Orthopedic Surgeon Dr Fahad Jatoi

Orthopedic Surgeon Dr Fahad Jatoi

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Hello sir we are manufactur orthopedic instruments and orthopedic implants and surgical instruments and spine instruments my WhatsApp number 03216435200 my name ishaq Malik CEO FS-Ortho
Hello sir we are manufactur orthopedic instruments and orthopedic implants and surgical instruments and spine instruments my WhatsApp number 03216435200 my name ishaq Malik CEO FS-Ortho
Tumor excision ✌️
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Shuaib laghari DHA Multan 🇵🇰
Plots sale & purchase
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Pain in tale bone.. Shars solution

we are providing health facilities to our people
at door step...
orthopedic surgeon
consultant physi

Operating as usual

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 29/09/2022



A 2 weeks baby patient came in OPD with

HISTRY....According to his Mother

1) biletral thigh pain
2) Multiple history of fracture
3) complains of chest problems
4)FAMILY HISTRY POSITIVE...most important)

ON EXAMINATION
1) Bowing of femur,tibia and radius ulna
2) ligamenous laxity
3) blue scelra
4) triangular facies
5)hearing loss(not responding)
6) techycrdia,tachypenia
7) thin skin

X-RAY
1)thin cortices
2) generlised osteopenia
3)saber shin
4)florid calluses
5) biletral femur fractures
6) multiple bone bowing

DIAGNOSIS OSTEOGENESIS IMPERFECTA

TREATMENT
1)Back slab was applied
2) after 3 weeks x-ray was repeated and fracture united with florid callouses
3) councilling was done to his parents about patient condition

27/09/2022



۱۰ سال جو هڪ مريض ٻارڙو مون وٽ آيو او پي ڊي ۾ جيڪو هڪ مهينو پهرين وڻ تان ڪِري پيو هو--- وڻ تان ڪرڻ کان پوءِ هو ڊاڪٽر ڏي وانجن جي بجاءِ هڪ ڏاهي (QUACK) ڏي هليو ويو جنهن ٻارڙي کي مالش ،پوتري جون پٽيون ،ڪاٺيون لڳائي هن جو علاج ڪرڻ شروع ڪيو _هڪ مهيني تائين QUACK صاحب هن جو علاج ڪيو مختلف قسمن جي پٽيون ءَ مالش سان جڏهن ٻارڙي جو پيءُ QUACK مان تنگ ٿيو ئي عقل ڪم ڪيس تہ هي مون وٽ وٺي آيا آئين سڄو حال احوال ڏنو مون کي, مان ٻارڙي جون اهي پٽيون لهرائي کين ڏاڍو سمجهايو ته هميشه ڊاڪٽر وت ئي ويندا ڪيو بهرال مان ننڍڙي جي پيءُ کي چيو تہ چاچا هن جي ڪوني (elbow) سڌو ٿيڻ ۾مهينا ئي سال بي لڳي سگهن ٿا ڇو جو ڏاهي (QUACK) ھن جي ڪوني کي خراب ڪري ڇڏيو آ آئين ننڍڙي جِي ٻا نھ بي ٽيڙ ي (varus deformity) ڪري ڇڏي آ هن کي ٺيڪ (remodeling) ٿيڻ ۾ ٽائم لڳندو اگر ٽائم سان ٺيڪ نه ٿي ته پوءِ آپريشن (correction of deformities by osteotomy ) ڪرڻي پوندي بهرال ننڍڙي جو پيءَ ڏاڍو پريشان ٿيو نيٺ مان سٺي طريقي سان سمجهائي ( councilling ) ڪري موڪليو .....

نوٽ:-مھرباني ڪري هڪ عرض ٿو ڪيان تہ جيڪو بہ مرض يا تڪليف هجي ته ريليٽڊ ڊاڪٽر کي چيڪ ڪرايو نه ڪي حڪيم ،ڏاهي (QUACK) کي... مهرباني 🙏

25/09/2022



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24/09/2022



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Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 22/09/2022

60 plus year old patient came in ER with history of RTA
He has open wound at anterior knee about 2x7 cm wound bleeding was seen
Knee was deformed distill N/V intect

Xary shows
1)Distll femoral condyle fracture
2)knee dislocation
3)Quads repture

Management
1)Wound was washed and debrided and extended
2)condyles was fixed with k wires
3) knee was relocated
4) Quads was repaired
5) olcreanization of patela

