SlideShare a Scribd company logo
1 of 37
Austin Moore’s Prosthesis Technique Vinod Naneria Girish Yeotikar Arjun Wadhwani Choithram Hospital & Research Centre, Indore, India
The philosophy  ,[object Object],[object Object],[object Object]
Painful AMP ,[object Object],[object Object],[object Object],[object Object]
Painful AMP- two primary reasons ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Inadequate Proximal Fixation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proximal Fixation Tips & Tricks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Proximal Fixation Tips & Tricks ,[object Object],[object Object]
Proximal Fixation Tips & Tricks ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Posterio-lateral incision in lateral decubitous position
 
Quadratus Gemeli Piriformis Sciatic Nerve Gluteus Maximus Cut the rotators close to the bone
Incise the capsule in “T” shape
Measure the size of the head
Superior lateral neck attched to Gr. Troch must be removed
Neck Cut
Piriformis fossa as entry point
 
Bone grafts harvesting
Selection of Implant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Variables - Implant ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Prosthesis design: Proper Offset Stem Diameter Neck over hang Fitness at proximal part
Half inserted prosthesis
Packing of graft in the medial wall
 
Graft in the distal hole
Grafts in the proximal hole
Final setting
Trochanteric  index
Reduction by gentle pressure
Capsular repair
Post Op X-ray
Bone growth on medial side and in the fenestrations
AMP - summary ,[object Object],[object Object],[object Object],[object Object]
AMP - Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
AMP - Summary ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Failure & Success - Amp? ,[object Object],[object Object],[object Object],[object Object]

More Related Content

What's hot

High tibial osteotomy
High tibial osteotomyHigh tibial osteotomy
High tibial osteotomy
orthoprince
 
Septic arthritis sequelae
Septic arthritis sequelaeSeptic arthritis sequelae
Septic arthritis sequelae
orthoprince
 
Arthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
Arthroscopic ACL Reconstruction By Dr Shekhar ShrivastavArthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
Arthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
DelhiArthroscopy
 
Ilizarov External fixator
Ilizarov External fixatorIlizarov External fixator
Ilizarov External fixator
Abdullah Mamun
 

What's hot (20)

Tips, tricks and pitfalls of proximal femoral nailing (PFN)
Tips, tricks and pitfalls of proximal femoral nailing (PFN)Tips, tricks and pitfalls of proximal femoral nailing (PFN)
Tips, tricks and pitfalls of proximal femoral nailing (PFN)
 
Osteotomies around the hip
Osteotomies around the hipOsteotomies around the hip
Osteotomies around the hip
 
Hemiarthroplasty of Hip joint
Hemiarthroplasty  of  Hip joint Hemiarthroplasty  of  Hip joint
Hemiarthroplasty of Hip joint
 
High tibial osteotomy
High tibial osteotomyHigh tibial osteotomy
High tibial osteotomy
 
Congenital pseudoarthrosis tibia
Congenital pseudoarthrosis tibiaCongenital pseudoarthrosis tibia
Congenital pseudoarthrosis tibia
 
Ortho Journal Club 11 by Dr Saumya Agarwal
Ortho Journal Club 11 by Dr Saumya AgarwalOrtho Journal Club 11 by Dr Saumya Agarwal
Ortho Journal Club 11 by Dr Saumya Agarwal
 
Bone cement,Cementing Generations, Complications & Recent advances
Bone cement,Cementing Generations, Complications & Recent advancesBone cement,Cementing Generations, Complications & Recent advances
Bone cement,Cementing Generations, Complications & Recent advances
 
Septic arthritis sequelae
Septic arthritis sequelaeSeptic arthritis sequelae
Septic arthritis sequelae
 
Dr.S.Senthil Sailesh-functional cast bracing,PTBcast,sarmiento principle
Dr.S.Senthil Sailesh-functional cast bracing,PTBcast,sarmiento principleDr.S.Senthil Sailesh-functional cast bracing,PTBcast,sarmiento principle
Dr.S.Senthil Sailesh-functional cast bracing,PTBcast,sarmiento principle
 
Principle of tension band wiring n its application
Principle of tension band wiring n its applicationPrinciple of tension band wiring n its application
Principle of tension band wiring n its application
 
Floating Knee
Floating KneeFloating Knee
Floating Knee
 
Arthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
Arthroscopic ACL Reconstruction By Dr Shekhar ShrivastavArthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
Arthroscopic ACL Reconstruction By Dr Shekhar Shrivastav
 
InterTrochanteric Fractures
InterTrochanteric FracturesInterTrochanteric Fractures
InterTrochanteric Fractures
 
dynamic hip screw
dynamic hip screwdynamic hip screw
dynamic hip screw
 
Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)Superior Shoulder Suspensory Complex injuries (SSSC)
Superior Shoulder Suspensory Complex injuries (SSSC)
 
