Este artículo es originalmente publicado en:
http://www.healio.com/orthopedics/arthritis/news/online/%7B2da0f777-e98e-41b4-aaf4-9f9239269c1b%7D/oarsi-releases-new-guidelines-for-osteoarthritis-treatment
OARSI releases new guidelines for osteoarthritis treatment
The Osteoarthritis Research Society International (OARSI) released new guidelines for nonsurgical management of knee osteoarthritis and highlighted biomechanical interventions, exercise and weight management as some of the appropriate treatments for all patients. Read more
Proveer el tratamiento más adecuado y oportuno a nuestros pacientes, para lograr una pronta recuperación, con calidez en la atención, es nuestro objetivo principal.
martes, 30 de diciembre de 2014
Ready for Tip-off
Este artículo es publicado originalmente en:
http://intheloop.mayoclinic.org/discussion/ready-for-tip-off/?linkId=11259706
http://intheloop.mayoclinic.org/discussion/ready-for-tip-off/?linkId=11259706
Ready for Tip-off
Posted by In the Loop (@intheloop) · Tue, Dec 16 at 3:46pm CST
Ready for Tip-off
Read time: 2 minutes
Sports provide a fertile field for comeback stories. And one recently told byBismarck Tribune, is worth celebrating on the court and in the surgical suite. TheTribune profiles Bismarck's Century High School varsity basketball player Luke Leingang, who returned to the court this year after being treated for a tumor at Mayo Clinic back in 2012.
It all started with neck pain and “tingling” sensation in the arm that the family tells the newspaper they thought might have been caused by a “pinched nerve or bunched disk.” But after a trip to the doctor and an MRI, it became clear that more was going on. “The tumor was an osteoblastoma, which means that it was a bone tumor,” Luke tells the Tribune. “When they found (the tumor), it had already eaten away at most of my C5 vertebra.”
Luke’s pediatrician scheduled an appointment at Mayo Clinic the next day with a pediatric neurologist who specializes in “central nervous system tumors.” Luke’s mom, Colleen, tells the Tribune, “As we drove through the night to get there, I just kept thinking I couldn’t believe this was happening to our family,” she says. “We were scared.” Thankfully, doctors were able to successfully remove his tumor, and Luke has been able to resume many of his activities. Contact sports were out, but Luke began training with goal of playing basketball and baseball. “We felt very lucky once the worst of it was over, and Luke was getting back to himself,” his mom tells the Tribune.
And while the paper reports that normalcy will continue to be interrupted every two years for more MRIs to make sure Luke’s cancer doesn’t make a comeback, the family remains grateful Luke has been able to get back in the game. “To this day, words cannot express how thankful we are to the doctors and nurses who cared for him at Mayo,” she tells the Tribune. “Also, the support we received from our family and friends was absolutely incredible. I will never forget it.”
Don't forget to share your comments below and share this story with others using the handy social media tools atop this page.
Los deportes proporcionan un campo fértil para las historias remontadas. Y uno dijo recientemente a byBismarck Tribune, es digno de celebración en la cancha y en la sala de cirugía. TheTribune Perfiles Century High School jugador de baloncesto del equipo universitario de Bismarck Lucas Leingang, que regresó a la cancha este año después de haber sido tratado por un tumor en la Clínica Mayo de nuevo en 2012.
Todo comenzó con dolor en el cuello y "hormigueo" sensación en el brazo que la familia le dice al periódico pensaron podría haber sido causado por un "nervio pellizcado o agrupado disco." Pero después de una visita al médico y una resonancia magnética, se hizo evidente que más que estaba pasando. "El tumor era un osteoblastoma, lo que significa que se trataba de un tumor óseo," Lucas dice el Tribune. "Cuando se enteraron (el tumor), que ya había comido en la mayoría de mi C5 vértebra."
El pediatra de Lucas programó una cita en la Clínica Mayo al día siguiente con un neurólogo pediatra que se especializa en "los tumores del sistema nervioso central." La mamá de Lucas, Colleen, dice el Tribune, "Como nos condujo a través de la noche para llegar allí, me quedé pensando yo no podía creer lo que estaba sucediendo a nuestra familia ", dice ella. "Teníamos miedo." Afortunadamente, los médicos fueron capaces de eliminar con éxito su tumor, y Lucas ha sido capaz de reanudar muchas de sus actividades. Los deportes de contacto estaban fuera, pero Luke comenzó a entrenar con el objetivo de jugar al baloncesto y el béisbol. "Nos sentimos muy afortunados vez lo peor ya había pasado, y Lucas estaba volviendo a sí mismo," su mamá le dice al Tribune.
Y mientras que el documento se informa que la normalidad se seguirá interrumpido cada dos años para más imágenes de resonancia magnética para hacer seguro el cáncer de Lucas no hace una reaparición, la familia sigue siendo agradecido Lucas ha sido capaz de volver en el juego. "A día de hoy, las palabras no pueden expresar lo agradecidos que estamos con los médicos y enfermeras que cuidaron de él en Mayo", le dice el Tribune. "Además, el apoyo que recibimos de nuestra familia y amigos fue absolutamente increíble. Nunca lo olvidaré. "
No te olvides de compartir sus comentarios a continuación y compartir esta historia con otras personas que utilizan las herramientas de medios sociales a mano encima de esta página.
cáncer Osteoblastoma Neurología Pediátrica
sábado, 27 de diciembre de 2014
Tuvo que someterse a una cirugía de artroscopía en la rodilla
Este artículo es originalmente publicado en:
http://digitalgroup.info/wordpress/index.php/archives/tag/tuvo-que-someterse-a-una-cirugia-de-artroscopia-en-la-rodilla
http://digitalgroup.info/wordpress/index.php/archives/tag/tuvo-que-someterse-a-una-cirugia-de-artroscopia-en-la-rodilla
El QB de los Cardenales de Arizona, Drew Stanton, tuvo que someterse a una artroscopía en la rodilla http://t.co/FPSvkNhkrs vía @sharethis
— Victor Ravens (@bibliomanazteca) diciembre 28, 2014
jueves, 25 de diciembre de 2014
Total Knee Replacement Surgery Part 2 - Update 2011
Subido el 09/10/2010
Actual High Definition video of a Total Knee Replacement surgical procedure. This is an updated version of the original #1 video of its kind in the world. The surgery is performed and subsequently narrated by Knee and Shoulder surgeon, Dr. Kirby L. Turnage at Sacred Heart Hospital in Pensacola, Florida. You are watching Part II of three. Part I considers PREoperative considerations. Part III discusses POSToperative issues and considerations. Part II is the surgical video.
