Saturday, 9 November 2024
ACL reconstruction 5 years failure
Anterio-superior femoral tunnel leading to failure. Tibial tunnel was 18 mm so 2 stage revision with 1st stage grafting 
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20 years post acetabular fracture
Only interfering screws were removed. Intraop frozen sections and cultures were negative. Global and acetabular offset increased by 5 mm. Will this help in abductor efficiency or lurch/ pain time will tell. Usually they take an year to be happy if offset is increased
Friday, 8 November 2024
Recurrant dislocation of Rt THR in a 55 year old lady- one year post thr for secondary osteoarthritis due to AVN
the poly (Bubble) is sen on the lateral aspect of the ilium as a ring. Even a dual mobility cannot salvage this vertical cup
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Saturday, 2 November 2024
ACL repair with MCL proximal repair at 3 weeks post injury both acl and mcl looks near noraml at 14 months
Acute repair of ACL and MCl is the way to go today to get the best results.Clinically and radiologically knee looks normal. Both scopic and MRI visually looks more like normal acl unlike a reconstruction. The recent data on clearing the the knee haematoma to reduce the inflammatory metabolites might decrease the long term incidence of osteoarthritis
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