Inra medullary nailing - basic concepts
Inra medullary nailing - basic conceptsInra medullary nailing - basic concepts
Inra medullary nailing - basic concepts
 
principles of External fixation
principles of External fixationprinciples of External fixation
principles of External fixation
 
Multi ligamentous knee injury
Multi ligamentous knee injuryMulti ligamentous knee injury
Multi ligamentous knee injury
 
Hip Reduction Techniques
Hip Reduction TechniquesHip Reduction Techniques
Hip Reduction Techniques
 
Ilizarov External fixator
Ilizarov External fixatorIlizarov External fixator
Ilizarov External fixator
 

Similar to Austin Moore’S Prosthesis Surgical Technique

Knee stiffness dr anil k jain
Knee stiffness dr anil k jainKnee stiffness dr anil k jain
Knee stiffness dr anil k jain
varuntandra
 
Distal Humerus Fractures.pptx
Distal Humerus Fractures.pptxDistal Humerus Fractures.pptx
Distal Humerus Fractures.pptx
SethiNet presentations
 
Surgical aspects of osteosarcoma
Surgical aspects of osteosarcomaSurgical aspects of osteosarcoma
Surgical aspects of osteosarcoma
Prabhu Ramkumar
 
hemiarthroplastyanshulfinal-200726074139.pptx
hemiarthroplastyanshulfinal-200726074139.pptxhemiarthroplastyanshulfinal-200726074139.pptx
hemiarthroplastyanshulfinal-200726074139.pptx
Yasiele897
 

Similar to Austin Moore’S Prosthesis Surgical Technique (20)

Super path hip replacement
Super path hip replacementSuper path hip replacement
Super path hip replacement
 
dental implant course for junior dentists.pptx
dental implant course for junior dentists.pptxdental implant course for junior dentists.pptx
dental implant course for junior dentists.pptx
 
Septoplasty innovative tech
Septoplasty innovative tech Septoplasty innovative tech
Septoplasty innovative tech
 
ACL Recon.pptx
ACL Recon.pptxACL Recon.pptx
ACL Recon.pptx
 
Hip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN reviewHip Joint anatomy, surgical approches & AVN review
Hip Joint anatomy, surgical approches & AVN review
 
Techniques for the management of failed surgery for fractures of neck of femur
Techniques for the management of failed surgery for fractures of neck of femur Techniques for the management of failed surgery for fractures of neck of femur
Techniques for the management of failed surgery for fractures of neck of femur
 
Acl Reconstruction Surgery In Delhi Dr. Shekhar Srivastav 09971192233
Acl Reconstruction Surgery In Delhi Dr. Shekhar Srivastav 09971192233Acl Reconstruction Surgery In Delhi Dr. Shekhar Srivastav 09971192233
Acl Reconstruction Surgery In Delhi Dr. Shekhar Srivastav 09971192233
 
Hip anatomy, approaches & AVN
Hip anatomy, approaches & AVN Hip anatomy, approaches & AVN
Hip anatomy, approaches & AVN
 
HEMIARTHROPLASTY.pptx
HEMIARTHROPLASTY.pptxHEMIARTHROPLASTY.pptx
HEMIARTHROPLASTY.pptx
 
Surgically Assisted Rapid Palatal Expansion (SARPE)
Surgically Assisted Rapid Palatal Expansion (SARPE)Surgically Assisted Rapid Palatal Expansion (SARPE)
Surgically Assisted Rapid Palatal Expansion (SARPE)
 
Diagnosis and treatment planning
Diagnosis and treatment planningDiagnosis and treatment planning
Diagnosis and treatment planning
 
Diagnosis and treatment planning part 1
Diagnosis and treatment planning part 1Diagnosis and treatment planning part 1
Diagnosis and treatment planning part 1
 
Case discussion 10
Case discussion 10Case discussion 10
Case discussion 10
 
103330.pdf
103330.pdf103330.pdf
103330.pdf
 
Eto
EtoEto
Eto
 
Knee stiffness dr anil k jain
Knee stiffness dr anil k jainKnee stiffness dr anil k jain
Knee stiffness dr anil k jain
 
Distal Humerus Fractures.pptx
Distal Humerus Fractures.pptxDistal Humerus Fractures.pptx
Distal Humerus Fractures.pptx
 
Pterygoid Implants
Pterygoid ImplantsPterygoid Implants
Pterygoid Implants
 
Surgical aspects of osteosarcoma
Surgical aspects of osteosarcomaSurgical aspects of osteosarcoma
Surgical aspects of osteosarcoma
 
hemiarthroplastyanshulfinal-200726074139.pptx
hemiarthroplastyanshulfinal-200726074139.pptxhemiarthroplastyanshulfinal-200726074139.pptx
hemiarthroplastyanshulfinal-200726074139.pptx
 

More from vinod naneria

More from vinod naneria (20)