Categoría
Educación
Licencia
Licencia estándar de YouTube
Este video es publicado originalmente en:
http://youtu.be/vJGJJOA1Me0
Actual High Definition video of a Total Knee Replacement surgical procedure. This is an updated version of the original #1 video of its kind in the world. The surgery is performed and subsequently narrated by Knee and Shoulder surgeon, Dr. Kirby L. Turnage at Sacred Heart Hospital in Pensacola, Florida. You are watching Part II of three. Part I considers PREoperative considerations. Part III discusses POSToperative issues and considerations. Part II is the surgical video.
Categoría
Educación
Licencia
Licencia estándar de YouTube
Este video es publicado originalmente en:
http://youtu.be/vJGJJOA1Me0
Total Knee Replacement Surgery 2011 - HD
Publicado el 13/01/2013
Total Knee Replacement Surgery 2011 - HD
Categoría
Educación
Licencia
Licencia estándar de YouTube
este video es publicado originalmente en:
http://youtu.be/H9NrKylKMIY
Total Knee Replacement Surgery 2011 - HD
Categoría
Educación
Licencia
Licencia estándar de YouTube
este video es publicado originalmente en:
http://youtu.be/H9NrKylKMIY
Study results show incidence of ACL repair has increased significantly
Este artículo es publicado originalmente en:
http://www.healio.com/orthopedics/sports-medicine/news/online/%7B52b69859-c91a-496b-b985-d3de3730a7bd%7D/study-results-show-incidence-of-acl-repair-has-increased-significantly
http://www.healio.com/orthopedics/sports-medicine/news/online/%7B52b69859-c91a-496b-b985-d3de3730a7bd%7D/study-results-show-incidence-of-acl-repair-has-increased-significantly
IN THE JOURNALS
Study results show incidence of ACL repair has increased significantly
Mall NA. Am J Sports Med. 2014. doi:10.1177/0363546514542796.
December 23, 2014
According to recent study data, the number of ACL reconstructions has risen significantly between 1994 and 2006, particularly in women younger than 20 years of age and older than 40 years of age...
miércoles, 24 de diciembre de 2014
BREAKING NEWS
Estos artículos son originalmente publicados en:
http://www.healio.com/orthopedics
http://www.healio.com/orthopedics
| ||||
Study results show HTO in conjunction with MSC improved cartilage healing
Compared with high tibial osteotomy (HTO) with platelet-rich plasma injection only, patients who underwent HTO in conjunction with mesenchymal stem cell (MSC) therapy and platelet-rich plasma injection had mildly improved cartilage healing and good clinical results, according to recently published data. Read more | ||||
Angular stable locking system may offer little benefit for treatment of distal tibial fractures
Recently published data showed treating distal tibial fractures using an angular stable locking system with intramedullary nailing offered no benefit in outcomes compared with traditional locking screws. Read more | ||||
Study: Patients have similar pain scores for liposomal bupivacaine vs. femoral nerve block after TKA
Among adult patients who underwent unilateral total knee arthroplasty (TKA), a periarticular injection of liposomal bupivacaine was found to be non-inferior to femoral nerve block alone for combined pain scores, according to study results. Read more |
sábado, 20 de diciembre de 2014
Discusión entre pares / Floating knee / Rodilla Flotante
https://www.facebook.com/groups/indian.ortho/?fref=nf
Indian Orthopaedic Research
Rahul B TangaIndian Orthopaedic Research Group
35yrs / male presented with floating knee, highly unstable complex c3 type distal femur fracture with closed displaced fracture distal 1 / 3rd tibia. Modified lateral schwashbuckler approach was used to expose distal femur, orif with 6.5mm cc screw fixation done for bilateral hoffas fracture + 8 holed dflcp on lateral aspect with 3.55mm contoured dcp applied on medial side. adequate blood transfusions done pre and post op.
Rahul B Tanga Valuable inputs?
Ayer a las 0:43 · Me gusta
Ranjan Mohan G8 work!!
Ayer a las 0:48 · Me gusta · 1
Aashish Suthar Great work Rahulbhai.....hats off
Ayer a las 0:50 · Me gusta · 1
Aashish Suthar May I keep this photos for reference ? ????
Ayer a las 0:51 · Me gusta · 1
Surendra Patil Great job
Ayer a las 0:52 · Me gusta · 1
Balakannan Jayabalan
Ayer a las 0:54 · Me gusta · 1
Subhash Shalya gud job done really
Ayer a las 0:55 · Me gusta · 1
Vivek Barot
Ayer a las 1:00 · Me gusta
Gamil Baghdady Nice but why not ilizarov
Ayer a las 1:00 · Me gusta · 1
Golam Mahmud Suhash Excellent
Ayer a las 1:05 · Me gusta · 1
Naeem Hassan What about patella?
Ayer a las 1:07 · Me gusta · 1
Mohammad Tahir Suberb work .excellent approach
Ayer a las 1:07 · Me gusta · 1
Naeem Hassan May patella glide as screws heads are there
Ayer a las 1:08 · Me gusta · 1
Jayant Sharma I keep the condylar screws 10mm shorter to avoid penetration.
