Medial Release in Varus knee is key to balancing the knee right. When done optimally, it reduces reliance on excessive boney cuts and improves patients outcomes.
This document discusses the surgical anatomy and treatment of varus knee deformities. It describes Maquet's line and how it is medialized in varus knees. It then classifies varus deformities into 5 categories and details the surgical steps to correct it, including: creating a medial sleeve; removing osteophytes; checking and releasing ligaments like PCL, semimembranosus, and superficial MCL if gaps remain tight; and lateralizing the tibial component by shifting and reducing it. The goal is to create symmetrical extension and flexion gaps and restore the mechanical axis.
High tibial osteotomy (HTO) is a surgical procedure that involves correcting angular deformities of the tibia. It has been used to treat conditions like osteoarthritis, osteochondritis dissecans, and malalignment. There are several techniques for HTO including lateral closing wedge osteotomy, medial opening wedge osteotomy, and dome osteotomy. HTO can help relieve pain from unicompartmental osteoarthritis and delay the need for knee replacement in young, active patients. Potential complications include fracture, nonunion, nerve palsy, and issues that can make later knee replacement more difficult. Precise surgical planning and fixation are important for achieving good outcomes from HTO.
This document discusses implant selection considerations for revision total knee replacement (TKR) surgery. It begins by outlining common causes for revision TKR such as aseptic loosening and polyethylene wear. Key challenges in revision TKR are managing bone defects from osteolysis, compromised soft tissues, and restoring proper limb alignment. Implant options discussed include metaphyseal sleeves and stems to provide fixation in bone defect zones, as well as augmentations. Constraint levels from unconstrained to fully constrained implants are reviewed. Clinical cases demonstrate approaches for addressing instability, significant bone loss, and peri-prosthetic fractures in revision TKR.
Correcting Varus Deformity of the Knee in Total Knee ReplacementVaibhav Bagaria
This document discusses the varus knee, including:
1. Classification of varus knee deformities into intraarticular, metaphyseal, extraarticular, and PAGODA deformity.
2. The sequential approach to correction involves assessing and classifying the deformity, performing a medial release through multiple structures, osteophyte removal, and bone realignment through techniques like shift and resect or pie crusting if needed.
3. Key steps are creating a medial sleeve through layered release of the MCL and other medial structures, complete removal of osteophytes that can impede correction, and balancing flexion and extension gaps.
Templating implants prior to total hip replacement (THR) surgery is important to ensure precision, soft tissue balance, and reduced complications. It requires standard radiographic views to assess bone quality, structural integrity, and limb length discrepancy. The sequence is to first template the acetabulum considering factors like inclination, version and bone coverage, then template the femur assessing offsets, stem size and fit. Choosing the appropriate acetabular and femoral components also considers factors like fixation type, material, and design features to optimize function and reduce issues like impingement, wear and dislocation.
TKA in valgus knee is challenging procedure seen in up to 10% of cases undergoing TKA. The procedure involves meticulous pre operative planning and intra operative soft tissue release along with modifications in bone cuts for proper implant placement and long term results
1) The document discusses the planning of a high tibial osteotomy (HTO) procedure, including a brief history of osteotomies, knee axis anatomy, indications for HTO, preoperative planning considerations, and techniques for planning correction angles and wedge sizes.
2) Key factors in planning include determining the nature and location of deformity, ideal candidates for HTO vs other procedures, and calculating the needed correction angle based on methods like the Fujisawa scale.
3) Precise planning is important for procedures like open vs closed wedge osteotomy and correcting any concomitant deformities in the sagittal or transverse planes.
This document discusses the concept and methodology of templating for total hip replacement surgery. It begins by defining templating as a radiographic planning process using templates to estimate implant positioning and identify difficult cases. It then describes the goals of templating as predicting implant size and position to restore hip biomechanics. The document outlines the steps of templating, including identifying anatomical landmarks and mechanical references on radiographs. It emphasizes the importance of restoring leg length, offset, and the center of rotation.
