Saturday, 16 September 2023

Hypointense ACL

›
we still do not have a a clear cut correlation between clinical and radialogical data to make an informed decision for return to sport like...
Tuesday, 12 September 2023

Ulnar plus with TFCC tear

›
ulnocarpal impingement with triquetrql wear and large central tear of TFCC treated arthroscopic wafer procedure  

Intraop fracture in a porotic RA pt with 2 yr okd fracture treated by interfragmentary screws only

›
stem and wedge back up done but unfortnately during trial reduction the femoral condyle fractures and screw hold for fixation was poor and t...
Sunday, 30 July 2023

Distal femoral fracture in a 80 CRF patient on dialysis and major cardiac issues

›
A distal femoral replacement was decided by the team to mobilse the patient immediately though with difficulty. The risks were explaned and...

Rising incidence of Periprosthetic fractures and the need for aggresive managemwnt of osteoporosis

›
Rising numbers of elderly parents living alone need an aggreesive metabolic management of osteoporosis. we are seeing an epidemic of insuff...
Thursday, 20 July 2023

Meniscal Transplant -Post menisectomy medial in a 24 yr old

›

Dislocation in a post stroke patient one montg postop

›
posterior impingement and anterior disloccation wad the cause. as he was a post strone one month, a constained luner or dual mobikty was th...
Wednesday, 31 May 2023

Does sagital alignment have a role

›

Dislocation in Thr post fracture neck of femur

›
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

›
Tuesday, 25 April 2023

one stage bil thr in ddh

›
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

›
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

›
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

›
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

›
  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...