TOTAL KNEE REPLACEMENT
TOTAL KNEE REPLACEMENT Generalised wear and tear of Knee are called Osteoarthritis. It can cause intolerable pain and severely restricts movements. It can be easily corrected by doing a Total Knee Replacement (TKR) once all non-operative treatments have failed. The following is a video of a 73-year-old lady who underwent bilateral simultaneous TKR “Don’t let your loved ones suffer in silence. Act now “
TOTAL HIP REPLACEMENT
Total Hip Replacement is a procedure where the surgeon removes damaged or diseased parts of the patient’s hip joint and replaces them with new artificial parts. Patients can be made to walk from the very next day following surgery. Here we have a 40 years old gentleman with inflammatory arthritis of hip joints managed by Bilateral THR during a single admission
BLOUNT’S DISEASE
Blount’s Disease It is a disease that causes bowing of the legs.Best results are obtained if surgery is done before the age of 4 years…Here is a video of a boy who underwent corrective osteotomy at 2 years & later followed up at 4 years
CUBITUS VARUS
#Cubitus varus: A deformity of the elbow resulting in a decreased carrying angle (so that, with the arm extended at the side and the palm facing forward, the forearm and hand are held at less than 5 degrees). There is a deviation of the forearm toward the midline of the body. Cubitus is the Latin word for elbow and varus means angled inward. Cubitus varus is also called the gunstock deformity.
Genu Valgum
#GENUVALGUM Otherwise called “Knock Knees” can cause pain, instability and deformity of the knee joints. It is an important reason for disqualification during competitive physical exams. Symptomatic knock knees can be easily corrected by using 8-plate hemiepiphysiodesis 12 years of age Please see the excellent deformity correction in this 12-year-old boy …
#Slipped Upper Femoral Epiphysis (SUFE)
#Slipped Upper Femoral Epiphysis (SUFE)” Beware of kids presenting with a painful limp & Hip pain between 12 to 14 years of age …. You could be dealing with a rare problem called SUFE which if not picked up early can lead to life long disability. Here the ball of the femur slips & gets displaced. This 12-year-old girl was picked up early & easily treated with a simple hip screw.
CLUB FOOT
Club foot is a birth defect where one or both feet are rotated inward and downward. Treatment is by Ponseti method which involves moving the foot into an improved position by plaster technique which is repeated at weekly intervals for 4 weeks followed by a tenotomy at 5th week. Here we have a 3-day old baby treated by Ponseti method…
Frozen Shoulder
#Frozen Shoulder is a condition that commonly occurs in diabetics where the shoulder becomes extremely painful and stiff. The patient will not be able to use the upper limb and they suffer from unbearable pain and many sleepless nights. Most of the time this is settled with pain killers and control of diabetes. An injection into shoulder joint gets most of the patient better. The rest will benefit from a simple manipulation of the shoulder joint without surgery that will help cure this problem. This can be done as a day case.
Congenital Dislocation of Hip (CDH = DDH)
“Congenital Dislocation of Hip (CDH = DDH) Some kids are born with dislocated hips which presents with asymmetrical thigh crease or Limb length discrepancy or Limping. If found within few days of birth, it can be managed with a simple splint or plaster. If not, the baby will need a surgery. Here we have a 18 month old baby managed by open reduction with excellent result at 3 years …
Congenital Dislocation of Knee
#Congenital Dislocation of Knee A rare condition where the baby is born with a dislocated knee that goes in for hyperextension. It can be easily corrected with serial plasters if found early. Here we have a newborn baby managed with plaster whose knee becomes stable by the 3rd month!!! …
CEREBRAL PALSY
#CEREBRAL PALSY Cerebral Palsy (CP) refers to a group of disorders that affect movement and coordination. Although it cannot be completely cured, most of the deformities can be corrected by tendon surgeries and osteotomies thereby making life better for the kids Here is a 13-year-old Girl who underwent corrective surgeries on her hip, the knee of the ankle and during subsequent follow-up
Flat Feet
#Flat Feet People with flat feet have a very low arch or no arch While majority of flatfeet are pain free, those with pain can be managed by corrective surgeries if all non-operative measures have failed. Here we have a 13-year-old boy who underwent lateral column lengthening & medical plication of foot with restoration of arch.
Genu Varum
#Genu Varum (RICKETS) Otherwise called “Bow Legs” caused by Rickets can be corrected by giving simple vitamin D injections & calcium… The following is the video of a kid with Rickets first seen at 1 year & subsequently at 2 and 4 years after Vitamin – D treatment … look at the amazing deformity correction without surgery.
#Limb Lengthening
#Limb Lengthening Some children are born with legs of different lengths but illness or injury can cause Limb length discrepancy (LLD) which develops over time. While small differences can be managed by shoe rise, large differences need special surgeries. Here we have a 12-year-old girl with 17 cms LLD managed by bifocal femoral osteotomy & Limb Reconstruction System (LRS)
#UNICAMERAL BONE CYST (UBC)
#UNICAMERAL BONE CYST (UBC)” A rare bone tumour seen in children affecting the long bones. We have the experience of managing more than 15 of these difficult tumours by a simple TENS Nailing Technique. Following X rays show a 13 year old girl with pathological fracture of humerus successfully managed with TENS Nailing …
Torticollis
Otherwise called “Wry Neck” can be due to a small neck muscle contracture that makes the neck tilted to one side. The affected kid will not be able to fully turn the neck to the opposite side… Here we have a 12-year-old boy with torticollis successfully managed with bifocal lengthening of sternomastoid muscle…
#VY Plasty
#VY Plasty # Stiff Elbow And Knee Joint ” VY plasty is a technically challenging surgery that is done to improve Range of Motion in Patients whose joints have become stiff following a fracture. Here we have a 43 Year old lady with severe elbow stiffness following injury & native oil bandage treatment… managed by VY plasty !!!…
TRIGGER THUMB
“TRIGGER THUMB” A condition in which a finger gets stuck in a bent position and then snaps straight. Trigger finger occurs when the tendon in the affected finger becomes inflamed. Those most at risk include women, people with diabetes or arthritis and people whose regular activities strain their hands. Symptoms include stiffness, a popping or clicking sensation and tenderness in the affected finger. Triggering is usually worse in the morning. Treatment includes splinting, medication and surgery. This 57-year-old lady was successfully managed by the release of A-1 pulley.
#TRIGGER FINGER
#TRIGGER FINGER A condition in which the finger gets stuck in a bent position and then gets released with a popping or clicking sensation !!!… It occurs in people with diabetes and arthritis. Treatment includes medication, splinting & surgery. This 60-year-old lady was successfully managed by a simple Tricot injection !!!…
TITANIUM ELASTIC NAILING SYSTEM (TENS NAILING)
TITANIUM ELASTIC NAILING SYSTEM (TENS NAILING) It is a latest technology where children fractures are managed by key hole like procedure using 2 wires. Very small scar and early weight bearing is the main advantage. The following X – Ray’s show a femur fracture managed with TENS Nail
TRIGGER THUMB
“TRIGGER THUMB” A condition in which a finger gets stuck in a bent position and then snaps straight. Trigger finger occurs when the tendon in the affected finger becomes inflamed. Those most at risk include women, people with diabetes or arthritis and people whose regular activities strain their hands. Symptoms include stiffness, a popping or clicking sensation and tenderness in the affected finger. Triggering is usually worse in the morning. Treatment includes splinting, medication and surgery. This 57-year-old lady was successfully managed by the release of A-1 pulley.