This document discusses the surgical anatomy and treatment of varus knee deformities. It describes Maquet's line and how it is medialized in varus knees. It then classifies varus deformities into 5 categories and details the surgical steps to correct it, including: creating a medial sleeve; removing osteophytes; checking and releasing ligaments like PCL, semimembranosus, and superficial MCL if gaps remain tight; and lateralizing the tibial component by shifting and reducing it. The goal is to create symmetrical extension and flexion gaps and restore the mechanical axis.
High tibial osteotomy (HTO) is a surgical procedure that involves correcting angular deformities of the tibia. It has been used to treat conditions like osteoarthritis, osteochondritis dissecans, and malalignment. There are several techniques for HTO including lateral closing wedge osteotomy, medial opening wedge osteotomy, and dome osteotomy. HTO can help relieve pain from unicompartmental osteoarthritis and delay the need for knee replacement in young, active patients. Potential complications include fracture, nonunion, nerve palsy, and issues that can make later knee replacement more difficult. Precise surgical planning and fixation are important for achieving good outcomes from HTO.
This document discusses implant selection considerations for revision total knee replacement (TKR) surgery. It begins by outlining common causes for revision TKR such as aseptic loosening and polyethylene wear. Key challenges in revision TKR are managing bone defects from osteolysis, compromised soft tissues, and restoring proper limb alignment. Implant options discussed include metaphyseal sleeves and stems to provide fixation in bone defect zones, as well as augmentations. Constraint levels from unconstrained to fully constrained implants are reviewed. Clinical cases demonstrate approaches for addressing instability, significant bone loss, and peri-prosthetic fractures in revision TKR.
Correcting Varus Deformity of the Knee in Total Knee ReplacementVaibhav Bagaria
This document discusses the varus knee, including:
1. Classification of varus knee deformities into intraarticular, metaphyseal, extraarticular, and PAGODA deformity.
2. The sequential approach to correction involves assessing and classifying the deformity, performing a medial release through multiple structures, osteophyte removal, and bone realignment through techniques like shift and resect or pie crusting if needed.
3. Key steps are creating a medial sleeve through layered release of the MCL and other medial structures, complete removal of osteophytes that can impede correction, and balancing flexion and extension gaps.
Templating implants prior to total hip replacement (THR) surgery is important to ensure precision, soft tissue balance, and reduced complications. It requires standard radiographic views to assess bone quality, structural integrity, and limb length discrepancy. The sequence is to first template the acetabulum considering factors like inclination, version and bone coverage, then template the femur assessing offsets, stem size and fit. Choosing the appropriate acetabular and femoral components also considers factors like fixation type, material, and design features to optimize function and reduce issues like impingement, wear and dislocation.
TKA in valgus knee is challenging procedure seen in up to 10% of cases undergoing TKA. The procedure involves meticulous pre operative planning and intra operative soft tissue release along with modifications in bone cuts for proper implant placement and long term results
1) The document discusses the planning of a high tibial osteotomy (HTO) procedure, including a brief history of osteotomies, knee axis anatomy, indications for HTO, preoperative planning considerations, and techniques for planning correction angles and wedge sizes.
2) Key factors in planning include determining the nature and location of deformity, ideal candidates for HTO vs other procedures, and calculating the needed correction angle based on methods like the Fujisawa scale.
3) Precise planning is important for procedures like open vs closed wedge osteotomy and correcting any concomitant deformities in the sagittal or transverse planes.
This document discusses the concept and methodology of templating for total hip replacement surgery. It begins by defining templating as a radiographic planning process using templates to estimate implant positioning and identify difficult cases. It then describes the goals of templating as predicting implant size and position to restore hip biomechanics. The document outlines the steps of templating, including identifying anatomical landmarks and mechanical references on radiographs. It emphasizes the importance of restoring leg length, offset, and the center of rotation.
Primary Total Knee Arthroplasty has evolved since the 19th century with various prosthetic designs introduced over time. Prosthetic design considerations include femoral rollback, modularity, constraint, and whether to retain or sacrifice the cruciate ligaments. Radiographs are important for preoperative planning to assess alignment and bone defects. Surgical goals include restoring mechanical alignment, joint line, balanced soft tissues, and normal patellofemoral tracking. Key steps include femoral and tibial cuts, balancing the knee in flexion and extension, and addressing any flexion contractures or deformities. Complications can include nerve palsies, vascular issues, stiffness, infections, and loosening. With careful patient selection, planning and technique, total knee
The document discusses graft fixation options in ACL reconstruction. It notes that fixation is the weakest link in the early postoperative period and that tibial fixation carries a greater risk of failure. Interference screws provide the gold standard for fixation but tunnel widening remains a concern. The ideal fixation is strong, stiff, and secure to avoid graft slippage and interference with healing while allowing revision. Aperture fixation and hybrid techniques may improve outcomes over suspensory fixation alone. Rehabilitation must also account for the biomechanical strengths and weaknesses of the fixation method used.
