Tuesday, 13 August 2024

Dynamic mri in PF instability caused by increased femoral anteversion

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17 yrs post bil one stage Ceramic on ceramic THR

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28 mm Alumina head and liner with no issues to date. SROM stem was used then to cover for any ceramic fracture and taper damage and in case...
Saturday, 3 August 2024

Meniscal cyst treated by scopic decompression

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Perprosthetic femoral fracture( stable femoral component)

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Periprosthetic fracture in 2004 managed by a Humeral nail

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Thursday, 9 May 2024

Ulnocarpal abutment

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Tuesday, 14 November 2023

10 yrs post latarjet asymptomatic and played badminton till this day

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This Rt handed OT male nurse (now in UK )was my ? success until this!!. The bone graft broke off while sleeping after 10 yrs post op. Did t...

Intraop fracture in a prior fixed and healed distal femoral fracture

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salvage of a porotic intraop fracture ina RA pt thru the cyst poorly stabilised by the plate, revised by the rotating hinge link knee with ...

Periprosthetic fracture in a Octagenerian

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Atrial fibrillation and aortic stenosis  narrow canal 10.5. bowed femur  Absence of curved 10 inch 10.5 mm dia porocoat stem made us use thi...

Patella dislocation with osteochondral fracture of medial facet

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14 yr old male with genu valgum open physis and grade 3 b troclea and osteochondral fracture patella underwent medial epiphysidesis by paeds...
Saturday, 16 September 2023

Hypointense ACL

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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

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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

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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

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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

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Rising numbers of elderly parents living alone need an aggreesive metabolic management of osteoporosis. we are seeing an epidemic of insuff...