Knee arthrodesis is a surgical fusion of the knee joint that is used as a salvage procedure for a damaged or diseased knee that cannot be reconstructed or replaced. The document discusses indications for knee arthrodesis including failed total knee arthroplasty, post-traumatic arthritis, and loss of the knee extensor mechanism. It also covers surgical techniques for knee arthrodesis such as external fixation, internal fixation with plates, and intramedullary nailing. Complications associated with knee arthrodesis include nonunion, infection, and degenerative changes in adjacent joints from altered gait biomechanics.
Bone fractures are a very common orthopedic injury resulting from trauma and sudden loads or stresses applied to bones or a result from bones being weakened by certain diseases. More than 250,000 femur fracture patients are seen per year in the U.S. on average. Bone fractures are either a complete or partial break in a bone and in some cases a simple cast to immobilize the injury site is not enough to completely heal the fracture.
Immobilization from casts may not be enough to completely heal the fracture if a malunion (when both ends of the fractured bone misalign) occurs and/or if a non-union (when the fracture gap is too large and the fractured ends cannot re-attach to one another) occurs. In the case of a malunion or non-union, a possible solution to the problem is by surgically inserting an intramedullary rod into the center canal (diaphysial) region of the injured bone and fixating it into place with screws.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
Bone fractures are a very common orthopedic injury resulting from trauma and sudden loads or stresses applied to bones or a result from bones being weakened by certain diseases. More than 250,000 femur fracture patients are seen per year in the U.S. on average. Bone fractures are either a complete or partial break in a bone and in some cases a simple cast to immobilize the injury site is not enough to completely heal the fracture.
Immobilization from casts may not be enough to completely heal the fracture if a malunion (when both ends of the fractured bone misalign) occurs and/or if a non-union (when the fracture gap is too large and the fractured ends cannot re-attach to one another) occurs. In the case of a malunion or non-union, a possible solution to the problem is by surgically inserting an intramedullary rod into the center canal (diaphysial) region of the injured bone and fixating it into place with screws.
Deformity: It’s the position of a limb/Joint, from which it cannot be brought back to its normal anatomical position.
Described as abnormalities of :
Length
Angulation
Rotation
Translation
Combination
Pemberton's Osteotomy for Acetabular DysplasiaLibin Thomas
This is a slideshow based on the journal- JBJS- ESSENTIAL SURGICAL TECHNIQUES, INDIAN EDITION, OCTOBER 2015, VOL.4, NO. 3, SPECIAL EDITION by Shier- Chieg, Huang, MD, PhD, Ting- Ming Wang, MD, PhD, Kuan- Wen Wu, MD, Ken N. Kuo, MD
Latest advances in Joint replacements higlkights rane of procedures currently performed by Dr. Venkatachalam. This list is not exhaustive and newer procedures are introduced frequently. Patients seeking value medical care abroad will benefit from this knowledge
Incision or transection of bone.
Uses:-
to correct deformity.
to change shape of bone.
to redirect load trajectories in a limb so as to influence joint function.
Knee arthroscopic Surgery in delhi by Dr. Shekhar SrivastavDelhiArthroscopy
Knee arthroscopic Surgery in delhi by Dr. Shekhar Srivastav - Dr. Shekhar Srivastav is an Orthopedic Surgeon attached to Sant Parmanand Hospital, Delhi with special interest in Knee & Shoulder surgery. After obtaining his M.S. Orthopedics degree he has undergone training in various centers in India and Abroad which has helped him in understanding the Orthopedics problems and their Management. He did his AO/ ASIF fellowship at University Hospital, Salzburg, Austria in 2006 and recieved training in Arthroscopy & Sports Medicine at TUM, Munich (Germany) & Rush Orthopedics Centre, Chicago( USA). He has an experience of more than fifteen years of diagnosing and treating Orthopedics & Trauma patients.
bone graft /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Total knee replacement is a salvage procedure in orthopaedic surgery to provide a painless, mobile and stable knee joint to improve quality of life of patients suffering from afvanced painful arthritis commonly osteoarthritis, rheumatoid arthritis and rarely post-traumatic arthritis. Damaged cartilages and bones are carefully removed by measured resection and the collateral ligaments are preserved and balanced for creating a equal gap both in knee flexion as well as in knee extension for restoring anatomy. the main indication for doing total knee replacement is pain relief. The overall functional outcomes in terms of functional results are good after total knee replacement. Wound infection must be prevented by strict aseptic precautions during surgery.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
2. Presented by
Dr. SUMAN PAUL
D.Ortho- Resident
Department of Orthopaedic Surgery
Rajshahi Medical College Hospital
3.