Ayer a las 1:10 · Me gusta · 1
Naeem Hassan Any ligament injury
Ayer a las 1:10 · Me gusta
Jayant Sharma Can cancellous screws be used, instead of fully threaded. For controlled compression.
Ayer a las 1:14 · Me gusta · 1
Drvinod Rajkumar Excellent work sir
Ayer a las 1:19 · Me gusta
Manish Choksi rahul nice work.
keep us update regarding follow up.
Ayer a las 1:19 · Me gusta · 2
Manish Choksi what is your post op plan for this pt.
Ayer a las 1:21 · Me gusta · 1
Naeem Hassan 16 threaded screws with washers better
Ayer a las 1:22 · Me gusta
Rashid G Mohamed well done. ..nice job
Ayer a las 1:33 · Editado · Me gusta · 1
Naeem Hassan Gud job - articular surface maintained
Ayer a las 1:27 · Me gusta · 1
Zaky Basuony Good job
Ayer a las 1:28 · Me gusta · 1
Nirmal Chaudhari Well done
Ayer a las 1:31 · Me gusta · 1
Fareed Alsudany Good job
Ayer a las 1:31 · Me gusta · 1
Sayed Elsibaey Great effort sir ... congratulations
Ayer a las 1:43 · Me gusta · 1
Anshu Anand Fantastic Sir !!
Ayer a las 1:44 · Me gusta · 1
Mohsin Kazi Excellent
Ayer a las 1:49 · Me gusta · 1
Abdelrahman Eldiasty Dear colleague
I have some concerns
Reduction of hoffa fr, was really good.. hats off
BUT
1 too much un-needed proximal dissection and stripping of periosteoum.
2 why is the need for a second plate?
For the above two reasons I am concerned about the soft tissue dissection and later healing. Yes pxrs are v good and according to tge AO philosophy. We are treating pts. Not pxrs.
3 last I don't think this is a floating knee.... I am attaching a link about floating knee definition
http://emedicine.medscape.com/article/1249181-images...
Thanks
I am interested for followup of this pt.
Floating Knee
Floating Knee. Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent...
EMEDICINE.MEDSCAPE.COM
Ayer a las 2:00 · Me gusta · 9
Prakshay Agarwal Great job
Ayer a las 2:04 · Me gusta · 1
Prasad Murugappa Gowda Great job...
Ayer a las 2:04 · Me gusta · 1
DrPookhraj Choudhary Great job really best . bone grafting done or not
Ayer a las 2:07 · Me gusta · 2
Rami Hussein Very good. I see you nailed the tibia first, I may in this case have plated the tibia as an exception to the general rule. Well done.
Ayer a las 2:08 · Me gusta · 1
Ahmad Alssayegh Rahul B Tanga Brave work really .
2 queries :
- which # did you fix first & why ?? . it seems that you fixed the tibia 1st !!?
- the op period ??
Ayer a las 2:14 · Me gusta · 1
Kamal Tolani Excellent
Ayer a las 2:14 · Me gusta · 1
Ahmed Ramy Excellent xray
But too much soft tissue stripping
Ayer a las 2:16 · Me gusta · 4
Rudwan Turkman Splendid
Ayer a las 2:21 · Me gusta · 1
Gursimrat Singh Cheema Nice job done. .
May wound heal well
Ayer a las 2:24 · Me gusta · 1
Murtaza Fazal Ali Good job
Ayer a las 2:26 · Me gusta · 1
Papanaik Haridas Great job for this type of complicated intraarticular fractures.
Ayer a las 2:35 · Editado · Me gusta · 2
Kunal Bansal nice reduction sir but a question to me is why did you use the medial plate ? would it be enough to use a single plate?
Ayer a las 2:34 · Me gusta · 3
Younis Kamal Too much dissection
Worrying me a lot
Gaurded prognosis
Ayer a las 2:37 · Me gusta · 3
Rahul B Tanga Naseem patella is normal
Ayer a las 2:55 · Me gusta
Santosh Soni excellent exposure & reduction sir .
Ayer a las 2:56 · Me gusta · 1
Rahul B Tanga Abdelrahman Eldiasty thanks . anatomical Articular reduction is must in such cases and had to extend incision proximally so some amount of soft tissue dissected and there was internal compounding seen as shaft of femur had torn quadriceps medially and was jetting out.second plate is required as it's highly unstable type c3 and medial plate avoid early varus collapse.at the same time it was not possible to pass adequate number of screws through dflcp upto medial condyle due to hoffas screw so had to add medial plate and screw and if you go through literature and has been mentioned use of two implants in such cases.i think you are new this forum and all possible fractures have been treated by me and shown excellent results with my approach. Anatomical reduction is must in such cases and do not agree with you .It's a floating knee and kindly go through the literature properly.
Ayer a las 3:04 · Me gusta · 6
Rahul B Tanga DrPookhraj Choudhary primary bg done.
Ayer a las 3:05 · Me gusta · 1
Rahul B Tanga Dr Ahmad Alssayegh first tibia mailing was done keeping in mind that it will aid reduction for femur as longitudinal traction can be given.after fixing such complex femur then nailing was scared whether femur will get disturbed.
Ayer a las 3:13 · Me gusta · 1
Rahul B Tanga Thanks Kunal Bansal I have answered in my previous long comment
Ayer a las 3:15 · Me gusta
Srinivas Daravathu nice work Rahul B Tanga,is ACL ok?i dont think we can go dual plating with limited approach using only part of swashbuckler app? wat do u say?
Ayer a las 3:19 · Me gusta · 1
Ananda Regmi Great job
Ayer a las 3:23 · Me gusta · 1
Rahul B Tanga I agree with you srinivas. Acl is Ok. For dual plating adequate exposure is required. If you compromise with exposure in such case then you will be compromising with reduction and fixation.
