Friday, 3 January 2014

Ligamentous injury to knee a simplified reproducible method

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 I do feel unlike many other joint injuries the mangement of ligamentous injuries in knee is clear cut with studies showing good results wi...

central fracture dislocation hip with intact column and wall

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 H ere are the unsual pictures of a pure central fracture dislocation with intact coloun and walls. This to me is a rare injury and not cl...
Monday, 30 December 2013

Does length matter- ie: tunnel length of femoral tunnel in acl reconstruction

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  Bone grows circumferentially. There is no evidence that the bone grows from the depth of the tunnel.   I for one use 1 to 1.5 cm femor...
Friday, 27 December 2013

THR IN DDH

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 The gluteal incision on for hardinge approach is angled inferior than superiorly.  Neck osteotomy and circumferential capsular relea...

periprosthetic fracture post tkr

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Th e problems  here are  1. Osteoporotic bone 2. Short distal  fragment 3. Inappropriate  plate  My options  Would include a s...
Saturday, 14 December 2013

24 year old patient post Gillian barre syndrome with bil hip ankylosis

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He was  for 4 months following which was found to have an ankylosis  of both hips. recovered neurologically . He was brougth to us for...
Saturday, 19 October 2013

posterior capsulotomy in FFD correction in TKR

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Is Posteriors capsulotomy for  FFD correction in total knee replacement ever needed.  Although literature supports such a technique, I fee...

Anterior column deficiency caused by a loose acetabular cup

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 The above  images were sent to me for advise Comments There Is superiomedial  migration of the cup compromising the anterior...
3 comments:
Monday, 14 October 2013

Mesenchymal stem cells in cartilage injuries

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The buzz in cartilage  injuries today rests on mesenchymal stem cells from bone marrow. adipose tissue, synovium and even the omnipresent  ...
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...