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 21/09/2022

6 year old child with history of RTA complains of right thigh pain
Right thigh was swollen,tender and deformed

Xry femur fracture
Patient was sedated and hip spica aplied✌️✌️

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 15/09/2022

60 year old male Patient came in OPD with Of
1)Vague posterior pain
2)Swelling and a mass in the popliteal space
3)Limited range of motion
4)Stiffness in the back of the knee sometimes increased by activity
5)Tightness behind the knee


A large swelling at posteromedial site of knee about 7 into 10 cm
Tenderness was positive
Soft cystic types of swelling
Adherent to underlying tissues
FOUCHER SIGN positive

showed osteoarthritis garde 2 changes

finding
Fluid filled cyst noted between Gastrocnemius and semiM tendon taking appearance of speech bubbles


1)icing
2) compression wrap
3) corticosteroids
medication
4) strengthing exercises
5) aspiration of cyst (2 times)

(Recurrence was developed after all conservative measurements )




1) lazy s shaped incision given
2) skin subcutaneous tissue divided
3)fascia was separated
4) cyst was separated from underlying tissues as usual reptur was occured
5)remaining of cyst was removed ✌️
6)after removal cauterization was done to prevent recurrence of cyst
7)fascia,skin closed maticuously
8) dressing was done 👍

09/09/2022



Orthoperdic emergency center
24 hours service

FOR APPOINTMENT CALL NOW!
03262813088


04/09/2022



Orthoperdic emergency center
24 hours service

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Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 17/08/2022

30 year old Patient has complaining of left distill forarm pain and sweeling, tender,deformed

Xry shows volar barton fracture

Management
Open via modified hennry approach

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 16/08/2022



35+ Patient came in EMERGENCY With histry of RTA pain in left arm
Left arm was swollen,tender and deformed



patient was managed under ATLS protocol
Patient was kept pain free
ATS was given
Plaster was aplied
Base lines was send for difinative procedure



1)
Patient shifted to operation thetar and under
G/A DRAPPIING was done,arm was supine on arm board,abducted 45 degree

2)
Anterolateral humeral approach:-
1) curved incision was given over letral border of biceps centerd over fracture site
2) identified the lateral border of the biceps muscle and retract medially
3) revealed the brachialis and brachioradialis muscles
4) Incised the fascia overlying these muscles and developd the intermuscular plane
5) The radial nerve identified between the brachialis and brachioradialis muscles and isolated
6) The brachialis and biceps are retracted medially and the brachioradialis laterally
7) Subperiosteal elevation of the brachialis revealed the humeral shaft
8) fracture was reduced and DCP was done
9) closed layer by layer
10) dressing and postop xry was done ✅

07/08/2022



Orthoperdic emergency center
24 hours service

FOR APPOINTMENT CALL NOW!
03262813088


27/07/2022
24/07/2022

محرابپور ٽراما سينٽر

Orthoperdic emergency center
24 hours service

FOR APPOINTMENT CALL NOW!
03262813088


15/07/2022

SURGEON Dr.FAHAD JATOI
MBBS,RMP,FCPS
ASSISTANT PROFESSOR ORTHOPEDIC
(محرابپور ٽراما سينٽر)

FOR APPOINTMENT CALL :03262813088

15/07/2022
12/07/2022
10/07/2022

MEHRABPUR TRAUMA CENTER has senior and well known Gynecologist /ORTHOPEDIC/PEADRIATICIAN AND PHYSICIAN Doctors on board with extensive experience

Contact us now to book your appointment!
Cell#. 03262813088
Address: MEHRABPUR TRAUMA CENTER,HALANI ROAD,NEAR EID GAH, MEHRABPUR DISTRICT NAUSHAHRO FEROZ

Our Services:
OPD
Surgery
Emergency
Orthopedic
Gynecology
Peadriatician
Consultant physician



10/07/2022

محرابپور ٽراما سينٽر 💐

08/07/2022













Friday and Saturday
4pm to 7 pm


Sunday
4pm to 7 pm


Dailyy evening
4 pm to 10 pm


Daily evening
4 pm to 10 pm

For appointment
03262813088

06/07/2022













Friday and Saturday
4pm to 7 pm


Sunday
4pm to 7 pm


Dailyy evening
4 pm to 10 pm


Daily evening
4 pm to 10 pm

For appointment
03262813088

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 05/07/2022



6+ year old patient came in OPD with the history of valgus deformity in left arm,mild pain at elbow patient has previous history of truama 4 months back at elbow



Left arm was valgus in position, decrease flexion on left side



Left letral condyle humerus fracture (nonunion)


1)open via kocher approach

2)skin incision:-lateral skin incision can be used.

