-Knee Preservation

Patellofemoral cartilage repair

Courtesy: Dr A Gomoll, Ashok Shyam TV, Ortho Clinical Context First-time patellar dislocators traditionally require surgery only when a loose body is present. However, many patients present with: Cartilage defects on magnetic resonance imaging. No loose body. Unclear indication for surgery. Key question:When should patellofemoral cartilage defects be treated surgically? Incidence of Patellofemoral Cartilage Defects […]

Radiographic Criteria for Optimum TKR

Courtesy: Dr S Macdonald, Ashok Shyam TV, Ortho Don’t Forget Pre-Operative Evaluation Before analyzing a painful postoperative knee, always revisit: Was TKA truly indicated? Was there clear bone-on-bone osteoarthritis? Could pain have originated elsewhere (e.g., hip)? Key Clinical Lesson Mild radiographic knee arthritis + severe hip arthritis ? knee replacement will not solve the pain. […]

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 […]

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 […]