating hinge link knee with distal femoral replacement
Periprosthetic fracture in a Octagenerian
afe and aortic stenosis
narrow canal 10.5. bowed femur absence of curved 10 inch 10.5 mm dia porocqt stem made us use this cemented long wxeter stem z10 mm dia and 240 mm and wired proxmily without cement. in the past a porocoat stem was cemented distally after removing the porocoat i trqop with a burr only distally to cemebt the proximal uncemented stem was witd to the periprosthetic fracture to facilqta e ingrowth or fracture heqling . It make for a quick surgwry in these unfit pts and can mobikise full wt bearing stwt.
Patella dislocation with osteochondral fracture of medial facet
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