OrthopaedicPrinciples.com

Integrating Principles and Evidence

Integrating Principles and Evidence

-Hip and Knee

Baker’s Cyst

Courtesy: Prof Nabil Ebraheim, University of Toledo, Ohio, USA Baker’s Cyst (Popliteal Cyst) Definition Baker’s cyst, also called a popliteal cyst, is a benign swelling located behind the knee. It may vary in size, from small to large. It is a fluid-filled cyst, not a solid tumor. The cyst should transilluminate. Anatomy and Pathophysiology The […]

Templating in THR

Courtesy: Dr T Vail, Ashok Shyam TV, Ortho 1?? Evaluation of Labral Pathology and Femoroacetabular Impingement Patient Counseling and Expectations When evaluating patients with: Labral tears Femoroacetabular impingement Key counseling points include: Recovery Timeline Simple labral debridement: Recovery approximately 6 weeks. Extensive impingement correction (cam/pincer correction, labral repair): Recovery 4 to 6 months. Recovery after […]

Hip Imaging Radiograph and MRI

Courtesy: Dr T Vail, Ashok Shyam TV, Ortho Why Hip Imaging Matters Imaging plays a critical role in: Understanding hip biomechanics Planning hip reconstruction procedures Identifying intra-articular pathology Direct visualization (e.g., arthroscopy) highlights how challenging it can be to detect subtle pathology using imaging alone. Each modality (plain radiographs, MRI) has specific strengths and limitations. […]

Painful and Stiff Knee

Courtesy: Dr T Vail, Ashok Shyam TV, Ortho   Overview TKA is successful in ~95% of patients. The remaining 2–5%: Experience pain, stiffness, or dissatisfaction. Often consume a disproportionate amount of clinical time. Typical scenario: Radiographs appear normal. Patient reports the knee “just doesn’t feel right.” Clinical Presentation Patients may report: Stiffness Swelling Limited flexion […]

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 […]