Ayer a las 3:35 · Me gusta · 4
Kuldeep Malik A new example of Dr Tanga's excellent work , congrats Dr rahul nice job done.
Ayer a las 3:37 · Me gusta · 1
Kunal Bansal agreed sir ! thanx for clarification!
Ayer a las 3:39 · Me gusta · 2
Neeraj Singh Good job Dr Rahul good exposure and fixation medial plate is necessary in this case
Ayer a las 3:43 · Me gusta · 1
Harish Makker excelllent as always......
Ayer a las 3:48 · Me gusta · 1
Rajendra Prasad Very good reduction and fixation.
But I ussually avoid this much dissection.
Ayer a las 3:54 · Me gusta · 2
Rajendra Prasad
Ayer a las 3:56 · Me gusta · 1
Rohit Damor Great work... Rahul B Tanga
Ayer a las 3:57 · Me gusta · 1
Rajendra Prasad
Ayer a las 3:57 · Me gusta · 2
Rajendra Prasad
Ayer a las 3:58 · Me gusta · 1
Shrinivas Kalliguddi Nice work Rahul B Tanga and Rajendra Prasad
I think some soft tissue could have been conserved proximally..
Ayer a las 4:20 · Me gusta · 1
Bibek Basukala great work, inspiration to rookies like us......
Ayer a las 4:21 · Me gusta · 1
Paras Gupta You have done your job in excellent way rest will be managed by nature itself
Ayer a las 4:27 · Me gusta · 3
Sagar Chhetri Great job.......
Ayer a las 4:31 · Me gusta · 1
Prashanth GA Gowda nice reduction
Ayer a las 4:52 · Me gusta · 1
Hassan Fajr Nice reduction.it is my monograph document
Ayer a las 5:01 · Me gusta · 1
Gautam Chandrapaul Good job
Ayer a las 5:08 · Me gusta · 1
Jasjot Singh Well done
Ayer a las 5:14 · Me gusta · 1
Arvind Verma Jangid Good job Rahul B Tanga
Ayer a las 5:17 · Me gusta · 1
Umer Zeb Khan Sir You have done GREAT JOB
Ayer a las 5:21 · Me gusta · 2
Said Abdelhaleem Great job
Ayer a las 5:28 · Me gusta · 1
Pramod Lamichhane Too much stripping proximally. .otherwise excellent reduction.
Ayer a las 5:36 · Me gusta · 1
Chetan Umarani Very nice
Ayer a las 5:39 · Me gusta · 2
Abdelrahman Eldiasty Rahul B Tanga dear sir
I believe I have gone through the literature properly!!!
I gave a link for what I found.
Could you please support your work with a link. I would be happy to learn from you.
Kindly justify with evidence.
Thanks
Ayer a las 5:44 · Me gusta · 1
Abdelrahman Eldiasty Regarding
1 the def of floating knee
2 I will search double plating for the distal femur too.
Ayer a las 5:45 · Me gusta
Bhupesh Mahawar Excellent Rahul, what else to say,,
Yes party to banti hai...
Ayer a las 5:46 · Me gusta · 1
Ismail Khalid Kattawi Excellent job
Ayer a las 5:51 · Me gusta · 1
Vikrant Ghanwat excellent ..nice fixation
Ayer a las 5:56 · Me gusta · 1
Mahmoud Bakri Good job .
Ayer a las 5:57 · Me gusta · 1
Ashraf Goda Good reduction but agressive stripping of soft tissues...bold bone
Ayer a las 6:01 · Me gusta · 2
Varun Chouhan Perfect
Ayer a las 6:41 · Me gusta
Rajoo Kumar Nice work...medial plate not well contoured
Ayer a las 6:55 · Me gusta
Shriniwas Sandikar Good job.
Ayer a las 7:25 · Me gusta · 1
Hanume Gowda S N Rahul very good job yet again....you always cross conventional borders to achieve good results.....
Dual plating is accepted and regularly done procedure for such fractures....
Ayer a las 7:26 · Me gusta · 4
Abdelrahman Eldiasty That is what I found...still I believe evidence based. Too early to be generalized.
And nothing I could find about this on AOTrauma as well.
Good luck any way
Ayer a las 8:42 · Me gusta
Abdelrahman Eldiasty Not evidence based I meant
Ayer a las 8:43 · Me gusta · 1
P Sudhir Kumar Really this shows Doctor is next to God. Rahul saab, Hat's off. Great work
Ayer a las 8:52 · Me gusta · 1
Meewangyal Yolmo U r an artist man. Beautifully visioned and applied.
Ayer a las 9:04 · Me gusta · 1
Freddy F Galvis Gomez EFreddy F Galvis Gomez EXCELENT COMENTS :""plate is required as it's highly unstable type c3 and medial plate avoid
early varus collapse.at the same time it was not possible to pass
adequate number of screws through dflcp upto medial condyle due to
hoffas screw so had to add medial plate and screw and if you go through
literature and has been mentioned use of two implants in such cases!!.EXCELENT SUPPORT FOR ITS CASE:"
Ayer a las 9:08 · Me gusta · 4
Aditya Sadawarte Very nice fixation. .
Ayer a las 9:14 · Me gusta · 1
Prashant Patare Good job.
Ayer a las 9:47 · Me gusta · 1
Bahaa Mohammed I am really happy for this fruitful discussion
Ayer a las 10:00 · Me gusta · 2
Sandeep Kesharwani Great job
Ayer a las 10:02 · Me gusta · 1
Tarek Elsaidy Very very excellent good jop
Ayer a las 10:07 · Me gusta · 1
Tarek Elsaidy Thanks prf. Raul.
