Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Complex Primary THA
Courtesy: Dr Amar Ranawat, Dr Ashok Shyam, Ortho TV Introduction Complex hip reconstruction may be required in conditions such as acetabular protrusion, acetabular fractures, post traumatic arthritis, and failed fixation around the hip. These procedures are technically demanding and require careful planning, adequate exposure, and appropriate implant selection. Surgeons must be prepared to address difficulties […]
Getting the Primary Arthroplasty Right
Courtesy: Dr Bill Walter, Dr Ashok Shyam, Ortho TV
Metabolic Bone Status in Patients Undergoing Arthroplasty
Courtesy: Dr Alana Serota, Dr Ashok Shyam, Ortho TV Metabolic Bone Health & Perioperative Optimization in Orthopedic Surgery The Sentinel Fracture Concept & “Own the Bone” The Sentinel Event: A fragility fracture is a sentinel systemic event analogous to a myocardial infarction; just as an MI mandates cardiological intervention, a fragility fracture requires formal metabolic […]
DVT Prophylaxis in Arthroplasty
Courtesy: Dr S V Vaidya, Dr Ashok Shyam, Ortho TV DVT Prophylaxis in Total Joint Arthroplasty (TKR and THR) Core Principles & Pathophysiology Deep vein thrombosis (DVT) and pulmonary embolism (PE) do not always correlate directly. Fatal pulmonary embolism sits at the tip of the clinical pyramid. Symptomatic and silent deep vein thromboses form […]
Functional Cup Positioning in THA
Courtesy: Dr Mahesh Kulkarni, Dr Ashok Shyam, Ortho TV Total Hip Arthroplasty in Bony Hip Ankylosis and Ankylosing Spondylitis Preoperative Assessment & Anesthetic Considerations Full Spine Imaging: Evaluate the complete spinal axis from the cervical spine down to the sacrum. Pseudarthrosis Detection: Screen for occult Andersson lesions or fractures within the rigid, ankylosed spine. Spinopelvic […]
Femoral Revision – Monobloc & Modular Stems in TKR
Courtesy: Dr Vijay Bose, Dr Ashok Shyam, Ortho TV Revision Total Hip Arthroplasty: Monoblock vs. Modular Tapered Fluted Stems Historical Perspective & The Transatlantic Divide The American Philosophy (1980s–1990s): Popularized by Charles Engh and William Harris Jr., advocating extensively porous-coated cylindrical cobalt-chromium stems (e.g., AML). The European Philosophy: Heinz Wagner introduced the Wagner stem in […]
Intra Op and Post Op Cocktail in TKR
Dr David Mayman, Dr Ashok Shyam, Ortho TV Perioperative and Intraoperative Pain Management in Total Knee Arthroplasty Anesthesia Modalities: Neuraxial Dominance Nearly 100% of patients receive neuraxial anesthesia (spinal or epidural) unless clear medical contraindications exist. Contraindications: Extensive lumbar spine instrumented fusion, severe uncorrected coagulopathy, or pulmonary hypertension (which may necessitate controlled general anesthesia). Clinical […]
Neck Pain, Cervical Disc Herniation & Radiculopathy
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Cervical Disc Herniation and Radiculopathy Introduction Cervical disc herniation is a common cause of neck pain and upper limb radiculopathy. Herniated disc material compresses a cervical nerve root, leading to characteristic motor, sensory, and reflex abnormalities. Accurate diagnosis depends on correlating: Dermatome Myotome Reflex changes […]
Is It Hip Pain or Spine Pain, Which One is Causing the Pain?
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Hip Pain vs Sciatica (Spine Pathology) Introduction Hip disorders and lumbar spine disorders frequently coexist and often produce overlapping symptoms. This overlap can lead to: Misdiagnosis Delayed treatment Inappropriate surgery A careful clinical assessment is essential to determine whether symptoms arise primarily from the hip, […]
The Painful Sacroiliac Joint, Why it Hurts?
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Sacroiliac (SI) Joint Dysfunction Introduction Sacroiliac joint dysfunction is an important and frequently overlooked cause of low back pain. It is increasingly recognized as a major contributor to: Chronic low back pain Persistent pain after lumbar fusion Failed back syndrome Because symptoms often mimic lumbar […]
Examination Of The Hand, Carpal Tunnel Syndrome
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Femoral Nerve Anatomy – Femoral Nerve Injury
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Neurological Examination Spinal Cord
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA
Tests For Examination of the Lower Back
Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Clinical Examination of Low Back Pain Diagnostic Scope & Anatomical Generators Low back pain requires systematic clinical evaluation to distinguish among anatomical pain generators: Intervertebral discs Lumbar nerve roots Sacroiliac (SI) joints Facet joints Paraspinal musculature and ligaments 1. Straight Leg Raising (SLR) Test Clinical […]