Wednesday, 31 May 2023

Does sagital alignment have a role

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Dislocation in Thr post fracture neck of femur

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Dislocation post THR in elderly is an issue which can be avoided by using larger head diameter, Tighter soft tissue with correct verical an...
Sunday, 7 May 2023

Proximal bone loss in distal loading stem rt srom was revised due metal ions going up after 14 years. rt side was coc

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Tuesday, 25 April 2023

one stage bil thr in ddh

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lt hip had an abductor lurch 3 month postbil THR . Both were done with a hardinge approach, COC bearings with cone prosthesis as 2 of...
Saturday, 25 February 2023

THR is stiff spine - Stuck Sitting

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Case of stiff spine in an outlet view  suggesting a stuck sitting position. To avoid anterior dislocation a neutral version and closed cup w...

popliteomeniscal fascicle repair

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patient felt a lateral pop. Figure of four test was -ve. felt unstable with lachmanb1A and negative pivot shift. Lateral meniscus had a smal...
Monday, 28 November 2022

Knee replacement Malunited T Tibial plateau

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At 75 we opted to retain the plate and avoid stems  
Monday, 12 September 2022

Painful DDH in a pt with Prior Limb lengthening done

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  Postop the limb was perceived to be long The postop Pelvic tilt was suggested as the IT band being pulled due to the lentgening 3 month wt...
Tuesday, 12 July 2022

Proximal bone loss in art distal loading solution stem compared with proximal loading distal fitting srom MOM on lt side

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@1
Thursday, 23 June 2022

Paget’s disease with bowed femur 12 degrees Varus and 12 degrees flexed

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The options of navigated and robotic replacement were offered. Settled for a simpler local custom made distal cutting jig , followed by gap ...
Friday, 11 March 2022

Revascularisation of acl allograft

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Z shaped MCL tear /MCL tear is not always onesided

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Z shaped MCL tear associated with  PCL and medial meniscal root tear  root tear
Sunday, 6 March 2022

16 years post revision with alumina ceramic on poly THR

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has some pain Rt thigh . bloods normal/ bone scan below. waiting for a 3 month review to repaet bloods and clinical assesment.lass="sep...

74 year gentle man with periprosthetic fracture 2 years post fracture

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had 3 attempts at union surgically with 2 scars. Decided to do distal femoral repalcement to get him back to his feet after 2 tears. nil i...