Ayer a las 10:08 · Me gusta
Naji Kareem well done
Ayer a las 10:21 · Me gusta · 1
Bahaa Mohammed Pls for follow up
Ayer a las 10:26 · Me gusta · 1
Ariadna Ruvalcaba Excelente cirugia Felicidades
Ayer a las 10:37 · Me gusta · 1
Harsha Kumar Koramutla Excellent work
Ayer a las 10:51 · Me gusta · 1
Gaber Eid Nice.. with close f.up
Ayer a las 10:55 · Me gusta · 2
Kiran Saoji Fantastic
Ayer a las 11:44 · Me gusta · 1
Abhijeet Mahadar Good job!
Ayer a las 12:05 · Me gusta · 1
Bibek Rai Nice artistic job..
Ayer a las 12:36 · Me gusta · 2
Jay Deep Ghosh One of the best cases seen.
Ayer a las 12:40 · Me gusta · 1
د.محمد سعيد Well done
But why u dont bend the medial plate more to come with bone contour?!
Ayer a las 12:49 · Me gusta · 2
Kawa M. Ibrahim Well done....
Ayer a las 12:54 · Me gusta · 1
Ashraf Goda The approach memic to TkR
But extended upward violatin quadriceps and distaly medial to patellar lig to permit a portal for interlocking tibial nail with patellar dislocation ....
What about extensor mechanism?
Ayer a las 13:03 · Me gusta · 1
Daya Krishna Good job..good intentions.
Ayer a las 13:13 · Me gusta
Ahmed Abdelnaby Morad Omar Morad
Ayer a las 13:37 · Me gusta · 1
Morad Omar Morad Good job
But your approach is less invasive Ahmed Abdelnaby I think
Ayer a las 13:40 · Me gusta
Vaibhav Ahuja Very well done sir!!! Cases like these are an invaluable learning experience.
Thanks for sharing
Ayer a las 14:20 · Me gusta · 1
Praneethchowdary Jagarlamudi One of the best surgery
Ayer a las 14:23 · Me gusta · 1
Sukhvinder Singh Basran Well done !
23 horas · Me gusta · 1
Manikandan Jeyaprakash Wonderful surgical demo, great work Rahul, keep going
23 horas · Me gusta · 1
Ramesh Kumar Gupta Excellent
20 horas · Me gusta · 1
Rahul B Tanga Thanks everyone for your valuable inputs and support.
20 horas · Me gusta · 2
Vanteru Kishore Chandra Reddy Excellent
19 horas · Me gusta · 1
Ashwini Gaurav Another feather in your cap Sir.... Just amazing !! You should post your operation videos as tutorials Thanks for sharing.
14 horas · Me gusta · 1
Rahul B Tanga Thanks Ashwini Gaurav.
14 horas · Me gusta
Salik Imam agree with ashwini.............
11 horas · Me gusta · 1
Ram Jadhao small request to iogr......change group name to rahul sir.... its amazing as usual... kamaal hai sirji...
11 horas · Me gusta · 1
Ram Jadhao dn mind dear iogr... its jst a reaction being constant follower n admirer of rahul sir.... thanx.
10 horas · Me gusta · 1
Rami Hussein I like the professionalism of the colleagues in this group. Please keep it that way. Regards to all.
10 horas · Me gusta · 1
Kir Pat Rahul ,Good work ,,only one comment abt approach, you have dissected periosteal too far proximally which could have been minimised
10 horas · Me gusta · 3
Rahul B Tanga Thanks Dr kir pat.ya I agree with you and other members.i was bit tensed on table and later realised the dissection.will avoid it next time.thanks
10 horas · Me gusta · 7
Pramod Mehta dear rahul after such extensive stripping of bone dont u fear of bone necrosis or nonunion or osteomylytis any past experience?
8 horas · Me gusta · 2
Hemant Koujalgii Excellent job Rahul, you have given your best don't bother about post op. mobilse early
8 horas · Me gusta · 2
Pavan Patil excellent , like to come and visit ur hospital rahul , u have giffted hand and good vision
8 horas · Me gusta · 1
Rahul B Tanga Dear dr pramod mehta I have operated some of the cases where bone fragments were brought in polythene bag by attenders and had put them back into place with BG.i don't fear of infection , bone necrosis and osteomyelitis Thanks I strictly follow principles of wound debridement , fixation and do dissect tissue in a systematic way and wound closed in layers with multiple drain in situ and delayed drain removal.
7 horas · Me gusta · 4
Rahul B Tanga Thanks Hemant.ya planning to start rom after drain removal.
7 horas · Me gusta
Rahul B Tanga Thanks a lot for nice lines Pavan.i stay 150km from your place. Most welcome it will be pleasure meeting you.
7 horas · Me gusta · 1
Pavan Patil thanks Rahul
7 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga Approach used by me.
4 horas · Me gusta
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga Ananatomical precountoured distal medial lcp by zimmer
4 horas · Me gusta · 1
Indian Orthopaedic Research
Rahul B TangaIndian Orthopaedic Research Group
35yrs / male presented with floating knee, highly unstable complex c3 type distal femur fracture with closed displaced fracture distal 1 / 3rd tibia. Modified lateral schwashbuckler approach was used to expose distal femur, orif with 6.5mm cc screw fixation done for bilateral hoffas fracture + 8 holed dflcp on lateral aspect with 3.55mm contoured dcp applied on medial side. adequate blood transfusions done pre and post op.
Rahul B Tanga Valuable inputs?
Ayer a las 0:43 · Me gusta
Ranjan Mohan G8 work!!
Ayer a las 0:48 · Me gusta · 1
Aashish Suthar Great work Rahulbhai.....hats off
Ayer a las 0:50 · Me gusta · 1
Aashish Suthar May I keep this photos for reference ? ????
