Isnt BPT the best in revascularisation and RTS

@ 3 months post BPT in a zzFemale footballer and one year post op

type 3 Valgus in RA with incompetent acl

This was my first RHK in 2000 was difficult to get zimmer to supply RHK to kerala. Those were the days when the multinationals decided what we could do. got our the PPS hood system which Amrita hospital imported for us from stryker us and jnj guys seeing it with us imported their lousy version and marketing surgeons with hood on in newspapers in mumbai and elsewhere.

2 Infected knee revison done with sleeves and stem done in 2009 where in we did not trust the sleeve alone

auto grafted the mataphyseal defect with particulate alligraft which we don not do now as far as I know

lt knee Type 3 valgus ie; deficient mcl rt knee Oa with med condyle 4 weeks old fracture

Finacially challenged was on bedrest for 4 weeks when she came to us. Could not afford RHK or even stems Got out with one stage bil surgery to get her up in 6 weeks fused the valgus knee with a custom nail(compressed with charnley clamps and locked the custom nail and removed the clamp- did not write up the technique when I was in Amrita)) and fixed and replaced the rt after stabilising the sticky femoral fracture & the fracture and started wt bearing both sides @ 6 weeks. Costs sometimes conpromise surgery which could have been an RHK lt side and distal femoral replacement tkr as shown elsewhere here in this blog feb 20th

Infected elbow replacement

Treated elsewhere with only iv and oral antibiotics for close to an year. stage 1 revsion with stimulan and ball spacer inserted. at 4 month got 20 to120 rom can do most activities of daily living clinically mild instabiity in varus and valgus. _Hope to revise to a long stem TER if the patient undestands the risk