Introduction to Navigation - Robotic Total Knee Replacement Queen Mary Hospital
Computer-assisted surgery (CAS) uses computer technology to help guide surgical procedures and has evolved from early systems that located brain tumors to current navigation systems that provide real-time positional information of surgical tools to help surgeons accurately reach anatomical targets and optimally position implants while avoiding areas of risk. CAS systems can be passive with just navigation, semi-active assisting with guide tools but not surgery, or active performing pre-programmed surgical actions. Modern navigation relies on tracking reflective markers in real-time rather than external imaging to construct a 3D model of the patient's anatomy.
This document discusses bone defects that can occur in total knee replacements. It covers the causes of bone defects including stress shielding, osteolysis, infection, and previous surgeries. It describes classifications for bone defects based on size, location, and margins. Treatment options for bone defects include cement and screws, bone grafting, metal wedges/blocks, porous metal cones/sleeves, and megaprostheses. Proper evaluation and treatment of bone defects is important for restoring stability and function in total knee replacements.
High tibial osteotomy (HTO) is a realignment procedure that unloads the diseased knee joint surface and corrects angular deformities. It has regained popularity for treating medial compartment osteoarthritis in young, active patients. The goals of HTO are to redistribute weight bearing forces across the knee joint. It is commonly performed using either a closing or opening wedge technique. Patient factors like age, activity level, and alignment/deformity guide whether HTO or knee replacement is most appropriate. Long term studies show HTO effectiveness declines over 7-10 years.
Patella dislocation is a common problem in the young. Recurrence of dislocation can be significant problem causing pain and discomfort. The assessment and guidelines towards non-surgical and surgical treatment options are discussed here.
This document discusses total knee arthroplasty (TKA) for valgus knees. It defines valgus knee deformity and classifications. The lateral parapatellar surgical approach is described as advantageous over the medial parapatellar approach for valgus knees, avoiding additional soft tissue releases. Key challenges include lateral femoral hypoplasia, externally rotated tibia, and lateral tibial defects. Surgical techniques involve lateral releases and pie crusting to balance the knee in extension and flexion. Complications can include common peroneal nerve palsy and hindfoot deformities requiring correction.
Templating in total hip replacement involves using preformed templates during preoperative planning to estimate implant size and position. The goals of templating include restoring hip biomechanics, predicting implant size, and recognizing potential difficulties. A standard approach involves assessing radiographs, identifying anatomical landmarks, mechanical references, and optimizing implant position. Careful templating allows surgeons to achieve successful, reproducible results while minimizing complications.
TOTAL KNEE REPLACEMENT (TKR) correction of varus and tibial bone defectAhammad Siyad
A 65-year-old patient presented with severe varus deformity and bone loss in the left upper tibia due to osteoarthritis. The patient underwent a total knee replacement procedure involving bone grafting from the femur to fill the tibial defect, which was fixed with screws. Multiple burr holes were drilled and the implant was placed over the bone graft. Post-surgery, the varus deformity was corrected.
This document provides an overview of classical shoulder arthroplasty versus reverse shoulder arthroplasty. It discusses the history, anatomy, biomechanics, prosthesis designs, surgical approaches, complications, and outcomes of both procedures. Key points include that total shoulder arthroplasty generally provides better outcomes than hemiarthroplasty, especially long-term. Reverse shoulder arthroplasty is primarily used for nonfunctional rotator cuff tears, while classical arthroplasty requires an intact rotator cuff. Complications can occur years after surgery and include loosening, infection, and fractures.
