Moderate to high-energy trauma 8% to 43% of these are open fractures and Ligament disruption seen in 43% to 80% CT scan is done to assess the articular collapse and fracture comminution Schatzker classification is commonly used Treatment is often aimed at restoring the articular congruity, coronal alignment and angular stability Open reduction and internal fixation is the traditional means…
No significant differences in long-term functional outcomes, revision rates, or incidence of aseptic loosening between conventional and navigation TKR Kim et al in their study found higher prevalence of anterior femoral notching in CN Routine use of PSI is not recommended in non-complicated TKA PSI is simpler, faster, and more accurate than CI. Predescu et al do not recommend PSI…
Biological joint-preserving surgery for Medial compartment OA knee Coventry – 1969 popularized it The basis of realignment osteotomy about the knee is to transfer weight bearing forces from the arthritic portion of the knee to a healthier location of the knee joint Patient under 60 years with unicompartment OA knee without any deformity or ligament laxity is an ideal candidate…
The optimum 90 day cut off values are 6,130 cells/µL for WBCs ; 39.8 mg/L for CRP; 39.5 mm/hour for ESR; 79.5% for PMN percentage Beware of High false-negative rates Prevalence of suspected culture-negative PJI – 22%. Fluorescence in Situ Hybridization (FISH) is a rapid, reliable and feasible technique Prevent infection by managing host factors such as malnutrition, obesity, smoking,…
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…
