OrthoPedic Surgeon – Page 10 – MBJ Clinic – Bone & Joint : Orthopedic Clinic

Neuropathic Osteoarthropathy

Causes are Diabetes mellitus, Syringomyelia, Spinal cord tumors, Meningomyelocele, Extrinsic compression of the spinal cord, Peripheral nerve tumors, Multiple sclerosis, Congenital insensitivity to pain, Hereditary sensory and motor neuropathy Absenceof normal protective sensory feedback Repetitive mechanical trauma causes progressive joint destruction X rays show hypertrophic joint: manifested radiologically as joint destruction and fragmentation, osseous sclerosis, and osteophyte formation or atrophic…

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OLD UNREDUCED ELBOW DISLOCATION

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Elbow dislocations are classified according to position of ulna & radius in relation to the distal humerus Post- dislocation account for 80-90% of all dislocations Fall backward on arm with elbow in flexed position with Forearm supinated is most common mechanism Extensive myositis ossificans around joint esp. in brachialis & triceps brachi muscles, Marked shortening of triceps muscle, Shortening of…

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Olecranon Fracture

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Mechanism of injury : Direct force through the flexed elbow or Hyperextension Olecranon becomes important for elbow stability if the fracture involves more distal part of the anteromedial facet, extending into coronoid process. Investigations : X ray, rarely CT scan required Treatment options include tension band wiring and plate fixation Problem of hardware irritation to skin Complications are Loss of…

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Osteoporosis

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It causes bone to lose strength and density 1 in 2 women over 50 years of age are likely to sustain a fracture due to osteoporosis Osteoporosis accounts for more days in hospitalization than other diseases like DM, MI or breast cancer Spine or hip fractures, are the most serious complications of osteoporosis It is called as silent disease as…

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Patellar Resurfacing In TKR

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Deciding factors ARE Obesity, Chondromalacia, Patellofemoral degeneration,Anterior knee pain No significant differences : Resurfacing Vs Nonresurfacing Outerbridge Classification: Grading system for joint cartilage breakdown 21.5 times greater risk of the need for subsequent patellar resurfacing in patients with Outerbridge grade IV No evidence was found to suggest that either patellar resurfacing or the prosthetic design affects the clinical outcome of…

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Patient Satisfaction after Total Knee replacement

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82% to 89% of patients are satisfied with the results of TKR Participants placed the highest value on surgeon factors, including level of experience, complication rates Psychopathology was associated with worse Knee Society scores 1 year postoperatively postoperative pain management is one of the most important satisfaction-related parameters for patients undergoing TKA Patient-reported assessment is the best way to determine…

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