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Legg-Calve-Perthes Disease

Legg-Calve-Perthes Disease

1 in 10000, 4-8 years of age, males affected more Insidious onset, may cause painless limp, intermittent hip, knee, groin or thigh pain Loss of internal rotation and abduction is classical  Pathophysiology : Osteonecrosis occurs secondary to disruption of blood supply to femoral head; Revascularization with subsequent resorption and later collapse  X Ray- AP of pelvis and frog leg lateral Bone scan and…

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Unstable TKR

Unstable TKR

Common causes of failure of TKR include infection ,aseptic loosening & instability Instability accounts for 10% to 22% of revision procedures, which is further classified based On time, plane and position of knee Stability of TKR depends on good bony cuts and soft tissue balancing in all planes Check for extension and flexion gaps and assess for instability intra-op before…

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