Corrective Surgery for Malunited Tibial Plateau Fractureiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Ideal Indications Meniscus Repair KNEE INJURY COMMON SPORTS INJURY
HOW TO DEAL SPORTS INJURY
RETURN TO SPORTS AFTER KNEE INJURY
BEST KNEE SURGEON DOCTOR IN 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'
Corrective Surgery for Malunited Tibial Plateau Fractureiosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Ideal Indications Meniscus Repair KNEE INJURY COMMON SPORTS INJURY
HOW TO DEAL SPORTS INJURY
RETURN TO SPORTS AFTER KNEE INJURY
BEST KNEE SURGEON DOCTOR IN 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'
Background: Distal femur fractures make up 6 to 7% of all femur fractures. Various plating options for distal femur fracture are conventional buttress plates, fixed-angle devices, and locking plates. This study was planned to evaluate and explore locking compression plate fixation in distal end femur fractures which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.
Methods: The study was conducted as prospective clinical study in 20 skeletally mature patients with x-ray evidence of distal femur fracture fulfilling inclusion and exclusion criteria, operated with distal femur LCP plating. Patients were assessed radiologically and classified according to distal femur fracture classification and outcome graded as excellent, good, fair and poor based on Lysholm Knee Score.
Results: Out of 15 excellent outcome cases, 3 cases were type A1 fracture, 1 case had type A3, 2 cases had type B1 and B2 each, 5 cases had type C2 and 2 cases had type C3 fracture. 1 case with good outcome was type C3. 1 case with fair outcome was type B2. While 3 cases with poor outcome were type A1, A2 and C3.
Conclusions: The DF-LCP is an ideal implant to use for fractures of the distal femur. However, accurate positioning and fixation are required to produce satisfactory results. We recommend use of this implant in Type A and C, osteoporotic and periprosthetic fractures.
Keywords: Distal femur, DF-LCP, Lysholm score, Periprosthetic fracture
Patient Management with Greater Tuberosity Fracture and Rotator Cuff Tear | G...Peter Millett MD
Patients with hyperflexion/hyperabduction injury to the glenohumeral joint are at risk for isolated greater tuberosity fractures, which are often undiagnosed or misdiagnosed. In this case report, we describe the clinical decision-making process that led to the diagnosis of an isolated greater tuberosity fracture and subsequent rotator cuff tear.
For more shoulder surgery and rotator cuff studies, visit Dr. Millett, Greater Denver Area http://drmillett.com/shoulder-studies
Within a period from January 2010 to January 2016, there were total of 920 surgically treated patients of Orthopaedy and Traumatology Department, Dubrovnik County Hospital, Croatia, which is a single acute hospital in Dubrovacko-neretvanska County where all patients with proximal femoral fracture are treated within the Orthopaedic-Traumatology Department. The aim of this retrospective study is to compare used implants according to type of the proximal femoral region fracture (femoral neck, pertrochanteric , subtrochanteric) and used osteosynthetic implant depending on the type of fracture. A new surgical techniques were used more commonly. Osteoporotic proximal femoral fractures stayed the major and growing problem in the geriatric traumatology and the traumatollogy in general as well.
Slides from Prof Dan Pratt presented at the Teaching to Teach Workshop in Boston, MA, May 1-2, 2009;
Massachusetts General Hospital, Harvard Medical School.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- 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
These lecture slides, by Dr Sidra Arshad, offer a quick overview of 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 leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
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. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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.
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
1. P A R T N E R S O R T H O P A E D I C
Trauma Rounds
Case Reports from the Mass General Hospital and Brigham & Women’s Hospital
A Quarterly Case Study Volume 4, Winter 2013
Geriatric Fracture Patient Co-management
Michael J Weaver, MD
In the United States, hip fractures represent a
significant medical burden. The annual cost of
caring for geriatric patients with hip fractures is
$10 - 15 billion. As the Baby Boomer generation
continues to age, the number of patients with
hip fractures is expected to rise dramatically.
The rate of mortality at one year in this patient population runs
between 12 and 37% (1).