This document discusses the principles of absolute and relative stability in fracture fixation, as well as locking compression plates. It describes how absolute stability aims to reduce strain below a critical level for primary healing without callus formation, while relative stability allows some motion and secondary bone healing through callus formation. Locking compression plates provide angular stability through locking head screws in the plate and bone, maintaining blood supply while providing fixation. They can be used for compression of reduced fractures or for splinting in multifragmentary fractures.
Total knee replacement involves replacing the knee joint with prosthetic components. Critical elements for success include proper anatomy, biomechanics, soft tissue balancing and alignment. A thorough preoperative evaluation is important. The surgical procedure involves exposing the knee joint through an incision and removing damaged bone and cartilage. Bone cuts are made to prepare the femur and tibia to receive prosthetic components. Proper alignment and soft tissue balancing are crucial. Factors like deformity, bone loss, and patellofemoral tracking must be addressed. Attention to surgical technique and postoperative rehabilitation can provide pain relief and improved function.
Total knee arthroplasty (TKA) is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain from arthritis. The document discusses the relevant anatomy of the knee joint, biomechanics, indications and contraindications for TKA, and key concepts in knee replacement surgery such as femoral rollback and constraint.
This document summarizes the experience with dual mobility cups at Khoula Hospital. It discusses that dual mobility cups are effective at reducing dislocation rates in high-risk patients such as those over 65, with prior hip surgery, neurological disorders, or revision THR. The document then provides details of 47 cases at Khoula Hospital using dual mobility cups, finding a low 2% dislocation rate. It concludes that dual mobility cups provide good early results in high-risk patients in Oman and can reduce dislocation compared to conventional THR.
Poller screws, also known as blocking screws, are non-interlocking screws placed outside an intramedullary nail to improve fracture reduction and fixation. They provide a more rigid construct by serving as a surrogate cortex where nail-cortex contact is insufficient. Their placement helps centralize the guidewire in the medullary canal and maintains reduction through a blocking effect. While there is no consensus on their exact placement, they are generally inserted on the concave side of expected deformities to prevent malalignment during nailing.
This document summarizes the history and evolution of hip replacement surgery. It discusses early attempts at hip replacement in the 1840s using wooden blocks. Modern hip replacement surgery began in the 1920s with mould arthroplasty to reshape damaged bone. A variety of materials were then tested for the joint replacement components, including glass, plastics, alloys. Key developments included the first total hip replacement using stainless steel in 1938, the introduction of polyethylene and metal-on-metal designs in the 1960s, and the first ceramic-on-ceramic design in 1970. The document outlines different bearing material options for modern hip replacements and their advantages and disadvantages.
This document summarizes the history and evolution of cementless acetabular cups used in total hip replacements. It discusses the various materials used, cup shapes, surface coatings, liner designs, fixation methods, and long-term survivorship outcomes. Specifically, it traces the development from early threaded cups in the 1960s-1970s, to hemispherical cups in the 1980s, to improvements in polyethylene liners and modularity in the 1990s-2000s that have led to 10-20 year survivorship rates of 85-96% for current cementless cup designs, comparable to outcomes for cemented cups. Press-fit fixation is emphasized as the primary method of stabilization, with supplemental screws as needed.
This document discusses the history and evolution of total hip arthroplasty (THA) and hip replacement component designs. It outlines key developments from the late 19th century experiments with ivory and tissue replacements, to modern THA pioneered by Professor Charnley in the 1960s using bone cement and low friction materials. Current designs aim to restore normal hip biomechanics and include cemented or cementless femoral and acetabular components with various fixation methods and bearing surfaces to reduce wear. Future advances focus on minimally invasive techniques, computer navigation, and developing more durable and compliant bearing materials to improve implant longevity.
Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
Stress fracture: diagnosis, management and return to sportsVaibhav Bagaria
Stress fracture is a common orthopedic condition often seen in athletes and sportsperson. A customised approach is necessary to ensure a rapid return to activity and sports.
