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Knee Extra Articular Deformity Correction

Courtesy: Dr S Macdonald, Ashok Shyam TV, Ortho Significant extra-articular deformities are relatively uncommon in many Western practices but may be more frequently encountered in post-traumatic populations. Common causes include: Malunited fractures Prior osteotomies Metabolic bone disease (e.g., Paget’s disease) The challenge is achieving proper limb alignment without compromising ligament stability. Three Treatment Options When […]

Osteotomy for Complex Knee Pathology

Courtesy: Dr Alan Getgood, Ashok Shyam, Ortho TV Introduction The session focuses on practical concepts in knee osteotomy, using real clinical cases to illustrate decision-making. Osteotomy remains an important procedure for young, active patients with malalignment and compartmental knee pathology. Revisiting fundamental principles is valuable because: These procedures can be technically demanding. Proper patient selection […]

Knee-Patient Specific Alignment

Courtesy: Dr Brett A Fritsch, Ashok Shyam, Ortho TV Personalized Alignment in Total Knee Arthroplasty Introduction A fundamental concept in knee surgery is that no two knees are identical. Each patient demonstrates unique variations in: Bone morphology Limb alignment Soft tissue balance Historically, surgeons often treated osteoarthritic knees with a uniform surgical approach, assuming similar […]

Functional Alignment of Knee

Courtesy: Dr Eugene E K, Ashok Shyam, Ortho TV Functional Alignment in Knee Replacement Surgery Introduction Alignment strategies in total knee replacement have evolved significantly over the years. Many surgeons initially adopted mechanical alignment, which has been the traditional and widely practiced method for several decades. Over time, alternative approaches such as kinematic alignment and […]

MCL Injury Treatment

Courtesy: Dr Andy Williams, Ashok Shyam, Ortho TV Understanding the Medial Collateral Ligament in Knee Stability Introduction Research over recent years has focused on improving the understanding of the medial collateral ligament of the knee. The goal has been to study three key aspects: Detailed anatomy Biomechanics Surgical techniques for injury management These studies have […]

ACL Tears in adolescents

Courtesy: Maria Tuca, Ashok Shyam, Ortho TV Anterior Cruciate Ligament Injuries in Adolescents: Key Principles of Management Introduction Injuries of the anterior cruciate ligament in adolescents are increasingly common. These injuries should not be managed using the same strategies applied to adults. Adolescents represent a unique patient group due to: Open growth plates High activity […]

Complex Meniscus Repair-Live Surgery

Courtesy: Dave Lee, Ashok Shyam, Ortho TV Arthroscopic Management of Medial Meniscus Tear with Parameniscal Cyst Patient Presentation A female patient in her thirties presented with right knee pain for three years. Symptoms began after a fall from a motorbike. Complaints included: Pain during standing and walking Pain while climbing stairs Night pain The patient […]

Meniscus Repair

Courtesy: Dr Dinshaw Pardiwala, Ashok Shyam, Ortho TV Practical Considerations in Meniscus Repair Introduction Meniscus injuries are among the most common problems encountered by knee surgeons. Management decisions often depend on multiple factors, including: Patient age Activity level Tear pattern Associated ligament injuries Limb alignment Modern practice increasingly emphasizes meniscal preservation rather than meniscectomy, especially […]

Knee Examination

Courtesy: Ashok Shyam, Ortho TV Introduction Knee preservation procedures require careful integration of: Clinical examination Radiological analysis Alignment evaluation Patient-specific functional demands Important surgical strategies discussed include: Osteotomy for malalignment Osteochondral reconstruction for cartilage defects Revision anterior cruciate ligament reconstruction Case One Varus Knee with Medial Compartment Pain Patient Profile Forty-two-year-old female Body mass index […]

Multi Ligament Knee Injuries-Approach

Courtesy: Dr Brett Fritsch, Ashok Shyam, Ortho TV Management of Multi-Ligament Knee Injuries Definition A multi-ligament knee injury involves complete disruption of at least two of the four major ligament complexes of the knee. In cases of knee dislocation: Classification is based on the position of the tibia relative to the femur. If the dislocation […]

Articular Cartilage Restoration

Courtesy – Dr Dinshaw Pardiwala, Dr Ashok Shyam, Ortho TV Modern Approach to Articular Cartilage Restoration Importance of Articular Cartilage Articular cartilage plays a critical role in knee joint function. It provides a smooth, low-friction surface for joint movement. It helps in even distribution of load across the joint surface. This load distribution reduces peak […]