Saturday, 3 August 2013

Painful left wrist in a rt handed doctor

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  From the above  xrays  the patient has  a grade 3A Litchman lunatomalacia.  AP shows a flexed scaphoid ( ring sign) with th...
Sunday, 14 July 2013

Dislocated bipolar in an octegenarian household ambulator

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The decision to do a bipolar is probably correct. the postoperative dislocation and repeated instabilty was surprising. May be a touch of...
2 comments:
Saturday, 13 July 2013

Oops! post acl recon

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The patient feels that his knee is not right. He has a 3 degree ffd, full flexion
1 comment:

Femoral component loosening in a ha coated stem in one year

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The questions asked were whether revise only the stem and secondly uncemented or cemented revision My opinion is as follows The femo...
Tuesday, 2 July 2013

Patella in femur

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This xray shown to me by ny colleague is again a pattern I have never seen before. the quads was torn and the distally rotated patella ...
1 comment:
Friday, 28 June 2013

Is this divergent hip dislocation

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This radiograph was shared with me  by a colleague. Rt anterior dislocation and Lt posterior fracture dislocation in an RTA.  I have never...

4 yr old painful bipolar arthroplasty in a financially challenged patient referred for opinion

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Problems.  Need a lateral X-ray of the distal stem to see the curvature as well quantify the erosion I Do not have the patients ag...
Friday, 14 June 2013

supracondylar nonunion in 62 year old RA patient

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This case was  refered for opinion by a colleague from india. Any advise is welcome.   My suggestion would be to go for cemented Rot...
Saturday, 25 May 2013

current facts on acl reconstruction

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single or double bundle reconstruction. its been clear that double bundle although more anatomic does not give any added advantage as far...
1 comment:
Wednesday, 8 May 2013

Symptom modifying effect of chondroitin sulfate

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　The STOPP study(osteoarthritis progression prevention), a 2 year prospective study have demonstrated definite SYSADOA symptom modifyin...
Monday, 22 April 2013

Procedure specific competence

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Competence of doctor for specific procedure should be assessed/certified before new procedures are attempted. Our patients are not Guinea ...

MPFL anchor points to the red spots

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Patella tilt post TKA

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My colleague Dr gnanavel has just come out with a paper  that a patellar tilt of more than 10 degrees might be associated with poor out...

fracture neck 6 yrs post resurfacing arthroplasty

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              I was asked what to do next. It appears the the femoral  metaphysis is abnormal. Is it an old infection or something else...
1 comment:
Friday, 19 April 2013

MOM bearing in revision - 6 year followup of a type 2 acetabular defect in a 57 year ld lady

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  Chasing the good bone- medialisation to chase the good bone. high hip center  6 year followup- clinically asymptomatic Str...