Primary Total Knee Arthroplasty has evolved since the 19th century with various prosthetic designs introduced over time. Prosthetic design considerations include femoral rollback, modularity, constraint, and whether to retain or sacrifice the cruciate ligaments. Radiographs are important for preoperative planning to assess alignment and bone defects. Surgical goals include restoring mechanical alignment, joint line, balanced soft tissues, and normal patellofemoral tracking. Key steps include femoral and tibial cuts, balancing the knee in flexion and extension, and addressing any flexion contractures or deformities. Complications can include nerve palsies, vascular issues, stiffness, infections, and loosening. With careful patient selection, planning and technique, total knee
The document discusses graft fixation options in ACL reconstruction. It notes that fixation is the weakest link in the early postoperative period and that tibial fixation carries a greater risk of failure. Interference screws provide the gold standard for fixation but tunnel widening remains a concern. The ideal fixation is strong, stiff, and secure to avoid graft slippage and interference with healing while allowing revision. Aperture fixation and hybrid techniques may improve outcomes over suspensory fixation alone. Rehabilitation must also account for the biomechanical strengths and weaknesses of the fixation method used.
Introduction to Navigation - Robotic Total Knee Replacement Queen Mary Hospital
Computer-assisted surgery (CAS) uses computer technology to help guide surgical procedures and has evolved from early systems that located brain tumors to current navigation systems that provide real-time positional information of surgical tools to help surgeons accurately reach anatomical targets and optimally position implants while avoiding areas of risk. CAS systems can be passive with just navigation, semi-active assisting with guide tools but not surgery, or active performing pre-programmed surgical actions. Modern navigation relies on tracking reflective markers in real-time rather than external imaging to construct a 3D model of the patient's anatomy.
This document discusses bone defects that can occur in total knee replacements. It covers the causes of bone defects including stress shielding, osteolysis, infection, and previous surgeries. It describes classifications for bone defects based on size, location, and margins. Treatment options for bone defects include cement and screws, bone grafting, metal wedges/blocks, porous metal cones/sleeves, and megaprostheses. Proper evaluation and treatment of bone defects is important for restoring stability and function in total knee replacements.
High tibial osteotomy (HTO) is a realignment procedure that unloads the diseased knee joint surface and corrects angular deformities. It has regained popularity for treating medial compartment osteoarthritis in young, active patients. The goals of HTO are to redistribute weight bearing forces across the knee joint. It is commonly performed using either a closing or opening wedge technique. Patient factors like age, activity level, and alignment/deformity guide whether HTO or knee replacement is most appropriate. Long term studies show HTO effectiveness declines over 7-10 years.
Patella dislocation is a common problem in the young. Recurrence of dislocation can be significant problem causing pain and discomfort. The assessment and guidelines towards non-surgical and surgical treatment options are discussed here.
This document discusses total knee arthroplasty (TKA) for valgus knees. It defines valgus knee deformity and classifications. The lateral parapatellar surgical approach is described as advantageous over the medial parapatellar approach for valgus knees, avoiding additional soft tissue releases. Key challenges include lateral femoral hypoplasia, externally rotated tibia, and lateral tibial defects. Surgical techniques involve lateral releases and pie crusting to balance the knee in extension and flexion. Complications can include common peroneal nerve palsy and hindfoot deformities requiring correction.
Templating in total hip replacement involves using preformed templates during preoperative planning to estimate implant size and position. The goals of templating include restoring hip biomechanics, predicting implant size, and recognizing potential difficulties. A standard approach involves assessing radiographs, identifying anatomical landmarks, mechanical references, and optimizing implant position. Careful templating allows surgeons to achieve successful, reproducible results while minimizing complications.
TOTAL KNEE REPLACEMENT (TKR) correction of varus and tibial bone defectAhammad Siyad
A 65-year-old patient presented with severe varus deformity and bone loss in the left upper tibia due to osteoarthritis. The patient underwent a total knee replacement procedure involving bone grafting from the femur to fill the tibial defect, which was fixed with screws. Multiple burr holes were drilled and the implant was placed over the bone graft. Post-surgery, the varus deformity was corrected.
This document provides an overview of classical shoulder arthroplasty versus reverse shoulder arthroplasty. It discusses the history, anatomy, biomechanics, prosthesis designs, surgical approaches, complications, and outcomes of both procedures. Key points include that total shoulder arthroplasty generally provides better outcomes than hemiarthroplasty, especially long-term. Reverse shoulder arthroplasty is primarily used for nonfunctional rotator cuff tears, while classical arthroplasty requires an intact rotator cuff. Complications can occur years after surgery and include loosening, infection, and fractures.
