Older – low energy falls in osteoporotic patients 20-30% mortality risk in the first year following fracture Classified into stable and unstable fracture types Operative treatment modalities include Sliding hip compression screw, Intramedullary hip screw (cephalomedullary nail) and Arthroplasty Sliding hip screw used in simple stable fracture patterns with intact lateral cortex Intramedullary nails indicated for unstable variants Severely comminuted and…
Increases with advancing age Tear enlargement, fatty infiltration of the muscles, degenerative changes in the glenohumeral joint For irreparable tears, treatments range in complexity from simple joint debridement to reverse shoulder replacement Joint preserving : Subacromial decompression, tuberoplasty, and biceps tenotomy/tenodesis Isolated arthroscopic biceps tenotomy or tenodesis improves symptoms in patients with massive irreparable rotator cuff tears Latissimus dorsi tendon transfer :…
Overweight and Obese Patients Require Total Hip and Total Knee Arthroplasty at a Younger Age Obese patients generally did not attain the same level of physical function by the follow-up time point Surgeons should anticipate increased failure rates and poorer outcomes Longer hospital stays and higher implant cost Impact of obesity on postoperative complications is more profound for THA than…
Spectrum of disease entities, from single focal defects to advanced degenerative disease of articular cartilage Cartilage injuries have limited spontaneous healing and propensity to worsen over time complain of effusion, motion deficits, mechanical symptoms (e.g., catching, instability) Outerbridge Arthroscopic Grading System Visco supplementatoin, corticosteroid injections, unloader brace can be tried as first line of management Active patients where full-thickness lesions expose underlying subchondral…
High-energy vehicular trauma and Sport injuries Diagnosis is clinical MRI to confirm multiligament knee injury Injury to CPN and popliteal artery External fixation if Soft tissue envelope compromised, If reduction cannot be maintained and To assist with protecting a vascular repair Surgical treatment often combines arthroscopic and open ligament reconstruction and can be single- or two-staged Functional outcomes are depended…
Result from direct knee impact during motor vehicle accidents, motorcycle collisions, and falls from a height Vascular injury associated with knee dislocation – 3.3% to 64%. Neurologic dysfunction with multiligament knee injury or knee dislocation – 10% to 40% Magnetic resonance imaging (MRI) is needed to assess the knee ligamentous injuries Schenck Classification is used for Knee Dislocations Acute treatment…
