Kirubakaran_ortho_official

Kirubakaran_ortho_official MBBS (MMC) MS ORTHO( PGI CHANDIGARH) DNB ORTHO FIAA DIP SICOT ( MONTREAL ) MRCS (EDINBURGH) available in chettinad medical college and rela hospital chromepet

the patient had pelvis apc 3 with tibia ipsilateral ... the patient had ipsilateral tibia with extruded talus and latera...
23/01/2024

the patient had pelvis apc 3 with tibia ipsilateral ... the patient had ipsilateral tibia with extruded talus and lateral based open wound on the ankle .
he will any way need syndesmosis and lateral based brostrom reconstruction at a later date . the talus is reduced and pinned to plafond thro a calcaneo talo tibial pin. during that time i ll change this big screw in anterior pelvis

post traumatic tibia vara. did Infra tt osteotomy . posterior vessels always to be given due care. used lamina spreader ...
23/01/2024

post traumatic tibia vara. did Infra tt osteotomy . posterior vessels always to be given due care. used lamina spreader to open the cut. placed iliac crest graft. graft is notorious to jump due to force at osteotomy to shut it close. . have to be careful .
Ldfa 83;
Cora at tt .
20 degree varus .
Tibia 20 medial open and femur 5 valgus medial closed . healed well . initially had knee stiffness. but subsequently he worked on it. good boy . motivated chap. consent taken to post pics

post traumatic open fracture ( delay in treatment) infection of the ulna causing resorption of the segment. leading to d...
23/01/2024

post traumatic open fracture ( delay in treatment) infection of the ulna causing resorption of the segment. leading to defect. stage 1 masquelet and debridement done . with jess fixator and internal long k wire . then tried to open the fracture site distracting it. it was too stiff .then removed the jess . harvested fibula biologically . filled it and plated it .. then the boy healed it up nicely may have to do lengthening of ulna subsequently. ulna is a bit short now

banana fragment literature
21/01/2024

banana fragment literature

xray dump . proximak tibia mippo . proximal femur with banana fragment
21/01/2024

xray dump . proximak tibia mippo . proximal femur with banana fragment

4 weeks post op . slowly taking the knee rehab . 30 degrees per 2 week. he had traumatic optic neuropathy. have had this...
21/01/2024

4 weeks post op . slowly taking the knee rehab . 30 degrees per 2 week. he had traumatic optic neuropathy. have had this discussion quite a bit . steroids for ent bells palsy and traumatic optic neuropathy in the setting of open fracture. really worried about infection with concomitant steroid.

classical sequestrum and involucrum in chronic post traumatic osteotomyelitis
21/01/2024

classical sequestrum and involucrum in chronic post traumatic osteotomyelitis

neglected ankle trauma. the patient was walking on it for 10 years.the fibula became hyperteophic following wolffs law ....
21/01/2024

neglected ankle trauma. the patient was walking on it for 10 years.the fibula became hyperteophic following wolffs law .as it became a predominant weight bearing bone . transfibular approach. removed the residual talus .made it straight and introduced a ttc nail . 6 months down the line the patient is ambulating unaided with a plantigrade foot . will upload a recent video of her walking .

distal femur with patella fracture with inferior pole communiton .. pull through suture and protective encirclage...one ...
21/01/2024

distal femur with patella fracture with inferior pole communiton .. pull through suture and protective encirclage...one osteochondral fragment was so small in inferior pole it was not fixable so had to remove it....used drill bit , prolene suture to shuttle ethibond krackow into the drill holes of proximal fragment....found that the 2.5mm k wire enough to shuttle...use of 3mm drill bit displaced the proximal saggital fracture line .....used iv cannula to shuttle the prolene and then ethibond.... distal femur infraisthmal fractures always a challenge u need multiple locking options in different planes to prevent bell clapper effect.. hence opting for distal femur .... will upload a recent follow up xray soon . the post op xray is rotated.i agree....

bilateral distal femur fracture.....united ...one side implant exit done
21/01/2024

bilateral distal femur fracture.....united ...one side implant exit done

proximal humerus k wire in young male in surgical neck fracture....he was motivated enough to undergo physio after 4 wee...
18/01/2024

proximal humerus k wire in young male in surgical neck fracture....he was motivated enough to undergo physio after 4 weeks of k wires.... near normal rom .....

the gerwin lateral paratricepital approach gives more easy way of identifying the radial nerve than the mamc trick of 2....
12/01/2024

the gerwin lateral paratricepital approach gives more easy way of identifying the radial nerve than the mamc trick of 2.5 cm above the apex of triceps aponeurosis in triceps splitting approach. the lower lateral brachial cutaneous nerve is a dependable branch of radial nerve which leads us to the radial nerve 12 to 14 cm from lateral epicondyle . the gerwin approach also gives a larger surface area of the post aapect of shaft of humerus to work on . here the muscle pedicle of the butterfly was preserved .....and lagged in a biologic manner.

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