For a lateral skin incision, placed the elbow at 90° and palpated the lateral condyle, which is easier in thin patients.

A gently curved skin incision directly over the middle of the lateral condyle, initially 2to4 cm, extending proximally or distally

3)Incised the subcutaneous tissue in line with the incision and raised flaps with exposure of fascia over the muscles

4)proneted the forearm will move the nerve(PIN) further from the plane of dissection

5)now went to bone via Kocher interval which is between the extensor carpi ulnaris and the anconeus.

6)Avoided the incising the capsule too far anteriorly as the radial nerve lies over the front of the anterolateral portion of the elbow capsule.

7)Avoided dissection distal to the annular ligament or strenuous retraction because the posterior interosseous nerve, lying within the supinator muscle, is at risk

8)Didnot place retractors around the radial neck.

9) Released the origin of brachioradialis and associated capsule from the lateral supracondylar ridge to improve visualization of the capitellum ang letral condyles humerus

10)after osteotomize the fracture nonunion site and freshened the margins after removal of fibrosis and sclersis i put graft and then compressed with clamps and aply k wires in cross manner

11) closure:-Closed the capsule with resorbable sutures (3/0).

12)Reattached the muscles and fascia with resorbable sutures (2/0 or 3/0).

13)Closed skin and subcutaneous tissue with fine sutures

05/07/2022



Orthopedic
Physicians
Gynaecologist
Peadriatician ✌️

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 21/06/2022



60+ Year old patient came in OPD with complain of right distill painless thigh swelling.............



swelling was mbile, nontender, underlying muscles,skin pinchable........



looks clear no bony lesion......



shows localised, underlying vastus medialis and intermedius not involving N/V bundles...........

:-

1) incision via medila para patellar approach
2)medial flap raised
3)muscles are reflected letrally to exposed the tumour
4)tumour was freed from neibouring tissue, 5)muscle was intect, bleeding was secured,it was clean surgery so closed meticulously ✌️

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 03/06/2022

20+ year female patient with H/O FOOSH injury
Complaining of left shoulder pain
Left shoulder was tender, swollen and Left arm was unable to move
Xarys show proximal humerus fracture
Management under G/A fracture was stablized via open reduction and K-wire fixation
(Letral deltoid splitting approach)

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 01/06/2022

+

30+ year old patient came in ER with History of glass cut injury at volar surface of wrist (ZONE V)

There is glass cut injury at volar surface about
5*2cm incised wound,pt has difficulty in flex the fingers especially 3rd,4th and 5th finger also there is difficulty in ulner flex the wrist,also she has decrease sensation on ulner sensory area.

1) flaxor digitorum superficialis injury
2)partial transection of flaxor digitorum profundus
3) palmaris Longus injury
4) flaxor carpai ulnaris injury
5)ulner nerve injury


All finger flaxors and wrist flaxor repaired via crackow method.....+........
Ulnar nerve repaired

(Plaste was aplied in volar flexion position)

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 29/05/2022



31+ year-old patient operated case of tendoachile repture in somewhere else in private hospitals 1 year back



The patient attended to outpatient clinic with the complaints of swelling and discharge around the operation site four months after operation.



A semi-mobile solid soft tissue mass, about 4 × 3 cm in diameter was detected on former incision scar. There was a fistula on the mass. The infection parameters in laboratory tests were normal.



A granulomatous abcess/mass formation around distal portion of the Achilles tendon was detected.



Under spinal anaesthesia the patient was put in prone position. former incision scar was utilized and incision was given on previous incision scar . The granulomatous tissue which was located on intact Achilles tendon was excised . Inside the mass polyethylene suture was detect,After excision of the granulomatous mass then tendon was repaired with nonabsorbable sutures



Typical findings of the foreign body reaction, e.g. hemosiderine loaded macrophages, giant cells and eosinophilic infiltration, were observed. No microorganism was cultivated in the tissue culture.

