Discusión entre pares / 45yrs/male weighing 132kg polytrauma case presented with all ipsilateral fractures

Indian-Orthopaedic Research-Group

Rahul B Tanga 

45yrs/male weighing 132kg polytrauma case presented with all ipsilateral fractures was treated 5months back in a staged manner.present x rays show good consolidation at fracture site and patient walking fwb without support.

• 

  Rahul B Tanga critical comments?

  6 horas · Me gusta
• 

  Rahul B Tanga valuable inputs?

  6 horas · Me gusta
• 

  Ehab Ragab Nice work
  ROM knee ???

  5 horas · Me gusta
• 

  Rahul B Tanga Thanks 90degrees

  5 horas · Me gusta
• 

  Syed Mohsin Plz tell d order of fixation u ve done

  5 horas · Me gusta
• 

  Shivaprakash S Gowda Good work... n excellent results.. Dr tanga want to know order of fixation... Single sitting r staged procedure...?

  5 horas · Me gusta
• 

  Lokesh Bhatia Well Done. Overall Good Job, I would appreciate if you give your own analysis first. As your analysis will be Clinico Radilogical and we are seeing only X-rays. What were the best things you did in this Polytrauma which we should do in every such case. What do you think you would do to improvise in next such case.

  5 horas · Me gusta · 1
• 

  Rahul B Tanga Thanks everyone.

  5 horas · Me gusta
• 

  Rahul B Tanga Order of fiction was first femur nailing followed by tibia plating and address sing knee and third was hand and wrist.

  5 horas · Me gusta
• 

  Yogesh Gaikwad Varus fixation of neck #.

  5 horas · Me gusta · 1
• 

  Rahul B Tanga Thanks Dr Lokesh Bhatia.this case was one of the most challenging case for me as patient was morbid obese and all lower limb fractures were on same side with extensive internal soft tissue injury with gross swelling of lower limb.patient was haemodynically unstable and was resuscitated first with couple of transfusions.there was difficulty getting better reduction of neck due traction was not sufficient due to tibia fracture on same side.so neck is in varus with single screw thr nail and cc screw was decided on table.saving patient life was first priority. Getting union at all fracture site was second priority and achieved.gettting functional rom knee is the third challenge and still working on that.and last but not least there is no LLD and patient comes to my consultation room walking without support which is the most happiest moment for any ortho pod. Thought closed fractures but still chances of infection is there but still could escape.only one thing I would like to improve in my case is to achieve better rom at knee in my next case.

  5 horas · Me gusta · 1
• 

  Syed Mohsin Did u put d pt on # table?

  5 horas · Me gusta
• 

  Lokesh Bhatia No Doubt it was a very Challenging case not only for you, would have been for anybody in this world. What will you like to do to Improve Knee ROM.

  5 horas · Editado · Me gusta
• 

  Rahul B Tanga Rom beyond 110 degrees and neck reduction at least 130degrees

  4 horas · Me gusta
• 

  Karwan Ahmed Raouf well done ............great job

  4 horas · Me gusta
• 

  Lokesh Bhatia Would you agree If i say If you were struggling so much, you could have addressed, Wrist and Middle MC injury in next session, as it is quite obvious you might have been quite tired by that time. In next 48 hrs you could have considered to do it. I think you could have attained a better Distal end Radius Reduction if you would have been doing it in second sitting. AS it became a herculean task to manage and fix all together in one sitting, you might have become Mentally and Physically tired by the time you were addressing the Wrist and Middle MC #.

  4 horas · Me gusta · 1
• 

  Rahul B Tanga Dr Lokesh Bhatia this case was done in 3 stages kindly go through my previous comments?

  4 horas · Me gusta
• 

  Shivendra Sinha how much mm screw dia in patellar fixation?

  4 horas · Me gusta · 1
• 

  Siva Orthopaedician excellent job..

  4 horas · Me gusta · 1
• 

  Rahul B Tanga 4 mm cc screw

  4 horas · Me gusta
• 

  Said Abdelhaleem Beutiful

  4 horas · Me gusta · 1
• 

  Raghuraj Kundangar u increased his wt to 133kgs... he he

  4 horas · Me gusta · 3
• 

  Golam Mahmud Suhash Great job

  4 horas · Me gusta · 1
• 

  Vinod Rajkumar great work..

  3 horas · Me gusta · 1
• 

  Stanley Ndakoro Kanyemba Post operative X-Rays?

  3 horas · Me gusta · 1
• 

  Freddy F Galvis Gomez 1)CONDYLAR 95 GRADES PLATING IN HIP AND ANOTHER IN SUPRACONDYLAR sPLIT. IS FAST AND IS GOOD PLUS_BUTRESS PLATING IN LATERAL PROXIMAL TIBIA.ROTULA CANULATED SCREW. BLOCKING IN THE SAME intramedular NAILING WITH TWO MORE SIZE. AND LDCP IN TIBIA. LOOK THAT IN PROXIMAL TIBIA THE ANATOMIC PLATE IS NOR BENDIND FOR ATACHMENT NEED BETTER TWO PLATES.

