Wednesday, 6 August 2014

Hoffas fat pad

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The anterior fat pad has been the villian as a cause for pain and arthofibrosis for long. Was it because it has highly vascular, neural and...
Thursday, 1 May 2014

When do one allow contact sports after ACL reconstruction

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 Conventionally one allows contact sports within 6 months post reconstruction . Recent  evidence suggests that it would be prudent to delay...

Meniscal root repair simplified

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 The  currette is used to freshen the area of root attachment. A suture lasso is introduced from superior to inferior  and a PDs suture i...
Friday, 25 April 2014

Biocomposite screw is not harmless

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 This patient is 2 yrs postop acl recon playing professional club football. Presented eith  2 month pain and swelling anteriomedial tibia...
Thursday, 24 April 2014

supracondylar periprosthetic fractures post tkr. nail plate devise- a new concept

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Supracondylar femoral fracture is a devastating complication after a total knee replacement. Supracondylar femoral   fractures account...
1 comment:
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...