Co-management of elderly orthopaedic patients with a geriatri-
cian has been shown to decrease inpatient length of stay and
patient complications (2). At our two institutions, our ortho-
paedic and geriatric medicine services have collaborated to
form a combined service. We have found that this ortho- Figure 1: Geriatric patient care is optimized by a multi-disciplinary
geriatric service improves patient care, reduces inpatient length team approach.
of stay, and improves patient and family satisfaction. hours of admission. The risks of complication are minimized
Optimal treatment of geriatric patients requires a holistic ap- when we operate within 24 to 48 hours of a patient’s admission.
proach with multiple specialists caring for the patient. Patients Post-operative medication and fluid management are critical.
are co-managed by an orthopaedic surgeon and a geriatrician Pain control is also very important, with appropriate dosing of
throughout their hospitalization (Figure 1). Medications and narcotic medication, use of blocks and other regional forms of
pain control are optimized to avoid delirium. Nutritionists are anesthesia necessary to avoid delirium.
involved to maximize metabolic status. Endocrinologists are We recently reviewed the effects of instituting the ortho-
consulted to assess for osteoporosis, evaluate vitamin D defi- geriatric services and found that we have reduced length of stay
ciency and to provide advice for reducing the risk of future frac- by 1.6 days. In a meta-analysis performed by our geriatric
ture. Physical therapy plays an integral role in getting patients group, we documented a decrease in 30-day and 1-year mortal-
out of bed and working on fall prevention. By taking this ity when geriatric hip fracture patients are treated by similar
multi-disciplinary approach we improve patient outcomes. combined services (3).
Combined Geriatric Service Endocrine Consultation
Patients with fragility fractures admitted to our two institutions Hip fractures in the elderly are typically fragility fractures and
are co-managed by our ortho-geriatric service and are seen are often associated with osteoporosis. At our institutions, we
daily by both their orthopaedic surgeon and geriatrician. partner with an endocrinologist to ensure that the appropriate
Our geriatricians perform a thorough pre-operative assessment work-up is performed and any metabolic deficiencies or osteo-
including a cognitive evaluation. Medications are optimized, porosis are addressed while the patient is an inpatient.
with patients stratified based on risk. It is particularly impor- Vitamin D deficiency is commonplace – particularly here in
tant to avoid delirium-causing medication such as anticholiner- New England – thus, vitamin D levels should be obtained dur-
gics. We work closely with our colleagues in Anesthesia to en- ing the pre-operative work-up. All patients should be on cal-
sure that patients are cleared expeditiously so that their fracture cium and vitamin D supplementation during their hospitaliza-
can be addressed. We strive to take patients to the OR within 24 tion and at discharge.
Trauma Rounds, Volume 4, Winter 2013
1
2. P A R T N E R S O R T H O P A E D I C T R A U M A R O U N D S
Bone density testing should be performed after the patient is
discharged from the hospital, particularly if the results are not
recent. When bone mineral density is low, bisphosphonate
therapy is useful and has been shown to reduce the risk of fur-
ther fracture. Care should be taken to avoid use of bisphos-
phonates for more than 5-years as long-term use may be related
to atypical femoral fractures (4). Teriparatide (Forteo) may be
useful for recalcitrant cases.
Surgical Challenges
Geriatric fractures can be challenging. Poor bone quality and
previous surgeries can limit fixation options and make surgery
difficult.
Femoral Neck Fractures (Total hip arthroplasty (THA) vs. hemiarthro-
plasty): Many of our geriatric patients lead active lifestyles. THA
provides a higher level of pain relief and improve function when Figure 2: 78F with a previous cemented long stemmed total knee
compared with hemiarthroplasty. However, THA exposes pa- replacement. She now presents with subtrochanteric femur fracture
tients to a longer surgery with a higher blood loss and increases a (left). The cemented stem precludes intramedullary fixation which
patient’s risk of dislocation. Relative contra-indications to THA would be the standard treatment for this fracture pattern. Instead she
include neuromuscular disorders like Parkinson’s disease, diffi- is treated with open reduction and fixation with a 95 degree blade
plate (right). The tip of the stem is spanned by the plate to avoid a
culty or inability to adhere to hip precautions and advanced age. stress riser effect.