Ayer a las 0:51 · Me gusta · 1
Surendra Patil Great job
Ayer a las 0:52 · Me gusta · 1
Balakannan Jayabalan
Ayer a las 0:54 · Me gusta · 1
Subhash Shalya gud job done really
Ayer a las 0:55 · Me gusta · 1
Vivek Barot
Ayer a las 1:00 · Me gusta
Gamil Baghdady Nice but why not ilizarov
Ayer a las 1:00 · Me gusta · 1
Golam Mahmud Suhash Excellent
Ayer a las 1:05 · Me gusta · 1
Naeem Hassan What about patella?
Ayer a las 1:07 · Me gusta · 1
Mohammad Tahir Suberb work .excellent approach
Ayer a las 1:07 · Me gusta · 1
Naeem Hassan May patella glide as screws heads are there
Ayer a las 1:08 · Me gusta · 1
Jayant Sharma I keep the condylar screws 10mm shorter to avoid penetration.
Ayer a las 1:10 · Me gusta · 1
Naeem Hassan Any ligament injury
Ayer a las 1:10 · Me gusta
Jayant Sharma Can cancellous screws be used, instead of fully threaded. For controlled compression.
Ayer a las 1:14 · Me gusta · 1
Drvinod Rajkumar Excellent work sir
Ayer a las 1:19 · Me gusta
Manish Choksi rahul nice work.
keep us update regarding follow up.
Ayer a las 1:19 · Me gusta · 2
Manish Choksi what is your post op plan for this pt.
Ayer a las 1:21 · Me gusta · 1
Naeem Hassan 16 threaded screws with washers better
Ayer a las 1:22 · Me gusta
Rashid G Mohamed well done. ..nice job
Ayer a las 1:33 · Editado · Me gusta · 1
Naeem Hassan Gud job - articular surface maintained
Ayer a las 1:27 · Me gusta · 1
Zaky Basuony Good job
Ayer a las 1:28 · Me gusta · 1
Nirmal Chaudhari Well done
Ayer a las 1:31 · Me gusta · 1
Fareed Alsudany Good job
Ayer a las 1:31 · Me gusta · 1
Sayed Elsibaey Great effort sir ... congratulations
Ayer a las 1:43 · Me gusta · 1
Anshu Anand Fantastic Sir !!
Ayer a las 1:44 · Me gusta · 1
Mohsin Kazi Excellent
Ayer a las 1:49 · Me gusta · 1
Abdelrahman Eldiasty Dear colleague
I have some concerns
Reduction of hoffa fr, was really good.. hats off
BUT
1 too much un-needed proximal dissection and stripping of periosteoum.
2 why is the need for a second plate?
For the above two reasons I am concerned about the soft tissue dissection and later healing. Yes pxrs are v good and according to tge AO philosophy. We are treating pts. Not pxrs.
3 last I don't think this is a floating knee.... I am attaching a link about floating knee definition
http://emedicine.medscape.com/article/1249181-images...
Thanks
I am interested for followup of this pt.
Floating Knee
Floating Knee. Floating knee is a flail knee joint resulting from fractures of the shafts or adjacent...
EMEDICINE.MEDSCAPE.COM
Ayer a las 2:00 · Me gusta · 9
Prakshay Agarwal Great job
Ayer a las 2:04 · Me gusta · 1
Prasad Murugappa Gowda Great job...
Ayer a las 2:04 · Me gusta · 1
DrPookhraj Choudhary Great job really best . bone grafting done or not
Ayer a las 2:07 · Me gusta · 2
Rami Hussein Very good. I see you nailed the tibia first, I may in this case have plated the tibia as an exception to the general rule. Well done.
Ayer a las 2:08 · Me gusta · 1
Ahmad Alssayegh Rahul B Tanga Brave work really .
2 queries :
- which # did you fix first & why ?? . it seems that you fixed the tibia 1st !!?
- the op period ??
Ayer a las 2:14 · Me gusta · 1
Kamal Tolani Excellent
Ayer a las 2:14 · Me gusta · 1
Ahmed Ramy Excellent xray
But too much soft tissue stripping
Ayer a las 2:16 · Me gusta · 4
Rudwan Turkman Splendid
Ayer a las 2:21 · Me gusta · 1
Gursimrat Singh Cheema Nice job done. .
May wound heal well
Ayer a las 2:24 · Me gusta · 1
Murtaza Fazal Ali Good job
Ayer a las 2:26 · Me gusta · 1
Papanaik Haridas Great job for this type of complicated intraarticular fractures.
Ayer a las 2:35 · Editado · Me gusta · 2
Kunal Bansal nice reduction sir but a question to me is why did you use the medial plate ? would it be enough to use a single plate?
Ayer a las 2:34 · Me gusta · 3
Younis Kamal Too much dissection
Worrying me a lot
Gaurded prognosis
Ayer a las 2:37 · Me gusta · 3
Rahul B Tanga Naseem patella is normal
Ayer a las 2:55 · Me gusta
Santosh Soni excellent exposure & reduction sir .
Ayer a las 2:56 · Me gusta · 1
Rahul B Tanga Abdelrahman Eldiasty thanks . anatomical Articular reduction is must in such cases and had to extend incision proximally so some amount of soft tissue dissected and there was internal compounding seen as shaft of femur had torn quadriceps medially and was jetting out.second plate is required as it's highly unstable type c3 and medial plate avoid early varus collapse.at the same time it was not possible to pass adequate number of screws through dflcp upto medial condyle due to hoffas screw so had to add medial plate and screw and if you go through literature and has been mentioned use of two implants in such cases.i think you are new this forum and all possible fractures have been treated by me and shown excellent results with my approach. Anatomical reduction is must in such cases and do not agree with you .It's a floating knee and kindly go through the literature properly.
Ayer a las 3:04 · Me gusta · 6
Rahul B Tanga DrPookhraj Choudhary primary bg done.
