30/F suffering from bilateral knee pain since few years. Pain got worsened gradually, difficulty managing household activities. O/E Bilateral Varus deformity ++ X-rays suggestive of arthritic changes Only way to salvage such joint is to do deformity correction, offload medial compartment. We did open wedge osteotomy with Bone grafting and plating. Alignment restored with good …
58/F suffering from primary Hip Osteoarthritis for 4 long years treated with Total Hip Replacement At 5 weeks post-surgery, first thing patient said was she gets sound sleep now which was disturbed previously because of intense pain on slightest of leg movement. She walks well now and smile on her face tells everything. Joint replacement …
Post op Day 1, unilateral TKR walking happily pain free without any support. Specialized anaesthesia nerve blocks makes this possible. Many patients have apprehension regarding post knee replacement pain for fist couple of days. Sometimes pain can be very severe. This also deters patients not to go for surgery Specialised anaesthesia nerve blocks post TKR …
65/ F underwent bilateral TKR 9 months back C/O severe low back pain radiating to both legs with difficulty standing and walking for more than 5 min post-surgery. MRI spine showed mild L5/S1 lumbar canal stenosis. Did stress X-rays which revealed grade 2 L5/S1 Listhesis, that explained her severe claudication symptoms. We did L4 to …
42 /f presented with knee fracture (tibial plateau type v). In view of delayed presentation, advised conservative management with brace and gradual Physio therapy. Warned of guarded prognosis. But was surprised to see full consolidation of fracture with complete range of motion. Patient is back to all her household activities.
35 year old maid C/O back pain radiating to right leg not responding to physio and rest MRI suggestive of synovial cyst compressing nerve roots After proper assessment and counselling PT underwent synovial cyst excision, decompression and instrumentation. Post op she recovered well and resumed job after 3 months * synovial cysts usually arises from …
RARE CASE PRESENTATION… Spinal Facet Synovial Cyst Read More »
73 ye old female sustained left hip fracture. She underwent left hip replacement. She was recovering well but had trivial fall at 3 weeks again. She again had wrist fracture, managed with plaster. At 3 months she is doing well. Message Osteoporosis is very common in Elderly people. People above 60 should do BMD DEXA …
Unusual Scenario: Young male complaining of back pain with claudication symptoms with difficulty standing or walking even for 5 min MRI suggestive of L4/5 infective spondylodiscitis. We performed L4/5 spinal decompression. Histopath was suggestive of tuberculosis Comments: L4/5 is unusual location for spinal tuberculosis. Also patient didn’t have any constitutional symptoms. He had claudication symptoms, …
Unusual Scenario Young male complaining of back pain with claudication symptoms with difficulty standing or walking even for 5 min MRI suggestive of L4/5 infective spondylodiscitis We performed L4/5 spinal decompression Histopath was suggestive of tuberculosis Comments L4/5 is unusual location for spinal tuberculosis. Also patient didn’t have any constitutional symptoms. He had claudication symptoms, …
This is a very common question patients ask before surgery. As a knee replacement surgeon I usually make them understand that surgery is meant for pain relief, improve mobility and hence quality of life Indians are fond of doing basic day to day activities on floor. This need almost full 0 to 160 range of …