In both operations I avoid the use of taper type stems as these act
as wedges, increase hoop stresses, and can lead to periprosthetic Summary
fractures in patients with poor bone quality. When bone quality Geriatric fractures are best managed with a multidisciplinary
is compromised, cement fixation provides immediate stability for approach. Bringing together orthopaedic surgeons, geriatri-
the femoral prosthesis and reduces the risk of periprosthetic frac- cians, anesthesiologists, endocrinologists, nurses, therapists and
ture. nutritionists improves patient care and optimizes outcomes.
Peritrochanteric Hip Fractures (Cephalomedullary Nail vs. Sliding Hip Michael Weaver, MD, is an Orthopaedic Trauma Surgeon at Brigham &
Screw): Not all fractures do better when treated with a cepha- Women’s Hospital, Boston, MA.
lomedullary nail. Subtrochanteric, reverse obliquity and unsta-
References
ble (3- & 4-part) patterns tend to do better with intramedullary
1. Braithwaite RS, Col NF, Wong JB. Estimating Hip Fracture Morbidity, Mor-
fixation. I prefer to use a sliding hip screw (DHS) for simple 2- tality and Costs. J Amer Geriatrics Soc 2003; 51(3):364-370.
part intertrochanteric hip fractures as this implant spares the ab- 2. Fisher AA, Davis MW, Rubenach SE, Sivakumaran S, Smith PN, Budge MM.
ductors. The DHS is also substantially less expensive. Outcomes for Older Patients With Hip Fractures: The Impact of Orthopedic
Other fixation options: Occasionally, previous surgery or pre- and Geriatric Medicine Co-care. J Ortho Trauma 2006; 20(3):172-180.
existing deformity precludes standard fixation of hip fractures. It 3. Konstantin V, Grigoryan MS, Javedan H, Rudolph SM. Ortho-Geriatric Mod-
els and Optimal Outcomes: A Systematic Review and Meta-Analysis. J
is thus useful to be familiar with techniques such as the use of
Trauma (submitted).
blade plates and proximal femoral locking plates (Figure 2).
4. Weaver MJ, Miller M, Vrahas MS. The Orthopaedic Implications of Disphos-
AchesAndJoints.org/Trauma phonate Therapy. J Am Acad Ortho Surg 2010; 18:367-374.
Read archives of all previous issues
Jesse Jupiter, MD — 617-726-5100 Please share your comments online, or by email:
Trauma Faculty MGH Hand & Upper Extremity Service Mark Vrahas, MD / mvrahas@partners.org
Mark Vrahas, MD — 617-726-2943 jjupiter@partners.org Yawkey Center for Outpatient Care, Suite 3C
Partners Chief of Orthopaedic Trauma 55 Fruit Street, Boston, MA 02114
mvrahas@partners.org David Ring, MD — 617-724-3953
Mitchel B Harris, MD — 617-732-5385
MGH Hand & Upper Extremity Service Editor in Chief
dring@partners.org
Chief, BWH Orthopedic Trauma Mark Vrahas, MD
mbharris@partners.org Brandon E Earp, MD — 617-732-8064
R Malcolm Smith, MD, FRCS — 617-726-2794 BWH Hand & Upper Extremity Service Program Director
bearp@partners.org
Chief, MGH Orthopaedic Trauma Suzanne Morrison, MPH
rmsmith1@partners.org George Dyer, MD — 617-732-6607 (617) 525-8876
BWH Hand & Upper Extremity Service smmorrison@partners.org
David Lhowe, MD — 617-724-2800
MGH Orthopaedic Trauma gdyer@partners.org
dlhowe@partners.org
Editor, Publisher
John Kwon, MD — 617-643-5701 Arun Shanbhag, PhD, MBA
Michael Weaver, MD — 617-525-8088 MGH Foot & Ankle Service
BWH Orthopedic Trauma www.MassGeneral.org/ortho
jkwon@partners.org
mjweaver@partners.org www.BrighamAndWomens.org/orthopedics
2
Trauma Rounds, Volume 4, Winter 2013