  3 horas · Editado · Me gusta · 2
• 

  Manoharan Muthulingam Nicely executed sir.

  3 horas · Me gusta · 1
• 

  Ahmed Abdulzahra Great job

  2 horas · Me gusta · 1
• 

  Drgirish Gupta Good job

  12 min · Me gusta · 1
• 

  Doc Rahman great achievement sir...

  2 min · Me gusta · 1

http://www.ivyrehab.com/2013/11/autologous-chondrocyte-implantation/

Autologous Chondrocyte Implantation (ACI) with James W. Cahill, MD, FAAOS

Monday, November 11th, 2013

Dr. James Cahill – an Orthopedic Surgeon from Hackensack, NJ – discusses theAutologous Chondrocyte Implantation (ACI) technique. Marc Rambaldi, Director of Physical Therapy for IvyRehab Hackensack, takes us through the post surgical rehab process.

---

What is an Autologous Chondrocyte Implantation?

Autologous chondrocyte implantation, or ACI, is a procedure that was developed in the late 1980s to treat areas of cartilage damage in the knee. ACI has also been used rarely in other joints, such as the ankle, but it is most commonly performed in the knee.
The idea of an ACI procedure is to take a few cartilage cells from the knee, grow them in the lab, and once millions of cells have been grown they are implanted into the area of cartilage damage. (Source: About.com)

La rotura del LCA - Entrevista a Robert Tejero Pastor p

http://roberttejero.com/?p=5070

una publicación de Victor Ravens.

Barlow's test

 Pediatric Orthopedic

Amr Abdelgawad

Publicado el 13/11/2013

This video shows the appropriate method to assess the hip stability in the newborn. It illustrates a newborn with postive Barlow's test

• Categoría

  Gente y blogs

• Licencia

  Licencia de YouTube estándar
• http://youtu.be/lqtLIhNnJUw
• 
  

Discusión entre pares / Attached X ray is belong to 47 yrs old male 7 days back injury .Kindly comment on xray or suggest any needful?

Santosh Soni‎Indian Orthopaedic Research Group FB

1 hora · 

Attached X ray is belong to 47 yrs old male 7 days back injury .Kindly
comment on xray or suggest any needful?
thanks

Me gusta · 

• A 4 personas les gusta esto.
• 

  Rajeev Kant Pandey Excellent job

  1 hora · Me gusta
• 

  Kuldeep Malik Gud job

  1 hora · Me gusta
• 

  Mohamed A. Soliman Nice

  45 min · Me gusta
• 

  Gregory Sasalos 3 comments: 1st i think one more screw in the proximal part of fibula plate, 2nd post fx too small, less than 30% (either ignore it or do post to anterior), 3rd what about "tillaux"??

Post-operative outcomes of atypical femoral subtrochanteric fracture in patients on bisphosphonate therapy

The Bone & Joint Journal

5 horas · 

Post-operative outcomes of atypical femoral subtrochanteric fracture in patients on bisphosphonate therapy shows that a large proportion of the patients required revision surgery and suffered implant failurehttp://tiny.cc/1vlyfx ‪#‎trauma‬ ‪#‎bonejointj‬

Post-operative outcomes of atypical femoral subtrochanteric fracture in patients on...

Management of bisphosphonate-associated subtrochanteric fractures remains opinion- or consensus-based. There are limited data regarding the outcomes of this fracture.

BJJ.BONEANDJOINT.ORG.UK

Tendonitis del tibial anterior por compresión mecánica de cuerpo extraño

http://reumails.blogspot.mx/2014/05/tendonitis-del-tibial-anterior-por.html



domingo, 11 de mayo de 2014

Tendonitis del tibial anterior por compresión mecánica de cuerpo extraño

Presentmos las imágenes ecográficas en LONG y TRANS de una osteosíntesis con placa realizada tras una fractura distal de tibia en una mujer de 45 años.


Aproximadamente 4 años después del procedimiento la paciente empezó a manifestar dolor intenso a la movilización del pie en extensión dorsal activa y flexión plantar pasiva.


Las imágenes muestran como la cabeza del tornillo se ha separado de la cortical y realiza una impronta sobre el tendón tibial anterior.



Ecografía LONG a la altura del tornillo en la que se aprecia el tendón tibial anterior.





Corte transversal en la misma localización anterior. Se aprecia claramente como la porción lateral del tendón está comprimida por la cabeza del tornillo.

Radiografía lateral de la pierna y tobillo de la paciente.