MRI of Interesting Rare Spinal Cases.pptx
MRI of Interesting Rare Spinal Cases.pptxMRI of Interesting Rare Spinal Cases.pptx
MRI of Interesting Rare Spinal Cases.pptx
 
Chronic Recurrent Multifocal Osteomyelitis - a care report.pptx
Chronic Recurrent Multifocal Osteomyelitis - a care report.pptxChronic Recurrent Multifocal Osteomyelitis - a care report.pptx
Chronic Recurrent Multifocal Osteomyelitis - a care report.pptx
 
Conservative management of Lumbar disc prolapse.pptx
Conservative management of Lumbar disc prolapse.pptxConservative management of Lumbar disc prolapse.pptx
Conservative management of Lumbar disc prolapse.pptx
 
Hemiarthroplasty in Unstable Trochanteric Fractures.pptx
Hemiarthroplasty in Unstable Trochanteric Fractures.pptxHemiarthroplasty in Unstable Trochanteric Fractures.pptx
Hemiarthroplasty in Unstable Trochanteric Fractures.pptx
 
Radiological changes in Patella in Prediabetes.pptx
Radiological changes in Patella in Prediabetes.pptxRadiological changes in Patella in Prediabetes.pptx
Radiological changes in Patella in Prediabetes.pptx
 
Hyperostosis and Prediabetes
Hyperostosis and PrediabetesHyperostosis and Prediabetes
Hyperostosis and Prediabetes
 
Soft tissue calcification
Soft tissue calcificationSoft tissue calcification
Soft tissue calcification
 
GCT Upper Tibial Pathological Fracture
GCT Upper Tibial Pathological FractureGCT Upper Tibial Pathological Fracture
GCT Upper Tibial Pathological Fracture
 
Migratory reflex transient osteoporosis
Migratory reflex transient osteoporosis Migratory reflex transient osteoporosis
Migratory reflex transient osteoporosis
 
Calcific tendinitis of shoulder
Calcific tendinitis of shoulderCalcific tendinitis of shoulder
Calcific tendinitis of shoulder
 
Calcific Myo-necrosis
Calcific Myo-necrosis Calcific Myo-necrosis
Calcific Myo-necrosis
 
Recurrence of Gct lower end femur - a case report
Recurrence of Gct lower end femur -  a case reportRecurrence of Gct lower end femur -  a case report
Recurrence of Gct lower end femur - a case report
 
Dorsal disc prolapse
Dorsal disc prolapseDorsal disc prolapse
Dorsal disc prolapse
 
L3 l4 disc extrusion
L3 l4 disc extrusionL3 l4 disc extrusion
L3 l4 disc extrusion
 
Gct lower end femur
Gct lower end femurGct lower end femur
Gct lower end femur
 
Broken austin moore prosthesis fatigue or failure
Broken austin moore prosthesis  fatigue or failureBroken austin moore prosthesis  fatigue or failure
Broken austin moore prosthesis fatigue or failure
 
A case of shattered proximal femur
A case of shattered proximal femurA case of shattered proximal femur
A case of shattered proximal femur
 
Broken AMP stem a case report
Broken AMP stem   a case reportBroken AMP stem   a case report
Broken AMP stem a case report
 
Slipped Capital Femoral Epiphysis
Slipped Capital Femoral EpiphysisSlipped Capital Femoral Epiphysis
Slipped Capital Femoral Epiphysis
 
Nonunion lower end radius
Nonunion lower end radiusNonunion lower end radius
Nonunion lower end radius
 

Recently uploaded

Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
MedicoseAcademics
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
Sheetaleventcompany
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
jualobat34
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Sheetaleventcompany
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Sheetaleventcompany
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Sheetaleventcompany
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
Sheetaleventcompany
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Sheetaleventcompany
 

Recently uploaded (20)

Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Electrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdfElectrocardiogram (ECG) physiological basis .pdf
Electrocardiogram (ECG) physiological basis .pdf
 
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
💚Call Girls In Amritsar 💯Anvi 📲🔝8725944379🔝Amritsar Call Girl No💰Advance Cash...
 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
 
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptxANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF RESPIRATORY SYSTEM.pptx
 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Intramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptxIntramuscular & Intravenous Injection.pptx
Intramuscular & Intravenous Injection.pptx
 
Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their RegulationCardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
 
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
Bandra East [ best call girls in Mumbai Get 50% Off On VIP Escorts Service 90...
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
Nagpur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Nagpur No💰...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
 
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls 📞9332606886 Call Girls in Bhawanipatna Escorts servic...
 
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
❤️Call Girl Service In Chandigarh☎️9814379184☎️ Call Girl in Chandigarh☎️ Cha...
 
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
💚Chandigarh Call Girls 💯Riya 📲🔝8868886958🔝Call Girls In Chandigarh No💰Advance...
 
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
Jaipur Call Girl Service 📞9xx000xx09📞Just Call Divya📲 Call Girl In Jaipur No💰...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 

Austin Moore’S Prosthesis Surgical Technique