(PATIENT FOLLOED IN OPD)

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 26/05/2022

60 + Year old female patient came in OPD with left arm swelling painless
O/E swelling was mobile, non adherent to underlying structures,skin pinchable,margins reachable, smooth surface,nontender

MRI shows superficial swelling non adherent to muscles, vessels are intect and faraway from sweeling

Diagnose LIPOMA

MANAGEMENT excision was done under G/A
1) incision was given on swelling
2) flaps medial and letral raised
3) swelling was dissected from bef with gauze pieces
4) swelling was completely excited
5)wound was closed meticulously

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 25/05/2022

6 year old child known case of CP he has dynamic equinus right foot silverskoid test positive after all base lines and examination i have done G.fascia relase (valpius procedure) and sural nerve saved ,fascia release step by step, muscle was left intect stretching was done after release and plaster was aplied for 6weeks.

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 18/05/2022

6 + year old patient came in emergency with History of left arm pain
O/E left arm swelling, tender deformed, puckering sign was positive
Proximal distill humerus was buttonholing in biceps
Xray shows S/C HUMERUS FRACTURE
Management:- open via posterior universal approach by creating windows in medial and lateral side of triceps (triceps saved)
Fracture was reduced by freeing buttonholing of humerus and fracture was completely and nicely reduced crossed K-wire was placed
Patient was stable and followed in opd

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 10/05/2022

35+ year old patient came in emergency with complain of right arm pain

O/E right arm was swollen, tender, deformed neurovascular examination was intect especially Radial nerve

Xray :-right humerus fracture (butterfly fragment)

Management:-under G/A patient fracture was exposed via anterolateral approach Radial nerve was identified and saved DCP was aplied and butterfly fragment was laged through plate post operative Radial nerve was checked which was intect patient discharge and followed

03/05/2022

💐

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 12/04/2022

60 + year female patient came with H/o RTA got open fracture of left distill femur and right open segmented femur fracture

In emergency department external FIXATOR was aplied after wound Management and healed along with all infective marker touched normal level(wound completely healed took 4 months)
After normal of all inflammatory markers and removal of fixator with healed pin sites

Xarys:-right segmented femur fracture
Left Supracondylar femur fracture
Definitive Management:- left Supracondylar fracture was opened and alot of fibrosis removed bones was stuck in fibroric tissues so all fibrosis removed and bone was aligned and DFLP aplied.

Right segmented femur was also buried in fibrotic tissues after removal of all fibrosis bone medullary canal was restored and LCP was aplied and fracture site was filled with CANCELLOUS GRAFT which will consolidate after few weeks
(It was difficult job due to chronic case and fibrosis)

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 10/04/2022



Case1:- 7 year child with history of fall at ground from bike got injury at left distill forearm complaining of left distill forearm pain
O/E Left distill forearm was deformed and swollen N/V intect
Xray:- showed distill radius ulna fracture
Management:-under heamatoma block fracture was reduced (100%)and plater was aplied along with polysling for further followed in opd

Case2:- 60+ Year old patient came with history of RTA (fall from bike) complaining ofleft shoulder pain
O/E left shoulder contour was deformed and swollen distll N/V intect
Xrys:-showed proximal humerus fracture (surgical neck humerus)
Management:-under G/A fracture was reduced but it was unstable so percutaneous k-wires Placed fracture was stabilized in single unit after that k-wires removed after4 weeks fracture was Healed and advised physiotherapy
()
✌️👌

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 03/04/2022

30 + year old patient came with History of RTA
Complaining of forarm pain and swelling neurovascular examination was intect
Xry shows radius ulna fracture
Management DCP done
Patient condition stable

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 30/03/2022

30+year old patient came with h/o truama complaining of pain at distill leg
Distll leg was swollen and tender after subsidence of swelling
Xarys showed tibia/febula fracture
After swelling subsidence MIPO distill tibail locking plate done ✅

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 24/03/2022

12+ year old patient came to me with complain of foot ECV deformity according to patient it was since birth histry was not clear
Pt need correction of deformity
Pt has difficulty in walking as you see in pictures
O/E extensors,peroni,AT,PT all are 0/5
Sensation was normal
So correction was done nicely foot was corrected plantigrade
Surel nerve was peserved
Plaster was aplied for 6 weeeks

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 09/03/2022

50 year old patient came with H/o RTA complaining right leg pain
O/e right leg was swollen and tender deformed distil n/v intect no sign of compartment syndrome
Xry shows tibia febula fracture
Management closed reamed interlock tibia
Patient stable