4. James H. MacDonald, MD,
Sanjeev Agarwal, FRCS (Orth)
Matthew P. Lorei, MD
Norman A. Johanson, MD
Andrew A. Freiberg, MD
THE JOURNAL OF THE AMERICAN ACADEMY OF ORTHOPEDIC SURGEONS
VOLUME 14 NUMBER 3 MARCH 2006
5. Knee arthrodesis stands for surgical
fusion of the knee joint. Arthrodesis is
one of the last options available to
obtain a stable, painless knee in a
diseased or damaged knee joint which
cannot be reconstructed or replaced.
Today, there is reduction in number of
arthrodesis surgeries are performed
because of success of replacement
arthroplasty.
6. Salvage for failed total knee arthroplasty
[Most common indication in modern times]
Post-traumatic arthritis
Chronic infection
Painful ankylosis after infection or trauma
Neuropathic arthropathy
Loss of extensor mechanism of Knee [The
joint becomes non functional]
7. Active infection
Bilateral knee arthrodesis
Contralateral limb amputation
Ipsilateral hip arthrodesis
Ipsilateral hip or ankle degenerative
joint disease
8. It is important to slightly shorten the limb and
achieve slight flexion at the knee.
5-8° valgus
0-10° of external rotation depending on the
rotation of other leg
0-15° of flexion
Some amount of limb shortening is done which
eases self care and ground clearance while walking.
9. The patient should know that this would kill the
movement at knee joint. Not only this, patient should also
understand about the finality and irreversibility of the
outcome.
To make enable the patient to make better choice that
suits him, a preoperative idea can be given to patient about
the loss of movements and restrictions imposed by
arthrodesis by application of above knee cast.
The plaster is applied for 3-6 weeks and in this period
patient can very well chose if he wants to make the choice
for knee arthrodesis.
10. There are many surgical procedures employed for knee
arthrodesis. A variety of techniques has been described for
surgical fusion and a range of implants is available.
Basic aim of the surgery is to remove cartilage and other
tissues of the knee joint to expose the underlying bone on both
sides [tibia and femur]. These exposed bones would fuse
together in due course of time.
The techniques are
External fixation
Internal fixation by compression plates across the knee
Intramedullary fixation with nail across the knee
In all procedures, bone grafting may be necessary to restore lost
bone stock or to augment fusion.
11.
12.
13. After eradication of the infection arthrodesis
should be performed. Refreshing the distal femur
and proximal tibia surfaces is recommended.
Typically, the femoral and tibial surfaces are recut
to create a more parallel plane of contact.
The IM nail is inserted in an anterograde
fashion through the piriformis fossa, while the
distal aspect of the nail should sit close to the
tibial plafond.
When bony defects are severe, allograft and
autograft bone grafts are different options
available.
14.
15. Monoplanar fixation
This procedure uses compression at the site of
arthrodesis through an external frame along a
singular plane and is secured by multiple pins
along the frame. The frame is placed based on the
position of the skin incision, which is done either
anterolaterally or anteromedially. Although
compression and bending stiffness is adequate
along these planes, there have been reports of
reduced stability along the mediolateral aspect.
16.
17. Biplanar fixators
Biplanar fixators add the mediolateral support
that is not present in monoplanar frames. This is
achieved by providing additional support through
the use of fixation in two planes, which are
secured by transfixation pins in the tibia and
femur along with Schanz pins that secure the
arthrodesis anteriorly.
18.
19. The Ilizarov external fixator uses rings and arches to
stabilize the femur and tibia. The rings and arches are
anchored to the bone using multiple pins and Ilizarov
wires and rods are used between the rings and arches.
The advantage of the circular frames include cost
effectiveness, versatility, the ability to restore severe leg
length discrepancy, lower deep infection rates, and the
ability to make spatial adjustments without any additional
surgical procedures, such as changing the axis of
compression.
20.
21. Compression plates involve using
single or dual plating devices as an
internal fixation method with multiple
screws securing the plate along the
axis of the femur and tibia. The plates
are placed at either the anterior,
lateral, and/or medial aspect of the
fusion site.
22.
23.
24. Complications of knee arthrodesis can be due to infection,
failure to unite or effects of altered gait biomechanics.
•Nonunion
•Infection
•Low back pain
•Ipsilateral hip degenerative changes
•Contralateral knee degenerative changes
•Stress fracture due to increased stress in the regions
Supracondylar femur
Proximal tibial metaphysis fractures