Dr Amar Soni

05/07/2025

• M/35 year
⁃ Labor- Fall from second floor- construction site

• Gr I segmental comminuted Subtrochanter fr
⁃ Associated ipsilateral posterior wall and contra lateral Pelvic injury LC I - to be treated conservatively.
⁃ Mild free fluid in abdomen

• Operated on third day-
⁃ Close reduction and Cephalomedullary nailing done. Sigma- 11 x 40

• A 6 mm half pin used to correct Varus- Abduction, Flexion of proximal fragment.
⁃ Proximal fragment reamed with solid reamer followed by flexible power reamer pushed manually in distal fragment and then distal fragment reamed.


• General dictum in Subtrochanter fracture- long oblique/ spiral/ butterfly piece (where one converts three part fracture in two part fracture with cerclage)- is to REDUCE FIRST followed by nail insertion- as nail per se is not reduction device.
⁃ Here ALSO in beginning- segmental comminution ignored and focus was on Reduction of Proximal fragment- correct deforming forces on proximal fragment F- Ab-ER - achieved adequate valgus - length and rotational alignment and comminution part addressed post nail insertion.

• Post nail and proximal screw insertion a pointed reduction inserted from locking bolt site and braided Synthesh cerclage used to hold middle comminution in place. Unfortunately while tightening it broke very near its first knot.
⁃ I was not sure, how long it will hold, so thought of inserting another cerclage- which I usually avoid- so incision extended and did second cerclage.
• Distraction corrected with release of traction.

01/07/2025

Sharing a case
Blunt reamer used to achieve positive medial cortical support
2 x 2.5 mm Pins percutaneously for provisional fixation

30/06/2025

15/06/2025

Hello everyone,
Today, June 15th, marks the birth anniversary of the legendary surgeon, Gavril Abramovich Ilizarov, born in 1921 in Belovezh, Belarus.
As a Limb Reconstruction & Ilizarov surgeon, I pay tribute to his groundbreaking work.
His invention of the Ilizarov apparatus and principle of distraction osteogenesis in 1950 revolutionized limb reconstruction, transforming millions of lives worldwide.
Although this technique was largely confined to the Soviet Union for three decades, it eventually spread globally, reaching India in the 1990s.
In the West, these days, most deformity correction and lengthening are performed with internal fixation, but in our country, one aspect that needs some consideration is, in the context of high-velocity open fracture and its sequels :
Ilizarov technique has tremendous potential to salvage seemingly non-salvageable limbs, overall awareness about the technique is very low, even among orthopaedic trauma surgeons, probably because they may not have witnessed the outcome of carefully executed Ilizarov limb salvage and hence many patients with complex limb injuries are being subjected to Amputation or given such advice.
I urge young orthopedic surgeons aiming to build a career in trauma surgery to learn this method, which can help avoid many such amputations.
To patients with complex limb injuries who have been advised amputation, I appeal: explore limb salvage options and consult a skilled Ilizarov surgeon before making a decision.
I extend heartfelt gratitude to Professor Ilizarov, whose work has transformed countless lives worldwide.”

07/06/2025

*🔷 ASAMI INDIA ACADEMICS*
*🍳 Sunday Breakfast Case Discussions*

*📅 Date:* 8th June, 2025 (Sunday)
*🕙 Time:* 10:00 AM IST

*ASAMI* - https://tinyurl.com/Asami-51
*OrthoTV* - https://tinyurl.com/OrthoTV-Asami-51

*🎓 President & Vice President, ASAMI:*
*🔹 Dr. Jayant Sharma – President, ASAMI*
*🔹 Dr. Mangal Parihar – Vice President, ASAMI*

*🎙️ Moderators:*
*🔹 Dr. Ruta Kulkarni – Past President, ASAMI*
*🔹 Dr. PN Vasudevan – Senior Faculty, ASAMI*
*🔹 Dr. Amar Soni – Secretary, ASAMI*

*🩺 Presenters:*
*🔸 Dr. Purav Kansara – Gujarat*
*🔸 Dr. Mehul Khatri – Gujarat*
*🔸 Dr. Ketan Gandhi – Maharashtra*
*🔸 Dr. Vikash Verma – Rajasthan*

*📺 Streaming live on OrthoTV*
🌐 www.orthotvonline.com

*👉 Join OrthoTV Channel:* https://bit.ly/OrthoTV-Channel

23/05/2025

16/05/2025

Sharing a case - treated long back -
Vascular injury distal Femur with bone loss - delayed presentation- cost constraints
Limb salvaged with Ilizarov- 16 cm
Bone transport- stiff knee
12 years post frame removal image shared

07/05/2025

Good afternoon friends,
I am practicing as Limb reconstruction and Ilizarov Surgeon since last 25 years.
From this month onwards, I will be available for consultation at Aadicura Hospital, Vadodra on second and fourth Saturday of each month.
First visit on 10th May 2025 Saturday 11 am to 2 pm.
Thank you.

Ilizarov method is useful in :
- Complex Open fracture - with/without bone loss
- Delayed Union, Non Union, Infected Non Union.
- Osteomyelitis, Pathological fracture
- Deformity- Post traumatic/ congenital
- Limb lengthening
- Limb salvage in Vascular Injuries
- Limb Salvage post Knee Replacement- Mega Prosthesis infection.

05/05/2025

Sharing a case of infected Mega prosthesis - he had renal issues back 2.5 years.
Took multiple opinions- > 40 most by Arthroplasty Surgeons - few by Reconstruction Surgeon.
Limb Salvage vs Amputation-
Revision vs Fusion- thought process included in few slides
Limb Salvaged with Ilizarov- segment transport

30/04/2025

Sharing a case
Morbidly obese- 149 kg
Operated elsewhere twice - kept nil weight bearing for extended periods- eventually fatigue failure of implant.
Non infected non union- marginally raised ESR CRP
Revised with Ilizarov- To facilitate early ambulation - bone ends refreshened - accepted some shortening-4cm
Frame kept for 11 months

28/04/2025

Prosthetic joint infection is therapeutic challenge- with each unsuccessful revision magnitude of morbidity increases.
Besides this -most of these patients are of older age group as compared to conventional post trauma infected non union. Most of them have some form of systemic issues too that adds difficulties in Reconstruction.
Obviously fusion is not a first option to offer in such situation. At times Life gives unpleasant choices - retaining motion with functional knee joint vs eradicating infection with fused knee - it’s tough call on part of patients-but when they compare it with Above Knee Amputation/ non functional- extensor deficits infected multiple times operated knee arthroplasty- they do get convinced for Fusion instead of Amputation/ Re-re-revision.
Sharing one of such case - a 64 year old lady - retired Science College professor, travelled all the way from West Bengal to my place in pursuit of Limb Salvage. Accepting some residual shortening is prudent move in such cases.
Details with each slide.
Would appreciate feedback on the strategy- outcome.

01/04/2025

Dear friends,
It gives me immense pleasure in sharing this milestone- my Daughter Prutha passed today her Final MBBS examination from NHL Medical College Amdavad.
From playing in my lap to becoming Dr Prutha - the journey was fascinating.
Congratulations Dear Prutha on becoming Dr Prutha today.
Wishing you bright future ahead
Stay blessed dear. ❤️🫂