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 28/02/2022

MIPO LOCKING PALTE

A patient came in emergency with history of RTA
Presentation was pain at Left ankle
O/E left ankle was swollen,tender and deformed and about 3 to 4 cm wound at letral malleolus
Wound was debrided initially and kept open for 2 ndry healing
After 2 weeks swelling was subsided then we plan for surgery
Xry shows distill tibia fracture along with fibula
Management again wound was debride and dressed regularly,
Under image fluoroscopy MIPO LOCKING PLATE was done with mini incisions plate was placed acurettly
And fibula site was already oped and wound was present so thick k-wire was placed
Fracture was reduced fantastically

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 27/02/2022

........

2 children with telipes equino varus( club foot deformity, پاؤں کا تیرا پڑ جان) visited in my opd 6 weeks back,
After 6 ponseti plaster children feet become correct (پاؤں کا سیدھا بیہوجانا) and applied SHOES for to maintain the corrected deformity

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 25/02/2022

3 patients came with H/o truama as per protocol ATLS and examination done
In 1st patient60+ intertrochanteric fracture which was stabe so DHS was done
2nd patient 60+ Intertrochanteric fracture which was unstable DCS was done both under fluoroscopy guidence
3rd patient female child femur fracture DCP was done
Patients are stable alhamdullah ✌️

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 22/02/2022

A12+ year old patient history of truama came with complain of right knee pain
O/E patellaa dislocation with letral tilt, apprehension test was positive,J sign was seen
Xruy showed patela dislocation with high ridening
Management
Under spinal anesthesia
Medial patelar incisioy was given,MPFL ligament was seen by removing 1st layer of medial compartment,MPFL ligament was lax which was detached from femoral origin,so by exposing and clearing from other tissues MPFL ligament was repaired by 2ble breasting along with 1st layer enforcement along with vastus Medialus obliqus advancement
Plaster was applied with 30 degree knee flexion
Pt was stable and shifted to ward for further rehabilitation protocol will follow after 2 weeks

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 25/12/2021

60 + year old patient history of RTA (fall from bike) complaining of pain distill arm
Distill arm was swollen tender
Pre-op N/V exam was normal especially RADIAL NERVE
Xary shows distill humerus fracture
Management Open reduction and internal fixation (dcp)was done intraop radial nerve was explored and saved
Patient was stable nerve again checked which was intect
(Whole procedure was done under biers block )

Photos from Orthopedic Surgeon Dr Fahad Jatoi's post 01/12/2021

SPRINGLED DEFORMITY

A 7 year old female child admited in orthopedic ward via opd With complains of

Restricted ROM of left shoulder joint
Painless bump on left upper back

HOPC

Site left side shoulder blade(scapula)elevated
Duration since birth
Progressive deformity
Other symptoms restricted left shoulder ROM
No other associate deformity and neurological problems
Disability difficulty in dressing and cosmetic reasons
Treatment taken massages ,manupulation
Past histry medical and surgical not significant

Family histery not significant

Developemental histry not significant

Drug histery not significant

Vaccinated child

Socioeconomic poor

Patient expectation patient wants full ROM
and correction of deformity

ON EXAMINATION

left scapula small and high up than contralatral side about 2 to 3 cm ( Cavendish type 3)
Smaller in vertical plane
Inferior angle is rotated medially causing glenoid to face inferiorly
No tuft of hair,scoliosis and web-neck, spina bifida ,clavicular abnormilities

STEPS OF WOODWARD PROCEDURE

Patient position :Prone

Incision midline vertical incision(from spinous process of first cervical vertebra to 9th thoraxic vertebra)

Steps
opened skin sub cutanious tissue

2)identified lateral border of trapezius

3)separate dtrapezius from underlying L.dorsi
4)freed fascial sheath of origin of trapezius from spinous process
5)identified R.MAJOR,MINOR and freed them from origin
6)freed the rhomboids and superior part of trapezius from chest wall
7)retracted muscles laterally and looked for the omovertibral bone or band which was not present
8)excised contracted L.scapulae by saving spinal accessory nerve, nerve to rhomboid and transverse cervical artery
9)displaced scapula along with musles distally untill its spine lied at same level of opposite scapula

10)while holding scapula reatteched all deteched muscled to spinous process

11)meticulous closure was done and dressing done and sling was applied

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