Ayer a las 3:05 · Me gusta · 1
Rahul B Tanga Dr Ahmad Alssayegh first tibia mailing was done keeping in mind that it will aid reduction for femur as longitudinal traction can be given.after fixing such complex femur then nailing was scared whether femur will get disturbed.
Ayer a las 3:13 · Me gusta · 1
Rahul B Tanga Thanks Kunal Bansal I have answered in my previous long comment
Ayer a las 3:15 · Me gusta
Srinivas Daravathu nice work Rahul B Tanga,is ACL ok?i dont think we can go dual plating with limited approach using only part of swashbuckler app? wat do u say?
Ayer a las 3:19 · Me gusta · 1
Ananda Regmi Great job
Ayer a las 3:23 · Me gusta · 1
Rahul B Tanga I agree with you srinivas. Acl is Ok. For dual plating adequate exposure is required. If you compromise with exposure in such case then you will be compromising with reduction and fixation.
Ayer a las 3:35 · Me gusta · 4
Kuldeep Malik A new example of Dr Tanga's excellent work , congrats Dr rahul nice job done.
Ayer a las 3:37 · Me gusta · 1
Kunal Bansal agreed sir ! thanx for clarification!
Ayer a las 3:39 · Me gusta · 2
Neeraj Singh Good job Dr Rahul good exposure and fixation medial plate is necessary in this case
Ayer a las 3:43 · Me gusta · 1
Harish Makker excelllent as always......
Ayer a las 3:48 · Me gusta · 1
Rajendra Prasad Very good reduction and fixation.
But I ussually avoid this much dissection.
Ayer a las 3:54 · Me gusta · 2
Rajendra Prasad
Ayer a las 3:56 · Me gusta · 1
Rohit Damor Great work... Rahul B Tanga
Ayer a las 3:57 · Me gusta · 1
Rajendra Prasad
Ayer a las 3:57 · Me gusta · 2
Rajendra Prasad
Ayer a las 3:58 · Me gusta · 1
Shrinivas Kalliguddi Nice work Rahul B Tanga and Rajendra Prasad
I think some soft tissue could have been conserved proximally..
Ayer a las 4:20 · Me gusta · 1
Bibek Basukala great work, inspiration to rookies like us......
Ayer a las 4:21 · Me gusta · 1
Paras Gupta You have done your job in excellent way rest will be managed by nature itself
Ayer a las 4:27 · Me gusta · 3
Sagar Chhetri Great job.......
Ayer a las 4:31 · Me gusta · 1
Prashanth GA Gowda nice reduction
Ayer a las 4:52 · Me gusta · 1
Hassan Fajr Nice reduction.it is my monograph document
Ayer a las 5:01 · Me gusta · 1
Gautam Chandrapaul Good job
Ayer a las 5:08 · Me gusta · 1
Jasjot Singh Well done
Ayer a las 5:14 · Me gusta · 1
Arvind Verma Jangid Good job Rahul B Tanga
Ayer a las 5:17 · Me gusta · 1
Umer Zeb Khan Sir You have done GREAT JOB
Ayer a las 5:21 · Me gusta · 2
Said Abdelhaleem Great job
Ayer a las 5:28 · Me gusta · 1
Pramod Lamichhane Too much stripping proximally. .otherwise excellent reduction.
Ayer a las 5:36 · Me gusta · 1
Chetan Umarani Very nice
Ayer a las 5:39 · Me gusta · 2
Abdelrahman Eldiasty Rahul B Tanga dear sir
I believe I have gone through the literature properly!!!
I gave a link for what I found.
Could you please support your work with a link. I would be happy to learn from you.
Kindly justify with evidence.
Thanks
Ayer a las 5:44 · Me gusta · 1
Abdelrahman Eldiasty Regarding
1 the def of floating knee
2 I will search double plating for the distal femur too.
Ayer a las 5:45 · Me gusta
Bhupesh Mahawar Excellent Rahul, what else to say,,
Yes party to banti hai...
Ayer a las 5:46 · Me gusta · 1
Ismail Khalid Kattawi Excellent job
Ayer a las 5:51 · Me gusta · 1
Vikrant Ghanwat excellent ..nice fixation
Ayer a las 5:56 · Me gusta · 1
Mahmoud Bakri Good job .
Ayer a las 5:57 · Me gusta · 1
Ashraf Goda Good reduction but agressive stripping of soft tissues...bold bone
Ayer a las 6:01 · Me gusta · 2
Varun Chouhan Perfect
Ayer a las 6:41 · Me gusta
Rajoo Kumar Nice work...medial plate not well contoured
Ayer a las 6:55 · Me gusta
Shriniwas Sandikar Good job.
Ayer a las 7:25 · Me gusta · 1
Hanume Gowda S N Rahul very good job yet again....you always cross conventional borders to achieve good results.....
Dual plating is accepted and regularly done procedure for such fractures....
Ayer a las 7:26 · Me gusta · 4
Abdelrahman Eldiasty That is what I found...still I believe evidence based. Too early to be generalized.
And nothing I could find about this on AOTrauma as well.
Good luck any way
Ayer a las 8:42 · Me gusta
Abdelrahman Eldiasty Not evidence based I meant
Ayer a las 8:43 · Me gusta · 1
P Sudhir Kumar Really this shows Doctor is next to God. Rahul saab, Hat's off. Great work
Ayer a las 8:52 · Me gusta · 1
Meewangyal Yolmo U r an artist man. Beautifully visioned and applied.
