Saturday, 14 December 2024

8 months old patellar tendon avulsion . Use of neoligament to by pass quads to tibia to obtain active extension

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The patella could be mobilised only by 1. 6 cm. use of synthetic mesh helped in immediate mobilisation effecting a Quads to tibia bypass.
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Saturday, 9 November 2024

ACL reconstruction 5 years failure

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Anterio-superior femoral tunnel leading to failure. Tibial tunnel was 18 mm so 2 stage revision with 1st stage grafting class="sep...

20 years post acetabular fracture

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Only interfering screws were removed. Intraop frozen sections and cultures were negative. Global and acetabular offset increased by 5 mm. Wi...
Friday, 8 November 2024

Recurrant dislocation of Rt THR in a 55 year old lady- one year post thr for secondary osteoarthritis due to AVN

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the poly (Bubble) is sen on the lateral aspect of the ilium as a ring. Even a dual mobility cannot salvage this vertical cup re1.PNG...
Saturday, 2 November 2024

ACL repair with MCL proximal repair at 3 weeks post injury both acl and mcl looks near noraml at 14 months

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Acute repair of ACL and MCl is the way to go today to get the best results.Clinically and radiologically knee looks normal. Both scopic and ...
Monday, 23 September 2024

Elbow instability of one year duration in a rt handed nurse.

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pivot shift was painful. lift off from chair was painful. mri and xray revealed a non union conoid and ? mcUCL thickening. EUA and scopy rev...

SIF/ SPONK 6 month post partial menisetomy

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The risk of menisectomy is not just wear. the effects of SPONK over time is variable depending on the sixe and location
Saturday, 21 September 2024

Autocart procedure results at 6 month arthroscopy for a 14mm medial femoral condyle defect in a 40 year old person

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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

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the bonegraft broke off while sleeping after 10 yrs post op. Did the grqft ever incorporate or did it break off being avascular. increasin...