This document discusses the principles of absolute and relative stability in fracture fixation, as well as locking compression plates. It describes how absolute stability aims to reduce strain below a critical level for primary healing without callus formation, while relative stability allows some motion and secondary bone healing through callus formation. Locking compression plates provide angular stability through locking head screws in the plate and bone, maintaining blood supply while providing fixation. They can be used for compression of reduced fractures or for splinting in multifragmentary fractures.
Total knee replacement involves replacing the knee joint with prosthetic components. Critical elements for success include proper anatomy, biomechanics, soft tissue balancing and alignment. A thorough preoperative evaluation is important. The surgical procedure involves exposing the knee joint through an incision and removing damaged bone and cartilage. Bone cuts are made to prepare the femur and tibia to receive prosthetic components. Proper alignment and soft tissue balancing are crucial. Factors like deformity, bone loss, and patellofemoral tracking must be addressed. Attention to surgical technique and postoperative rehabilitation can provide pain relief and improved function.
Total knee arthroplasty (TKA) is a surgical procedure to replace the weight-bearing surfaces of the knee joint to relieve pain from arthritis. The document discusses the relevant anatomy of the knee joint, biomechanics, indications and contraindications for TKA, and key concepts in knee replacement surgery such as femoral rollback and constraint.
This document summarizes the experience with dual mobility cups at Khoula Hospital. It discusses that dual mobility cups are effective at reducing dislocation rates in high-risk patients such as those over 65, with prior hip surgery, neurological disorders, or revision THR. The document then provides details of 47 cases at Khoula Hospital using dual mobility cups, finding a low 2% dislocation rate. It concludes that dual mobility cups provide good early results in high-risk patients in Oman and can reduce dislocation compared to conventional THR.
Poller screws, also known as blocking screws, are non-interlocking screws placed outside an intramedullary nail to improve fracture reduction and fixation. They provide a more rigid construct by serving as a surrogate cortex where nail-cortex contact is insufficient. Their placement helps centralize the guidewire in the medullary canal and maintains reduction through a blocking effect. While there is no consensus on their exact placement, they are generally inserted on the concave side of expected deformities to prevent malalignment during nailing.
This document summarizes the history and evolution of hip replacement surgery. It discusses early attempts at hip replacement in the 1840s using wooden blocks. Modern hip replacement surgery began in the 1920s with mould arthroplasty to reshape damaged bone. A variety of materials were then tested for the joint replacement components, including glass, plastics, alloys. Key developments included the first total hip replacement using stainless steel in 1938, the introduction of polyethylene and metal-on-metal designs in the 1960s, and the first ceramic-on-ceramic design in 1970. The document outlines different bearing material options for modern hip replacements and their advantages and disadvantages.
This document summarizes the history and evolution of cementless acetabular cups used in total hip replacements. It discusses the various materials used, cup shapes, surface coatings, liner designs, fixation methods, and long-term survivorship outcomes. Specifically, it traces the development from early threaded cups in the 1960s-1970s, to hemispherical cups in the 1980s, to improvements in polyethylene liners and modularity in the 1990s-2000s that have led to 10-20 year survivorship rates of 85-96% for current cementless cup designs, comparable to outcomes for cemented cups. Press-fit fixation is emphasized as the primary method of stabilization, with supplemental screws as needed.
This document discusses the history and evolution of total hip arthroplasty (THA) and hip replacement component designs. It outlines key developments from the late 19th century experiments with ivory and tissue replacements, to modern THA pioneered by Professor Charnley in the 1960s using bone cement and low friction materials. Current designs aim to restore normal hip biomechanics and include cemented or cementless femoral and acetabular components with various fixation methods and bearing surfaces to reduce wear. Future advances focus on minimally invasive techniques, computer navigation, and developing more durable and compliant bearing materials to improve implant longevity.
Bone Grafting is a standard reconstructive procedure. With better understanding of the reconstruction process in the body many alternate options are available today. This talk by Dr Vaibhav Bagaria details about the various alternatives.
Stress fracture: diagnosis, management and return to sportsVaibhav Bagaria
Stress fracture is a common orthopedic condition often seen in athletes and sportsperson. A customised approach is necessary to ensure a rapid return to activity and sports.
