Cartilage Injury in Sports I Dr.RAJAT JANGIR JAIPUR
Cartilage Injury in Sports I Dr.RAJAT JANGIR JAIPUR #aclsurgeryjaipur #aclsurgeryhindia #aclsurgerytaekwondo Acl reconstruction in jaipur | Acl reconstruction in taekwondo | Acl injury in football player surgery | Acl reconstruction surgery in football | acl surgery | Acl surgery ke baad physiotherapy | Acl surgery in jaipur | acl surgery recovery | Best acl surgeon in jaipur | Best ligament doctor in hindi | Best acl surgeon in india | Meniscus repair surgery in jaipur | Sports injury doctor | Acl injury in football players | Acl injury in taekwondo | acl tear | Best knee surgeon in jaipur #allinsideacl #internalbrace #drrajatjangir #bestaclsurgeon #aclexpert #bestkneesurgeon To Know more about ACL Injury, Click the links below: 1. ACL surgery 7 different Techniques we do at our center - "Not single technique best for all" https://youtu.be/oWkIr8IXvr8 2. Everything about ACL Injury tear surgery in Hindi I https://youtu.be/bqpjkAkwZ14 3. Best Screw for ACL tear surgery in Hindi https://youtu.be/1LGpU1NHiIs 4. ACL Injury Tear Surgery Recovery : All your questions & queries solved by Dr.Rajat Jangir https://youtu.be/SIAPWiMbOqs 5. Partial ACL Tear Surgery or not ! ACL आधा टूटा हो तो क्या करें ? https://youtu.be/NEJRPKskJTI 6. 5 Symptoms of ACL Injury tear इंजरी के पांच लक्षण ? https://youtu.be/EXpgy19Jxzw 7. PRP injection therapy in Partial ACL TEARs https://youtu.be/qyG1EYgS87E Dr.RAJAT JANGIR(Asso Prof.) Senior Consultant Arthroscopy and Joint Replacement (Specialist in Shoulder Knee Hip Surgery) Ligament and Joints Clinic 67/34 Mansarovar Jaipur Whatsapp: shorturl.at/gnAEP Appointment: +91 8104855900 Email: ligamentsurgeon@gmail.com Google Page: https://g.page/KNEE-Shoulder-SURGERY?... Facebook: https://www.facebook.com/Ligamentandj... * Vast experience and specialisation in the field of Arthroscopy and sports surgery. * M.S. orthopaedics from BJ Medical College, Civil hospital, Ahmedabad * Fellowship in Arthroscopy and Sports injury with Prof Joon Ho Wang at Samsung Medical Center, South Korea * Diploma in Sports Medicine from InternationaI Olympic Committee * Invited as Athlete Medical Doctor at Rio Olympic 2016 * Done Rajasthan's first "All Inside Physeal Preserving ACL reconstruction" in 13 year old Athlete Dr.Rajat is rated as one of the best orthopedic surgeon with with excellence in Knee Shoulder Arthroscopy surgeries as replacements'
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Cartilage Injury in Sports I Dr.RAJAT JANGIR JAIPUR
- 1. Welcome
- 2. Dr.RAJAT JANGIR Consultant Arthroscopy and Orthopedic Surgeon Saket Hospital, Mansarovar Assistant Professor Mahatma Gandhi Medical College, Jaipur Fellowship In Arthroscopy(South Korea) International Olympic Committee Diploma Sports Medicine(UK) Sports Physician RIO Olympic 2016
- 3. • What Is Cartilage1 • Injury2 • Diagnosis and treatment3 Today’s Overview
- 4. FUNCTIONS TO GIVE SUPPORT, BEAR WEIGHT WITHSTAND TENSION, TORSION AND BENDING
- 5. Composed mostly of an intercellular material called “matrix”-ground substance is “gel- like matrix matrix matrix matrix matrix
- 6. Tissue cells are then contained in this intercellular matrix but are "far" apart, relatively speaking. matrix matrix matrix matrix matrix cells
- 7. Elastic Cartilage Fibrous Cartilage or “Fibrocartilage” Hyaline Cartilage 3 Types of Cartilage Tissue
- 8. Tire Analogy • Tread of a tire = articular cartilage
- 9. Composed mostly of an intercellular material called “matrix”-ground substance is “gel- like matrix matrix matrix matrix matrix
- 10. Degenerative
- 11. Traumatic
- 12. Focal Cartilage Defects • Traumatic o Concomitant ligament injury -- ex: ACL Osteochondritis Dissecans lesion o Localized cartilage lesion due to unexplainable localized poor blood supply. o Most commonly seen on lateral part of medial femoral condyle.
- 20. Bad to the Bone
- 21. Diagnosis • History/Physical • X-rays • MRI • Diagnostic arthroscopy
- 22. History/Physical • Intermittent, vague, poorly localized pain • Locking or catching if loose body present • May have associated secondary degenerative changes if bony incongruity present.
- 23. X-rays
- 25. MRI
- 26. Treatment Options Bone marrow stimulation (<5 mm).-- scar cartilage, not real weight bearing type of articular cartilage.
- 28. Autologous Chondrocyte Implantation (> 2x2 cm lesions)--requires open arthrotomy and at least two surgeries but theoretically same type of weight bearing articular cartilage.
- 30. Osteochondral Autograft Transplant Surgery (O.A.T.S.)( <2 x2 cm lesions ?) -- limited number of donor plugs but covers lesion with same type of weight bearing articular coverage
- 31. O.A.T.S.
- 32. O.A.T.S.
- 33. O.A.T.S.
- 34. Rehabilitation Phases • Protective (4 wks): NWB x 2 wks then 20- 30lbs weight bearing. • PROM exercises. • Transition (5th and 6th wks): • 25% weight bearing, mini squats and aqua jogging. • Maturation (7-12 wks): Full WB, full squats, walking swimming and stairmaster. • Functional (>12 wks): Full activity.
- 35. Back to Work Issues • No sooner than 3 months • ? Permanent work restrictions depending on size of lesion and concomitant injuries. • Will more than likely have lifting restrictions depending on size of lesion and concomitant injuries.
- 36. Case Study • 25 year old male sustained a fall/twist on right knee. • PE: 2+ effusion, ROM 0-130 deg, 2+ Lachman, pivot shift and anterior drawer . • Xrays: wnl • MRI: ACL tear, medial/lateral meniscus tears, full thickness cartilage defect of medial femoral condyle.
- 37. MRI
- 38. Arthroscopic Findings • ACL tear • MFC defect measuring 8mm x 16 mm. • Med/lat meniscus tears
- 39. Arthroscopic Treatment • Partial Med/lat menisectomies • O.A.T.S. of MFC • ACL reconstruction
- 40. Conclusions • O.A.T.S. procedure provides quick and near complete coverage of most focal full thickness cartilage lesions. • Covers cartilage lesion with same type of weight bearing articular cartilage • Can be done at same surgery as other planned procedures. • Can be done arthroscopically providing faster rehabilitation and sooner return to work.
- 42. Dr.RAJAT JANGIR Consultant Arthroscopy and Orthopedic Surgeon Saket Hospital, Mansarovar Assistant Professor Mahatma Gandhi Medical College, Jaipur Fellowship In Arthroscopy(South Korea) International Olympic Committee Diploma Sports Medicine(UK) Sports Physician RIO Olympic 2016