Wednesday, 30 November 2016

Root tears of meniscus

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  60 year old lady with sudden onset sharp pain  lt knee. She was previously asymptomatic and very active. clinical exam revealed stro...

POPLITIOMENISCAL FASCICLE TEARS

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Did we miss this injury in the past. The fascicle move the lateral meniscus dynamically during the lateral femoral condyle roll back. one n...
Friday, 28 October 2016

use of constained TKR implants in BMI above 40

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After seeing a small series of delayed mcl injuries in high flexion, high BMI TKRs and similar issues in published in arthroplasy journal i...
Sunday, 31 January 2016

medical management of osteoarthrosis

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 The basic science guys have been working hard to help  reduce the osteoarthritis disease burden. Every week a new possible solution is tal...
Saturday, 13 June 2015

is repair better than reconstruction on the medial side in MLKI 3m injuries

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 The results of medial repair did  better than reconstructions in my series so far. In the lateral and plri reconstructions gave near norma...
1 comment:
Friday, 7 November 2014

PL bundle reconstruction

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Isolated pl bundle tears associated with instabilty ie; pivot shift happens  wherein lachman  is negative. In such cases isolated pl bundl...
Thursday, 30 October 2014

thr in acetabular fracture

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 38 yr old 2 yrs  post acetabular fracture and supracondylar fracture presented with pain and stiffness.  no free movements plan was to r...
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...