Total Hip replacement for Ankylosing Spondylitis: Planning & Execution Vaibhav Bagaria
Performing Total Hip replacement in Ankylosing Spondylitis requires a well thought of strategy. Preoperative planning, Inventory ordering, positioning, cup and stem orientation all play a role.
Acetabular Fracture Radiology: Xrays, CT scan & 3D printingVaibhav Bagaria
The talk details how to assess various types of acetabular fracture. Combination of X-rays, CT Scan and 3D reconstruction and 3D printing also known as 3DGraphy. Basic 8 patterns and importance of various radiological parameter are explained.
Valgus or abduction osteotomy for Non union FemurVaibhav Bagaria
Non union Femur can be challenging especially in younger patients in whom head should be preserved whenever possible. This presentation gives an insight on tips, tricks and traps of performing Valgus or abduction osteotomy.
Key to Buying an Orthopaedic surgical Robot - SICOT MuscatVaibhav Bagaria
Talk delivered at SICOT Muscat gives an insight on how to choose a surgical robot for arthroplasties. It compares various available robotic platform and suggests a process on how to go about procuring one.
Presentation given at Tribology meet, Chennai; Jan 2020. The talk covers important aspect of the retrieval of Femoral and Poly components. A curated list of important publications is enclosed.
Fractures after Knee replacement can be challenging. An algorithmic approach would help manage them better. The presentation defines correct approach towards the same.
Debate: ROBOTIC Knee Replacement - Dr BAGARIA speaking for TechnologyVaibhav Bagaria
Debate held between DR Vaibhav Bagaria & Dr Hemant Wakankar on 8th Sept 2019 at Sir HN Reliance Foundation Hopsital, Mumbai as a part of SICOT SORC 2019
THE JOY OF SCIENTIFIC WRITING - IJO -SICOT WORKSHOPVaibhav Bagaria
An Introduction to the world of scientific writing. The talk takes head on the fundamental questions: Why to write a scientific article, How to do it and When to do it??
Out Patient Knee Replacement Surgery in MumbaiVaibhav Bagaria
Prerequiste for outpatient Knee replacement - Building a strong protcolized approach to bring in this paradigm shift to Sir HN Reliance Foundation Hospital Mumbai by Dr Vaibhav Bagaria
Bilateral simulantaneous vs staged total Knee Replacement DebateVaibhav Bagaria
The presentation discusses an important paper about the risks and benefits of doing bilateral simultaneous and staged total knee replacements. The findings of the study are presented in a comprehensive manner
Preventing Infection during Surgery is important. Standard Guidelines help team work on the same page. An update on various preventive strategy is discussed.
Artificial Intelligence & Robotics in Medicine: what does future hold?Vaibhav Bagaria
Talk given in SORC 2017 Mumbai about how the Artificial intelligence and Robotics are likely to shape the future of medicine. How and why the AI and Robots can be a curse and boon at the same time!!!
Hip preservation techniques are rapidly evolving. The talk discusses various aspects including labral repair, role of orthobiologics, osteotomies and specific conditions like Sickle Cell disease.
Antimicrobial stewardship - A surgeon's PerspectiveVaibhav Bagaria
Antimicrobial stewardship program is successful when all stakeholders are encouraged to put their perspective and a program is developed that takes care of all apprehensions and thoughts.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
Osteoporosis - Definition , Evaluation and Management .pdfJim Jacob Roy
Osteoporosis is an increasing cause of morbidity among the elderly.
In this document , a brief outline of osteoporosis is given , including the risk factors of osteoporosis fractures , the indications for testing bone mineral density and the management of osteoporosis
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
The art of medial release in varus knee during total knee replacement
1. The Art of Medial release
in TKR
Dr Vaibhav Bagaria
Director - Orthopaedics
Sir HN Reliance Foundation Hospital
President - SICOT India
Mumbai, India
It’s Elemental! Series
2. Todays Talk!
• Concept of Clock, Triangle & Layers
• Anatomy
• Art of Medial release during TKR
• from 6 o’clock to 10 o clock anticlockwise
• from level 1 - 3
• from inside out
• Concept of Reduction Osteotomy