Ayer a las 9:04 · Me gusta · 1
Freddy F Galvis Gomez EFreddy F Galvis Gomez EXCELENT COMENTS :""plate is required as it's highly unstable type c3 and medial plate avoid
early varus collapse.at the same time it was not possible to pass
adequate number of screws through dflcp upto medial condyle due to
hoffas screw so had to add medial plate and screw and if you go through
literature and has been mentioned use of two implants in such cases!!.EXCELENT SUPPORT FOR ITS CASE:"
Ayer a las 9:08 · Me gusta · 4
Aditya Sadawarte Very nice fixation. .
Ayer a las 9:14 · Me gusta · 1
Prashant Patare Good job.
Ayer a las 9:47 · Me gusta · 1
Bahaa Mohammed I am really happy for this fruitful discussion
Ayer a las 10:00 · Me gusta · 2
Sandeep Kesharwani Great job
Ayer a las 10:02 · Me gusta · 1
Tarek Elsaidy Very very excellent good jop
Ayer a las 10:07 · Me gusta · 1
Tarek Elsaidy Thanks prf. Raul.
Ayer a las 10:08 · Me gusta
Naji Kareem well done
Ayer a las 10:21 · Me gusta · 1
Bahaa Mohammed Pls for follow up
Ayer a las 10:26 · Me gusta · 1
Ariadna Ruvalcaba Excelente cirugia Felicidades
Ayer a las 10:37 · Me gusta · 1
Harsha Kumar Koramutla Excellent work
Ayer a las 10:51 · Me gusta · 1
Gaber Eid Nice.. with close f.up
Ayer a las 10:55 · Me gusta · 2
Kiran Saoji Fantastic
Ayer a las 11:44 · Me gusta · 1
Abhijeet Mahadar Good job!
Ayer a las 12:05 · Me gusta · 1
Bibek Rai Nice artistic job..
Ayer a las 12:36 · Me gusta · 2
Jay Deep Ghosh One of the best cases seen.
Ayer a las 12:40 · Me gusta · 1
د.محمد سعيد Well done
But why u dont bend the medial plate more to come with bone contour?!
Ayer a las 12:49 · Me gusta · 2
Kawa M. Ibrahim Well done....
Ayer a las 12:54 · Me gusta · 1
Ashraf Goda The approach memic to TkR
But extended upward violatin quadriceps and distaly medial to patellar lig to permit a portal for interlocking tibial nail with patellar dislocation ....
What about extensor mechanism?
Ayer a las 13:03 · Me gusta · 1
Daya Krishna Good job..good intentions.
Ayer a las 13:13 · Me gusta
Ahmed Abdelnaby Morad Omar Morad
Ayer a las 13:37 · Me gusta · 1
Morad Omar Morad Good job
But your approach is less invasive Ahmed Abdelnaby I think
Ayer a las 13:40 · Me gusta
Vaibhav Ahuja Very well done sir!!! Cases like these are an invaluable learning experience.
Thanks for sharing
Ayer a las 14:20 · Me gusta · 1
Praneethchowdary Jagarlamudi One of the best surgery
Ayer a las 14:23 · Me gusta · 1
Sukhvinder Singh Basran Well done !
23 horas · Me gusta · 1
Manikandan Jeyaprakash Wonderful surgical demo, great work Rahul, keep going
23 horas · Me gusta · 1
Ramesh Kumar Gupta Excellent
20 horas · Me gusta · 1
Rahul B Tanga Thanks everyone for your valuable inputs and support.
20 horas · Me gusta · 2
Vanteru Kishore Chandra Reddy Excellent
19 horas · Me gusta · 1
Ashwini Gaurav Another feather in your cap Sir.... Just amazing !! You should post your operation videos as tutorials Thanks for sharing.
14 horas · Me gusta · 1
Rahul B Tanga Thanks Ashwini Gaurav.
14 horas · Me gusta
Salik Imam agree with ashwini.............
11 horas · Me gusta · 1
Ram Jadhao small request to iogr......change group name to rahul sir.... its amazing as usual... kamaal hai sirji...
11 horas · Me gusta · 1
Ram Jadhao dn mind dear iogr... its jst a reaction being constant follower n admirer of rahul sir.... thanx.
10 horas · Me gusta · 1
Rami Hussein I like the professionalism of the colleagues in this group. Please keep it that way. Regards to all.
10 horas · Me gusta · 1
Kir Pat Rahul ,Good work ,,only one comment abt approach, you have dissected periosteal too far proximally which could have been minimised
10 horas · Me gusta · 3
Rahul B Tanga Thanks Dr kir pat.ya I agree with you and other members.i was bit tensed on table and later realised the dissection.will avoid it next time.thanks
10 horas · Me gusta · 7
Pramod Mehta dear rahul after such extensive stripping of bone dont u fear of bone necrosis or nonunion or osteomylytis any past experience?
8 horas · Me gusta · 2
Hemant Koujalgii Excellent job Rahul, you have given your best don't bother about post op. mobilse early
8 horas · Me gusta · 2
Pavan Patil excellent , like to come and visit ur hospital rahul , u have giffted hand and good vision
8 horas · Me gusta · 1
Rahul B Tanga Dear dr pramod mehta I have operated some of the cases where bone fragments were brought in polythene bag by attenders and had put them back into place with BG.i don't fear of infection , bone necrosis and osteomyelitis Thanks I strictly follow principles of wound debridement , fixation and do dissect tissue in a systematic way and wound closed in layers with multiple drain in situ and delayed drain removal.
7 horas · Me gusta · 4
Rahul B Tanga Thanks Hemant.ya planning to start rom after drain removal.
7 horas · Me gusta
Rahul B Tanga Thanks a lot for nice lines Pavan.i stay 150km from your place. Most welcome it will be pleasure meeting you.
7 horas · Me gusta · 1
Pavan Patil thanks Rahul
7 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 1
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga Approach used by me.
4 horas · Me gusta
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga
4 horas · Me gusta · 2
Rahul B Tanga Ananatomical precountoured distal medial lcp by zimmer
4 horas · Me gusta · 1
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