OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

admin

Meniscal Repair Tips & Tricks

Courtesy Dr Dinshaw Pardiwala, Dr Ashok Shyam, Ortho TV   Meniscus Repair: Tips, Tricks, and Surgical Pearls Introduction Meniscus preservation has become a major priority in modern knee surgery. Increasing evidence shows that preserving meniscal tissue helps maintain joint biomechanics, reduces cartilage degeneration, and delays osteoarthritis progression. This discussion focuses on practical aspects of meniscus […]

Complete Physeal Separation Of Lower Humerus

Courtesy Dr Chasanal Rathod, Dr Ashok Shyam, Ortho TV   Definition Pediatric fractures and injuries are classified based on: Mechanism of injury Pattern of fracture Involvement of growth plate Severity and displacement Common Pediatric Fracture Classifications Growth Plate (Physeal) Injuries Most important in children. ? Salter-Harris classification Types: Type I – Through physis only Type […]

DDH- Screening, Diagnosis & Management

Courtesy Dr Kishore Mulpuri , Dr Ashok Shyam, Ortho TV     Developmental Dysplasia of the Hip (DDH) Introduction Developmental dysplasia of the hip (DDH) represents a spectrum of abnormalities involving abnormal development of the hip joint. The spectrum ranges from: Mild acetabular dysplasia Hip instability Subluxation Complete dislocation Early diagnosis and appropriate management are […]

Periprosthetic Joint infections

Courtesy: Dr. Javad Parvizi , Dr Ashok Shyam, Ortho TV   Periprosthetic Joint Infections (PJI): Prevention and Risk Management Overview Prevention of infection in orthopaedic procedures is a major priority Complete elimination of infection risk is not possible due to: Normal skin flora Variable patient immunity Bacterial behavior differences Key Concept Even a small number […]

Common Errors In Workup & Diagnosis Of Bone & Soft Tissue Tumours

Courtesy: Dr. Yogesh Panchwagh, Dr Ashok Shyam, Ortho TV Common Pitfalls in the Diagnosis and Initial Management of Bone and Soft Tissue Tumors Overview Bone and soft tissue tumors are frequently misdiagnosed or treated inappropriately during the initial stage of management. A significant proportion of patients undergo surgery without a proper diagnostic biopsy beforehand. Inappropriate […]

Adolescent Fractures, Why Are They Different?

Courtesy: Dr. Alvin Crawford, Dr Ashok Shyam, Ortho TV   Adolescent Orthopedics – Key Concepts and Clinical Principles Introduction Adolescent orthopedics represents a unique transitional phase between pediatric and adult musculoskeletal care. During adolescence: Rapid skeletal growth occurs Hormonal changes influence bone and soft tissue physiology Injury patterns evolve as physes begin to close Sports […]

Monteggia Fractures- Staying Away From Trouble

Courtesy: Dr. Alvin Crawford, Dr Ashok Shyam, Ortho TV   Monteggia fracture-dislocation – Practical Concepts & Management Definition Injury consisting of: Fracture of ulna Dislocation of radial head Key Principle (Most Important Point) “Ulna is the key to management” Proper ulnar alignment – spontaneous reduction of radial head Focus should be on: Restoring ulna anatomy, […]

Femoral Neck Fractures In Children

Courtesy: Dr Ashok Shyam, Dr. Alvin Crawford, Ortho TV   Pediatric Femoral Neck Fractures Overview Rare injuries accounting for approximately 1% of pediatric orthopedic fractures Usually caused by high-energy trauma Trivial trauma should raise suspicion for: Pathological fracture Insufficiency fracture Common Pathological Causes Unicameral bone cyst Chondroblastoma Osteosarcoma Epidemiology More common in boys Incidence in […]

Physeal Bars: How to Suspect, Diagnose & Manage

Courtesy: Dr Ashok Shyam, Dr. Shital Parikh, Ortho TV   Physeal Bar (Growth Arrest) Introduction A physeal bar, also known as growth arrest, occurs when a bony bridge forms across the growth plate (physis), leading to partial or complete cessation of growth. Because longitudinal bone growth occurs through the physis, damage to this structure can […]